{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T17:55:41Z","timestamp":1772387741598,"version":"3.50.1"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"9","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n Az otogen liquorrhoea m\u0171t\u00e9ti ell\u00e1t\u00e1st ig\u00e9nyl\u0151\n \u00e1llapot, mivel mag\u00e1ban hordozza a potenci\u00e1lisan \u00e9letvesz\u00e9lyes agyh\u00e1rtyagyullad\u00e1s\n vesz\u00e9ly\u00e9t. Az etiol\u00f3gi\u00e1t\u00f3l, a beteg f\u00fcl\u00e9szeti status\u00e1t\u00f3l \u00e9s hall\u00e1s\u00e1t\u00f3l, valamint\n a defektus lokaliz\u00e1ci\u00f3j\u00e1t\u00f3l f\u00fcgg\u0151en k\u00fcl\u00f6nb\u00f6z\u0151 rekonstrukci\u00f3s megold\u00e1sok j\u00f6nnek\n sz\u00f3ba.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Az otogen liquorcsorg\u00e1s szem\u00e9lyre szabott\n z\u00e1r\u00e1si technik\u00e1ival szerzett tapasztalataink \u00f6sszegz\u00e9se.\n M\u00f3dszer:<\/jats:italic>\n Az oszt\u00e1lyunkon 2022. \u00e1prilis \u00e9s 2024. j\u00fanius\n k\u00f6z\u00f6tt otogen liquorrhoea z\u00e1r\u00e1s\u00e1n \u00e1tesett betegek adatait elemezt\u00fck retrospekt\u00edv\n m\u00f3don a m\u0171t\u00e9ti sikeress\u00e9g \u00e9s a hall\u00e1seredm\u00e9nyeknek a vonatkoz\u00e1s\u00e1ban.\n Eredm\u00e9nyek:<\/jats:italic>\n A fenti id\u0151szakban 8 olyan betegn\u00e9l ker\u00fclt sor\n az otogen liquorfistula z\u00e1r\u00e1s\u00e1ra, akin\u00e9l ez volt a m\u0171t\u00e9ti c\u00e9l. 4 esetben\n idiopathi\u00e1s liquorcsorg\u00e1s \u00e1llt a h\u00e1tt\u00e9rben, 2 betegn\u00e9l kor\u00e1bbi m\u0171t\u00e9t \u00e1ltal\n okozott iatrog\u00e9n eredet, 1 betegn\u00e9l destrukt\u00edv cholesteatoma, 1 p\u00e1ciensn\u00e9l pedig\n nekrotiz\u00e1l\u00f3 otitis externa. A klinikai k\u00e9p mellett pozit\u00edv \u2019beta-trace-protein\u2019\n teszt \u00e9s\/vagy liquorszcintigr\u00e1fiai eredm\u00e9ny \u00e9s\/vagy pneumocephalus r\u00e9v\u00e9n\n \u00e1ll\u00edtottuk fel a diagn\u00f3zist. 2 betegn\u00e9l transmastoid \u00faton, 3-n\u00e1l\n k\u00f6z\u00e9ps\u0151scala-felt\u00e1r\u00e1ssal, 3-n\u00e1l subtotalis petrosectomia r\u00e9v\u00e9n z\u00e1rtuk a\n liquorfistul\u00e1t. Minden betegn\u00e9l megsz\u0171nt a liquorcsorg\u00e1s, de a kiterjedt\n koponyaalapi nekrotiz\u00e1l\u00f3 otitis extern\u00e1val k\u00fczd\u0151 p\u00e1ciens a m\u0171t\u00e9tet k\u00f6vet\u0151en 2\n h\u00e9ttel elhunyt. 4 betegnek m\u00e1r teljes hall\u00e1skies\u00e9se volt a m\u0171t\u00e9t idej\u00e9n, a t\u00f6bbi\n betegn\u00e9l a m\u0171t\u00e9tet k\u00f6vet\u0151en hossz\u00fa t\u00e1von \u00e1tlagosan 26 dB l\u00e9gvezet\u00e9ses k\u00fcsz\u00f6b\u00f6t\n \u00e9s 12 dB l\u00e9gcsont-k\u00f6zt m\u00e9rt\u00fcnk.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A dehiscentia\n elhelyezked\u00e9se, a f\u00fcl\u00e9szeti status \u00e9s a preoperat\u00edv hall\u00e1seredm\u00e9ny alapj\u00e1n az\n algoritmiz\u00e1lt, egy\u00e9nre szabott seb\u00e9szi ell\u00e1t\u00e1s hat\u00e9kony beavatkoz\u00e1s az otogen\n liquorrhoea c\u00e9lzott kezel\u00e9s\u00e9re. Orv Hetil. 2026; 167(9): 331\u2013336.\n <\/jats:p>","DOI":"10.1556\/650.2026.33498","type":"journal-article","created":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T17:05:24Z","timestamp":1772384724000},"page":"331-336","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Otogen liquorrhoea szem\u00e9lyre szabott m\u0171t\u00e9ti megold\u00e1sa"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2466-0275","authenticated-orcid":true,"given":"Bence","family":"Bajor","sequence":"first","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Nagy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti \u00e9s Neurointervenci\u00f3s Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit","family":"K\u00e1lm\u00e1n","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1lint","family":"Liktor","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barnab\u00e1s","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Benedek I. Hygeia. History of the European medical science.\n [H\u00fcgieia. Az eur\u00f3pai orvostudom\u00e1ny t\u00f6rt\u00e9nete.] Gondolat K\u00f6nyvkiad\u00f3, Budapest,\n 1990; pp. 217-264. [Hungarian]"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Wells WA. Nathanael Highmore, seventeenth century pioneer in anatomy\n and embryology. Laryngoscope 1948; 58: 583-597.\n https:\/\/doi.org\/10.1288\/00005537-194806000-00009","DOI":"10.1288\/00005537-194806000-00009"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Bolli R. William Harvey and the discovery of the circulation of the\n blood Part II. Circ Res. 2019;\u202f124:\u202f1300-1302.\n https:\/\/doi.org\/10.1161\/CIRCRESAHA.119.314977","DOI":"10.1161\/CIRCRESAHA.119.314977"},{"key":"R4","unstructured":"Harvey W. Anatomical disquisition on the motion of the heart and\n blood in animals. [Exercitatio anatomica de motu cordis et sanguinis in\n animalibus.] William Fitzer, Frankfurt, 1628. passim [Latin]"},{"key":"R5","unstructured":"Highmore N. An anatomical investigation of the human body in which\n the circulation of the blood in every part of the body is pursued, adorned with\n many new illustrations and a concise elucidation of medical enigmas. [Corporis\n humani disquisitio anatomica; in qua sanguinis circulationem in quavis Corporis\n particula plurimis typis novis, ac Aenigmatum Medicorum succincta dilucidatione\n ornatam prosequutus est.] Samuel Brown, Hagae-Comitis, 1651. passim\n [Latin]"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Weil E. The echo of Harvey\u2019s De Motu Cordis (1628) 1628 to 1657. J\n Hist Med Allied Sci. 1957; 12: 167-174.\n https:\/\/doi.org\/10.1093\/jhmas\/XII.4.167","DOI":"10.1093\/jhmas\/XII.4.167"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Ribatti D. William Harvey and the discovery of the circulation of\n the blood. J Angiogenes Res. 2009; 1: 3.\n https:\/\/doi.org\/10.1186\/2040-2384-1-3","DOI":"10.1186\/2040-2384-1-3"},{"key":"R8","unstructured":"Doby T. Discoverers of blood circulation from Aristotle to the times\n of da Vinci and Harvey. Abelard-Schuman, New York, NY, 1963."},{"key":"R9","unstructured":"Esche S. Leonardo Da Vinci. The anatomical work. [Das anatomische\n Werk.] Holbein-Verlag, Basel, 1965. [German]"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Schuez I, Alt KW. Leonardo da Vinci and dental anatomy. J Anat.\n 2022; 240: 183-196.\n https:\/\/doi.org\/10.1111\/joa.13561","DOI":"10.1111\/joa.13561"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Mavrodi A, Paraskevas G. Evolution of the paranasal sinuses\u2019 anatomy\n through the ages. Anat Cell Biol. 2013; 46: 235-238.\n https:\/\/doi.org\/10.5115\/acb.2013.46.4.235","DOI":"10.5115\/acb.2013.46.4.235"},{"key":"R12","unstructured":"Vesalius A. Seven books on the fabric of the human body. [De humani\n corporis fabrica libri septem.] Joannis Oporini, Basel, 1543; pp. 17-43.\n [Latin]"},{"key":"R13","unstructured":"Bartholin T. Anatomical institutions. [Institutiones anatomicae.]\n Hackius, Lugdunum, 1742. p. 240. [Latin]"},{"key":"R14","unstructured":"Sieglbauer F. Human anatomy. [Normale Anatomie des Menschen.] Urban\n und Schwarzenberg, M\u00fcnchen, 1930. passim [German]"},{"key":"R15","unstructured":"Galenus. On the causes of the symptoms. [De symptomatum causis.]\n Simon Colinem, Paris, 1528; 67. [Latin]"},{"key":"R16","unstructured":"Hippocrates. On the diseases III. [\u00dcber die Krankheiten III.]\n Akademie-Verlag, Berlin, 1980; 109-110. [German\/Greek]"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Ekholm K. Anatomy, bloodletting and emblems: interpreting the\n title-page of Nathaniel Highmore\u2019s disquisitio (1651). Early Sci Med. 2013; 18:\n 87-123. https:\/\/doi.org\/10.1163\/15733823-0004A0004","DOI":"10.1163\/15733823-0004A0004"},{"key":"R18","unstructured":"Magyar LA. (ed.) Medicina illuminata: collection of medical history\n texts form the enlightenment era. Part one 17th century. [Medicina Illuminata:\n Felvil\u00e1gosod\u00e1s kori orvost\u00f6rt\u00e9neti sz\u00f6veggy\u0171jtem\u00e9ny. I. r\u00e9sz, 17. sz\u00e1zad]\n Semmelweis Orvost\u00f6rt\u00e9neti M\u00fazeum, K\u00f6nyvt\u00e1r \u00e9s Lev\u00e9lt\u00e1r, Budapest, 2015; pp.\n 7-23. [Hungarian]"},{"key":"R19","unstructured":"Schultheisz E. From the history of European medical education. [Az\n eur\u00f3pai orvosi oktat\u00e1s t\u00f6rt\u00e9net\u00e9b\u0151l.] Semmelweis Kiad\u00f3, Budapest, 2010.\n [Hungarian]"},{"key":"R20","unstructured":"Littr\u00e9 \u00c9. (ed.) The complete works of Hippocrates: a new translation\n with the Greek text facing, collated from manuscripts and all editions;\n accompanied by an introduction, medical commentaries, variants, and philological\n notes; followed by a general table of contents. [Oeuvres compl\u00e8tes d\u2019Hippocrate:\n traduction nouvelle avec le texte grec en regard, collationn\u00e9 sur les manuscrits\n et toutes les \u00e9ditions: accompagn\u00e9e d\u2019une introduction de commentaires m\u00e9dicaux,\n de variantes et de notes philologiques: suivie d\u2019une table g\u00e9n\u00e9rale des\n mati\u00e8res.] J Bailli\u00e8re, Paris, 1849. [French\/Greek]"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Sattler J. Hippokrat\u00e9sz k\u00f6nyve a k\u00f3rj\u00f3slatokr\u00f3l (I., II.). Orvost\u00f6rt\n K\u00f6zl. 1964; 10: 61-93.\n https:\/\/doi.org\/10.1177\/003463736406100223","DOI":"10.1177\/003463736406100223"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Brinkman R, Hage JJ. Andreas Vesalius\u2019 500th anniversary initiation\n of the superficial facial system and superficial musculoaponeurotic system\n concepts. Ann Plast Surg. 2016; 76: 138-142.\n https:\/\/doi.org\/10.1097\/SAP.0000000000000667","DOI":"10.1097\/SAP.0000000000000667"},{"key":"R23","unstructured":"Szent\u00e1gothai J, R\u00e9thelyi M. Functional anatomy I. [Funkcion\u00e1lis\n anat\u00f3mia I.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 1994; pp. 404-413., pp. 426-430.\n [Hungarian]"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Garrison D, Hast M. Andreas Vesalius on the larynx and hyoid bone:\n an annotated translation from the 1543 and 1555 editions of De humani corporis\n fabrica. Med Hist. 1993; 37: 3-36.\n https:\/\/doi.org\/10.1017\/S0025727300057665","DOI":"10.1017\/S0025727300057665"},{"key":"R25","unstructured":"Bartholin C. Anatomical institutions on the human body, presenting\n the history and explanation of both sexes, with numerous new observations and\n opinions, as well as resolutions of the most notable controversies in\n anthropology, with a very comprehensive index of chapters and topics.\n [Anatomicae institutiones corporis humani. Risqu\u00e9 sexus historiam et\n declarationem exhibentes, cum plurimis novis observationibus et opinionibus, nec\n non illoustriorum, quae in anthropologia occurrunt, controversiarum\n decisionibus, cum indice capitum et rerum locupletissimo.] Conradus Scher,\n Argentorati, 1626; p. 377. [Latin]"},{"key":"R26","unstructured":"Department of Physiology, Anatomy and Genetics. 17th century.\n Available from:\n https:\/\/www.dpag.ox.ac.uk\/about-us\/our-history\/17th-century\n [accessed: December 13, 2024]."},{"key":"R27","unstructured":"International Congress of Anatomists. Basle Nomina Anatomica.\n International Congress of Anatomists, Basel, 1895. passim"},{"key":"R28","unstructured":"Federative International Programme for Anatomical Terminology.\n Terminologia Anatomica. 2nd ed. FIPAT, 2019. passim"},{"key":"R29","unstructured":"Hyrtl J. Textbook of human anatomy with consideration of\n physiological iustification and practical application. [Az emberboncztan\n tank\u00f6nyve tekintettel az \u00e9lettani indokl\u00e1sra \u00e9s a gyakorlati alkalmaz\u00e1sra.]\n Kir\u00e1lyi Egyetemi Nyomda, Buda, 1849. passim [Hungarian]"},{"key":"R30","unstructured":"International Anatomical Nomenclature Committee. Nomina anatomica:\n approved by the Tenth International Congress of Anatomists at Tokyo, August\n 1975, together with Nomina histologica and Nomina embryologica. Excerpta Medica,\n Amsterdam-Oxford, 1977. passim"},{"key":"R31","unstructured":"Federative International Programme for Anatomical Terminology.\n Terminologia Histologica: International Terms for Human Cytology and Histology.\n FIPAT, 2017. passim"},{"key":"R32","unstructured":"Schultheisz E, Magyar LA. Medical education at the university of\n Nagyszombat 1679-1777. [Orvosk\u00e9pz\u00e9s a nagyszombati egyetemen 1679-1777.] Magyar\n Tudom\u00e1nyt\u00f6rt\u00e9neti Int\u00e9zet, Piliscsaba, 2005. 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