Department of Otorhinolaryngology - Head and Neck Surgery

INFORMATION ABOUT THE DEPARTMENT

Department of Otorhinolaryngology - Head and Neck Surgery is nationally a leading unit and serves as a tertiary referral center for Otorhinolaryngology. It is located at the University Hospital of St. Cyril and Method campus and is part of the University Hospital and the Medical School of Comenius University in Bratislava.

The department offers complex diagnostic, therapeutic and rehabilitation services for patients with the ORL and head and neck diseases focusing on complex diagnostics and surgical treatment. University ORL HNS department has activities in research with national and international collaboration. Provides under-gradual (general medicine, dental medicine) and post-gradual education (PhD, residency training in ORL and Head and Neck Surgery). The department is one of four national centers offering education in ORL on residential basis with subsequent board examination. Residents from different hospitals stay two years at their residential stay. The department is also the only institution in the country offering post-gradual education in Phoniatrics.

 The department offers daily care in six outpatient offices (covering general ENT, otology, pediatric ORL, head and neck surgery including oncology and reconstruction, endocrine surgery, swallowing and voice disorders) located in the outpatient sector of the University Hospital. In the inpatient sector there are further offices covering vestibular disorders and audiology. Audiology section of the department offers full range of audiological diagnostics. Two fully equipped operation theatres are available at the Operating theatres unit and we use one further theatre located close to the inpatient unit used for less complicated and day case surgeries. Surgeries are offered to adults and children of the age of three years and above. Whole range of surgeries is being performed focusing on otology, rhinology, head and neck, salivary, thyroid and parathyroid surgery. Department of ORL HNS  of the Comenius University and the University Hospital is the largest center for hearing rehabilitation with middle and inner ear implants. Slovak Centre for Cochlear Implantation is affiliated to the department.

RESEARCH

Research activities are focused on screening, diagnostics and treatment of congenital and acquired hearing disorders, functional sequalea after head and neck diseases treatment, identification of novel molecular markers in the head and neck diseases and the others.

Our research teams welcome new under- and post-gradual students. Available topics amongst others are: hearing rehabilitation using implantable hearing devices, identification of genetic causes of deafness, screening and early detection of hearing impairment in children, complications of head and neck inflammatory diseases, functional problems after head and neck surgeries and its management, novel molecular markers in the head and neck tumors.

Some of the most valuable outcomes of translational research are clinical and legal implementation of national newborn hearing screening in 2006 (together with the Pediatric ORL department of Children’s Hospital in Bratislava); implementation of the CI program and the first cochlear implantation in Slovakia (1994), first national screening of hereditary hearing loss (2010- 2014 together with the Institute of Experimental Endocrinology, Biomedical Research Center at the Slovak Academy of Sciences). The department pioneered several surgical strategies such as brain stem implant, active middle ear implants or bone anchored hearing prostheses.

The department runs a temporal bone dissection lab with two fully equipped work stations. Special statistics software for otology is available as is hardware and software for objective testing of cochlear and vestibular part of the inner ear.

The department participates in several research grants (APVV, VEGA, Comenius University grants) and collaborates with several institutions nationally and internationally. 

 

STAFF & CONTACTS

Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine and University Hospital in Bratislava.

Antolská 11, 851 07 Bratislava, Slovakia, phone: +421268671111

 

Head of the department: prof. Milan P r o f a n t, MD, PhD.

phone: +421-2-63531541-43, +421-2-68672052, e-mail: profant@fnorl.sk

 

Deputy Head for teaching: assoc. prof. Zuzana K a b á t o v á, MD, PhD.

 e-mail: zuzana.kabatovagmail.com

 

Secretary: Regina H u b k o v á

phone/fax: +421-2-6353 15 42, +421-2-6867 20 52, e-mail: hubkova@pe.unb.sk

Homepage of the department

 

Full professors:

Prof. Milan P r o f a n t, MD, PhD. 

Associate professors:

Zuzana Kabátová, MD, PhD.  (e-mail: zuzana.kabatova@gmail.com)

Miroslav Tedla, MD, PhD., MPH (e-mail: miro.tedla@gmail.com)

Lukáš Varga, MD, MSc, PhD. (e-mail: varga.lukas@gmail.com)

Assistant professors:

Jana Antalová, MD, PhD. (e-mail: janka.hanzelova22@gmail.com)

PhDr. Žofia Frajková, PhD. (e-mail:zofia.frajkova@gmail.com)

________________

PhD students:

Branislava Bercíková, MD, supervisor: Lukáš Varga, MD, MSc, PhD.

Silvia Adzimová, MSc. et MSc., supervisor: Miroslav Tedla, MD, PhD., MPH

PaedDr. Adelaida Fábianová, supervisor: Miroslav Tedla, MD, PhD., MPH

Michaela Wzošová, MD, supervisor: Miroslav Tedla, MD, PhD., MPH

MUDr. Diana Ugorová, MD, supervisor: Lukáš Varga, MD, MSc, PhD.

Zuzana Javorská, MD, supervisor: Miroslav Tedla, MD, PhD., MPH

Henrieta Hajdúová, MD, supervisor: Miroslav Tedla, MD, PhD., MPH

Pregradual students:

Yasaman Jahan Tigh (GM, ENG), supervisor: Lukáš Varga, MD, MSc, PhD.

Samuel Švajka (GM, SK), supervisor: Lukáš Varga, MD, MSc, PhD.

Samuel Batlogg (GM, ENG), supervisor: Miroslav Tedla, MD, PhD., MPH 

Simona Súkenníková (DEN, SK), supervisor: Miroslav Tedla, MD, PhD., MPH 

Helena Hirtenfelder (GM, ENG), supervisor: Miroslav Tedla, MD, PhD., MPH 

Bálint Tóth (GM, SK), supervisor: Miroslav Tedla, MD, PhD., MPH

Messavilla Tobias Luca (GM, ENG), supervisor: Jana Antalová, MD, PhD.

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SELECTED PUBLICATIONS

Papers in scientific journals

Stefanicka P, Profant M. Branchial cleft cyst and branchial cleft cyst carcinoma, or cystic lymph node and cystic nodal metastasis? J Laryngol Otol. 2023;137(1):31-36.

Fakhry N, Aldhafeeri AM, Almuhawas F, Fraysse B, Al Rand H, Profant M, Couloigner V, Teissier N, Simon F. YO-IFOS 5 years on: Looking back and to the future. Eur Ann Otorhinolaryngol Head Neck Dis. 2022;139(6):317-318.

Zeleník K, Javorská Z, Taimrová R, Vrtková A, Hránková V, Tedla M, Lukácová K, Lubojacký J, Formánek M, Komínek P. Association Between Inferior Turbinate Hypertrophy and Extraesophageal Reflux. JAMA Otolaryngol Head Neck Surg. 2022;148(8):773-778.

Frajkova Z, Krizekova A, Missikova V, Tedla M. Translation, Cross-Cultural Validation of the Voice Handicap Index (VHI-30) in Slovak Language. J Voice. 2022;36(1):145.e1-145.e6.

Frajkova Z, Paouris D, Nado L, Vyrvova I, Fabianova A, Printza A, Varga L, Tedla M. Slovak Translation and Cross-Cultural Validation of the Eating Assessment Tool (EAT10®). J Clin Med. 2022;11(19):5966.

Jančíková J, Bezděková D, Urbanová P, Dohnalová L, Jabandžiev P, Tedla M, Frajková Ž, Jarkovský J, Urík M. Association between Swallowing-Related Questionnaire Responses and Pathological Signs on Videofluoroscopy in Children. Children (Basel). 2021;8(12):1109.

Pavlenkova Z, Varga L, Borecka S, Karhanek M, Huckova M, Skopkova M, Profant M, Gasperikova D. Comprehensive molecular-genetic analysis of mid-frequency sensorineural hearing loss. Sci Rep. 2021;11(1):22488.

Saibene AM, Allevi F, Ayad T, Baudoin T, Bernal-Sprekelsen M, Briganti G, Carrie S, Cayé-Thomasen P, Dahman Saidi S, Dauby N, Fenton J, Golusiński W, Klimek L, Leclerc AA, Longtin Y, Mannelli G, Mayo-Yáñez M, Meço C, Metwaly O, Mouawad F, Niemczyk K, Pedersen U, Piersiala K, Plzak J, Remacle M, Rommel N, Saleh H, Szpecht D, Tedla M, Tincati C, Tucciarone M, Zelenik K, Lechien JR. Appropriateness for SARS-CoV-2 vaccination for otolaryngologist and head and neck surgeons in case of pregnancy, breastfeeding, or childbearing potential: Yo-IFOS and CEORL-HNS joint clinical consensus statement. Eur Arch Otorhinolaryngol. 2021;278(10):4091-4099.

Tedla M, Suchankova M, Ahrendt K, Varga L, Frajkova Z, Urban J, Kluckova K, Tedlova E, Profant M, Bucova M. Triggering receptor expressed on myeloid cells 1 and 2 in patients with chronic maxillary sinusitis. Bratisl Lek Listy. 2021;122(6):391-395.

Urík M, Tedla M, Hurník P. Pathogenesis of Retraction Pocket of the Tympanic Membrane-A Narrative Review. Medicina (Kaunas). 2021;57(5):425.

Safka Brozkova D, Uhrova Meszarosova A, Lassuthova P, Varga L, Staněk D, Borecká S, Laštůvková J, Čejnová V, Rašková D, Lhota F, Gašperíková D, Seeman P. The Cause of Hereditary Hearing Loss in GJB2 Heterozygotes-A Comprehensive Study of the GJB2/DFNB1 Region. Genes (Basel). 2021;12(5):684.

Printza A, Tedla M, Frajkova Z, Sapalidis K, Triaridis S. Dysphagia Severity and Management in Patients with COVID-19. Curr Health Sci J. 2021;47(2):147-156.

Varga L, Danis D, Drsata J, Masindova I, Skopkova M, Slobodova Z, Chrobok V, Profant M, Gasperikova D. Novel variants in EDNRB gene in Waardenburg syndrome type II and SOX10 gene in PCWH syndrome. Int J Pediatr Otorhinolaryngol. 2021;140:110499.

Sun W, Dong H, Balaz M, Slyper M, Drokhlyansky E, Colleluori G, Giordano A, Kovanicova Z, Stefanicka P, Balazova L, Ding L, Husted AS, Rudofsky G, Ukropec J, Cinti S, Schwartz TW, Regev A, Wolfrum C. snRNA-seq reveals a subpopulation of adipocytes that regulates thermogenesis. Nature. 2020;587(7832):98-102.

Safka Brozkova D, Varga L, Uhrova Meszarosova A, Slobodova Z, Skopkova M, Soltysova A, Ficek A, Jencik J, Lastuvkova J, Gasperikova D, Seeman P. Variant c.2158-2A>G in MANBA is an important and frequent cause of hereditary hearing loss and beta-mannosidosis among the Czech and Slovak Roma population- evidence for a new ethnic-specific variant. Orphanet J Rare Dis. 2020;15(1):222.

Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review. Dysphagia. 2020; 35(4):549-557.

Kovaničová Z, Kurdiová T, Baláž M, Štefanička P, Varga L, Kulterer OC, Betz MJ, Haug AR, Burger IA, Kiefer FW, Wolfrum C, Ukropcová B, Ukropec J. Cold Exposure Distinctively Modulates Parathyroid and Thyroid Hormones in Cold-Acclimatized and Non-Acclimatized Humans. Endocrinology. 2020;161(7):bqaa051.

Varga L, Danis D, Skopkova M, Masindova I, Slobodova Z, Demesova L, Profant M, Gasperikova D. Novel EYA4 variant in Slovak family with late onset autosomal dominant hearing loss: a case report. BMC Med Genet. 2019;20(1):84.

Varga L, Jovankovicova A, Huckova M, Demesova L, Gasperikova D, Sebova I, Profant M. Hereditary bilateral sudden sensorineural hearing loss. Bratisl Lek Listy. 2019;120(9):699-702.

Balaz M, Becker AS, Balazova L, Straub L, Müller J, Gashi G, Maushart CI, Sun W, Dong H, Moser C, Horvath C, Efthymiou V, Rachamin Y, Modica S, Zellweger C, Bacanovic S, Stefanicka P, Varga L, Ukropcova B, Profant M, Opitz L, Amri EZ, Akula MK, Bergo M, Ukropec J, Falk C, Zamboni N, Betz MJ, Burger IA, Wolfrum C. Inhibition of Mevalonate Pathway Prevents Adipocyte Browning in Mice and Men by Affecting Protein Prenylation. Cell Metab. 2019;29(4):901-916.

Stefanicka P, Gnojcakova N, Kurinec F, Profant M. Incidence and clinical predictors of cystic squamous cell carcinoma metastases in lateral cervical cysts. J Laryngol Otol. 2019;133(5):430-435.

Vlčková K, Tedla M. Functional Results after Larynx-Preserving Treatment of Laryngeal Cancer. Suggestions for follow-up. Otolaryngol Pol. 2019;73(5):31-36.

Perdikari A, Leparc GG, Balaz M, Pires ND, Lidell ME, Sun W, Fernandez-Albert F, Müller S, Akchiche N, Dong H, Balazova L, Opitz L, Röder E, Klein H, Stefanicka P, Varga L, Nuutila P, Virtanen KA, Niemi T, Taittonen M, Rudofsky G, Ukropec J, Enerbäck S, Stupka E, Neubauer H, Wolfrum C. BATLAS: Deconvoluting Brown Adipose Tissue. Cell Rep. 2018;25(3):784-797.

Lasar D, Rosenwald M, Kiehlmann E, Balaz M, Tall B, Opitz L, Lidell ME, Zamboni N, Krznar P, Sun W, Varga L, Stefanicka P, Ukropec J, Nuutila P, Virtanen K, Amri EZ, Enerbäck S, Wahli W, Wolfrum C. Peroxisome Proliferator Activated Receptor Gamma Controls Mature Brown Adipocyte Inducibility through Glycerol Kinase. Cell Rep. 2018;22(3):760-773.

Suchankova M, Durmanova V, Tibenska E, Tedlova E, Majer I, Novosadova H, Demian J, Tedla M, Bucova M. High mobility group box 1 protein in bronchoalveolar lavage fluid and correlation with other inflammatory markers in pulmonary diseases. Sarcoidosis Vasc Diffuse Lung Dis. 2018;35(3):268-275.

 

Modica S, Straub LG, Balaz M, Sun W, Varga L, Stefanicka P, Profant M, Simon E, Neubauer H, Ukropcova B, Ukropec J, Wolfrum C. Bmp4 Promotes a Brown to White-like Adipocyte Shift. Cell Rep. 2016;16(8):2243-58.

Tedla M, Chakrabarti S, Suchankova M, Weickert MO. Voice outcomes after thyroidectomy without superior and recurrent laryngeal nerve injury: VoiSS questionnaire and GRBAS tool assessment. Eur Arch Otorhinolaryngol. 2016;273(12):4543-4547.

Müller S, Balaz M, Stefanicka P, Varga L, Amri EZ, Ukropec J, Wollscheid B, Wolfrum C. Proteomic Analysis of Human Brown Adipose Tissue Reveals Utilization of Coupled and Uncoupled Energy Expenditure Pathways.Sci Rep. 2016;6:30030.

Fussey JM, Crunkhorn R, Tedla M, Weickert MO, Mehanna H. External beam radiotherapy in differentiated thyroid carcinoma: A systematic review. Head Neck. 2016;38 Suppl 1:E2297-305.

Bucova M, Suchankova M, Tibenska E, Tedlova E, Demian J, Majer I, Novosadova H, Tedla M. TREM-2 Receptor Expression Increases with 25(OH)D Vitamin Serum Levels in Patients with Pulmonary Sarcoidosis. Mediators Inflamm. 2015;2015:181986. doi: 10.1155/2015/181986

Jovankovičová A, Staník R, Kunzo S, Majáková L, Profant M. Surgery or implantable hearing devices in children with congenital aural atresia: 25 years of our experience. Int J Pediatr Otorhinolaryngol. 2015 Jul;79(7):975-9.

Mašindová I, Šoltýsová A, Varga L, Mátyás P, Ficek A, Hučková M, Sůrová M, Šafka-Brožková D, Anwar S, Bene J, Straka S, Janicsek I, Ahmed ZM, Seeman P, Melegh B, Profant M, Klimeš I, Riazuddin S, Kádasi Ľ, Gašperíková D. MARVELD2 (DFNB49) mutations in the hearing impaired Central European Roma population--prevalence, clinical impact and the common origin. PLoS One. 2015 Apr 17;10(4):e0124232.

Nayak G, Varga L, Trincot C, Shahzad M, Friedman PL, Klimes I, Greinwald JH Jr, Riazuddin SA, Masindova I, Profant M, Khan SN, Friedman TB, Ahmed ZM, Gasperikova D, Riazuddin S, Riazuddin S. Molecular genetics of MARVELD2 and clinical phenotype in Pakistani and Slovak families segregating DFNB49 hearing loss. Hum Genet. 2015 Apr;134(4):423-37.

Suchankova M, Paulovicova E, Paulovicova L, Majer I, Tedlova E, Novosadova H, Tibenska E, Tedla M, Bucova M. Increased Antifungal Antibodies in Bronchoalveolar Lavage Fluid and Serum in Pulmonary Sarcoidosis. Scand J Immunol. 2015. doi: 10.1111/sji.12273.

Beltrame AM, Todt I, Sprinzl G, Profant M, Schwab B. Consensus statement on round window vibroplasty. Ann Otol Rhinol Laryngol. 2014;123(10):734-40.

Varga L, Kabátová Z, Mašindová I, Nechojdomová D, Gašperíková D, Klimeš I,Profant M. Is deafness etiology important for prediction of functional outcomes in pediatric cochlear implantation? Acta Otolaryngol. 2014;134(6):571-8.

Tedla M, Bežová M, Biró C, Tedlová E, Eng CY, Zeleník K. Intravascular papillary endothelial hyperplasia of larynx: case report and literature review of all head and neck cases. Otolaryngol Pol. 2014;68(4):200-3.

McKinnon BJ, Dumon T, Hagen R, Lesinskas E, Mlynski R, Profant M, Spindel J, Van Beek-King J, Zernotti M. Vibrant soundbridge in aural atresia: does severity matter? Eur Arch Otorhinolaryngol. 2014;271(7):1917-21.

Varga L, Mašindová I, Hučková M, Kabátová Z, Gašperíková D, Klimeš I, Profant M. Prevalence of DFNB1 mutations among cochlear implant users in Slovakia and its clinical implications. Eur Arch Otorhinolaryngol. 2014;271(6):1401-7.

Zelenik K, Matousek P, Tedla M, Syrovatka J, Kominek P. Extraesophageal Reflux: What Is the Best Parameter for pH-Monitoring Data Analysis from the Perspective of Patient Response to Proton Pump Inhibitors? Gastroenterol Res Pract. 2013;2013:736486. doi: 10.1155/2013/736486.

Suchankova M, Bucova M, Tibenska E, Tedlova E, Demian J, Majer I, Novosadova H, Tedla M, Paulovicova E, Kantarova D. Triggering receptor expressed on myeloid cells-1 and 2 in bronchoalveolar lavage fluid in pulmonary sarcoidosis. Respirology. 2013 Apr;18(3):455-62.

Ferris RL, Stefanicka P, Xi L, Gooding W, Seethala RR, Godfrey TE. Rapid molecular detection of metastatic head and neck squamous cell carcinoma as an intraoperative adjunct to sentinel lymph node biopsy. Laryngoscope. 2012;122(5):1020-30.

Semberova J, Rychly B, Hanzelova J, Jakubikova J. The immune status in situ of recurrent tonsillitis and idiopathic tonsillar hypertrophy. Bratisl Lek Listy. 2013;114(3):140-4.

Al Maqbali T, Tedla M, Weickert MO, Mehanna H. Malignancy risk analysis in patients with inadequate fine needle aspiration cytology (FNAC) of the thyroid. PLoS One. 2012;7(11):e49078. doi: 10.1371/journal.pone.0049078.

Masindova I, Varga L, Stanik J, Valentinova L, Profant M, Klimes I, Gasperikova D. Molecular and hereditary mechanisms of sensorineural hearing loss with focus on selected endocrinopathies. Endocr Regul. 2012;46(3):167-86. Review.

Profant M, Sláviková K, Kabátová Z, Slezák P, Waczulíková I. Predictive validity of MRI in detecting and following cholesteatoma. Eur Arch Otorhinolaryngol. 2012;269(3):757-65.

Tedla M, Valach M, Carrau RL, Varga I, Profant M, Mráz P, Weismann P. Impact of radiotherapy on laryngeal intrinsic muscles. Eur Arch Otorhinolaryngol. 2012;269(3):953-8.

Mohammed el R, Profant M. Spontaneous otogenic pneumocephalus. Acta Otolaryngol. 2011;131(6):670-4.

Cremers CW, O'Connor AF, Helms J, Roberson J, Clarós P, Frenzel H, Profant M, Schmerber S, Streitberger C, Baumgartner WD, Orfila D, Pringle M, Cenjor C, Giarbini N, Jiang D, Snik AF. International consensus on Vibrant Soundbridge® implantation in children and adolescents. Int J Pediatr Otorhinolaryngol. 2010;74(11):1267-9. 

Stefanicka P, Profant M, Duchaj B, Valach M, Gal V, Dolezal P, Barta T. Sentinel lymph node radiolocalization and biopsy in oral cavity and oropharynx mucosal squamous cell carcinoma. Bratisl Lek Listy. 2010;111(11):590-4.

Dolezal P, Hanzelová J. Nasal dermoids without intracranial extension in teenagers. Acta Chir Plast. 2010;52(1):13-8.

Kabatova Z, Profant M, Simkova L, Groma M, Nechojdomova D. Cochlear implantation in malformed inner ear. Bratisl Lek Listy. 2009;110(10):609-13.

Jakubíková J, Kabátová Z, Pavlovcinová G, Profant M. Newborn hearing screening and strategy for early detection of hearing loss in infants. Int J Pediatr Otorhinolaryngol. 2009;73(4):607-12.

Coninx F, Weichbold V, Tsiakpini L, Autrique E, Bescond G, Tamas L, Compernol A, Georgescu M, Koroleva I, Le Maner-Idrissi G, Liang W, Madell J, Mikić B, Obrycka A, Pankowska A, Pascu A, Popescu R, Radulescu L, Rauhamäki T, Rouev P, Kabatova Z, Spitzer J, Thodi Ch, Varzic F, Vischer M, Wang L, Zavala JS, Brachmaier J. Validation of the LittlEARS((R)) Auditory Questionnaire in children with normal hearing. Int J Pediatr Otorhinolaryngol. 2009;73(12):1761-8.

Profant M, Kabátová Z, Simková L. From hearing screening to cochlear implantation: cochlear implants in children under 3 years of age. Acta Otolaryngol. 2008;128(4):369-72.

Lopez Sisniega J, Profant M, Kostrica R, Waskin H. Oral garenoxacin in the treatment of acute bacterial maxillary sinusitis: a Phase II, multicenter, noncomparative, open-label study in adult patients undergoing sinus aspiration. Clin Ther. 2007;29(8):1632-44.

Jakubíková J, Kabátová Z, Závodná M. Identification of hearing loss in newborns by transient otoacoustic emissions. Int J Pediatr Otorhinolaryngol. 2003;67(1):15-8.

Profant M, Steno J. Petrous apex cholesteatoma. Acta Otolaryngol. 2000;120(2):164-7.