{"id":33289,"date":"2026-04-24T08:35:46","date_gmt":"2026-04-24T08:35:46","guid":{"rendered":"https:\/\/lifelonghearing.com\/sk\/?p=33289"},"modified":"2026-04-24T08:35:46","modified_gmt":"2026-04-24T08:35:46","slug":"dobry-sluch-aj-napriek-osifikacii-skostnateniu","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/","title":{"rendered":"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu)"},"content":{"rendered":"

Ako kochle\u00e1rne implant\u00e1ty a in\u00e9 sluchov\u00e9 implant\u00e1ty pom\u00e1haj\u00fa pri otoskler\u00f3ze<\/h1><\/div>

U 10 a\u017e 15 % \u013eud\u00ed s otoskler\u00f3zou nedok\u00e1\u017eu ani na\u010d\u00favacie pr\u00edstroje, ani oper\u00e1cia strmienka (stapedot\u00f3mia) obnovi\u0165 sluch. Pre nich s\u00fa vhodnou alternat\u00edvou sluchov\u00e9 implant\u00e1ty \u2013 \u010dasto pr\u00e1ve kochle\u00e1rne implant\u00e1ty.<\/strong><\/p>\n

Eva Kohlov\u00e1 a Yi Ge<\/em><\/p>\n<\/div>

<\/div>
<\/span><\/div>
<\/div>

V roku 1893 op\u00edsal viedensk\u00fd otol\u00f3g Adam Politzer otoskler\u00f3zu<\/em> ako samostatn\u00e9 ochorenie. Zvy\u010dajne za\u010d\u00edna v oblasti prechodu medzi stredn\u00fdm a vn\u00fatorn\u00fdm uchom \u2013 medzi strmienkom a ov\u00e1lnym okienkom. Okolo tejto oblasti sa vytv\u00e1ra novootvoren\u00e1, najprv m\u00e4kk\u00e1 hubovit\u00e1 kostn\u00e1 hmota (otospongi\u00f3za). Toto po\u0161kodenie sa \u0161\u00edri a osifikuje, \u0161trukt\u00fary v okol\u00ed tuhn\u00fa a str\u00e1caj\u00fa pohyblivos\u0165. V\u00fdsledkom je narastaj\u00faca prevodov\u00e1 porucha sluchu, menej \u010dasto aj senzorineur\u00e1lna porucha. V niektor\u00fdch pr\u00edpadoch tento proces kon\u010d\u00ed funk\u010dnou alebo \u00faplnou hluchotou.<\/p>\n

Vo v\u00e4\u010d\u0161ine pr\u00edpadov mo\u017eno sluch obnovi\u0165 pomocou be\u017en\u00fdch na\u010d\u00favac\u00edch pr\u00edstrojov alebo chirurgickou n\u00e1hradou strmienka prot\u00e9zou. Av\u0161ak u pribli\u017ene ka\u017ed\u00e9ho siedmeho a\u017e desiateho pacienta tieto mo\u017enosti zlyhaj\u00fa \u2013 a pr\u00e1ve pre nich s\u00fa dostupn\u00e9 akt\u00edvne sluchov\u00e9 implant\u00e1ty.<\/p>\n

U pacientov s otoskler\u00f3zou uplynie v priemere a\u017e 16 rokov od prv\u00fdch pr\u00edznakov straty sluchu po odpor\u00fa\u010danie kochle\u00e1rneho implant\u00e1tu. D\u013a\u017eka trvania hluchoty pritom v\u00fdrazne ovplyv\u0148uje \u00faspe\u0161nos\u0165 po\u010dutia po implant\u00e1cii. Hoci implant\u00e1t nedok\u00e1\u017ee zastavi\u0165 samotn\u00fd postup ochorenia, zachov\u00e1va funkciu sluchov\u00e9ho nervu. Pacienti m\u00f4\u017eu vo v\u0161eobecnosti o\u010dak\u00e1va\u0165 v\u00fdrazn\u00e9 zlep\u0161enie sluchu, najm\u00e4 ak sa implant\u00e1cia vykon\u00e1 v\u010das.<\/p>\n

\u0160\u00edrenie, priebeh a n\u00e1sledky otoskler\u00f3zy<\/h3>\n

Typick\u00fdm pacientom s otoskler\u00f3zou je \u010dlovek bielej pleti vo veku 15 a\u017e 45 rokov. Mu\u017ei a \u013eudia inej farby pleti b\u00fdvaj\u00fa postihnut\u00ed menej \u010dasto. Prv\u00e9 pr\u00edznaky sa m\u00f4\u017eu objavi\u0165 po\u010das hormon\u00e1lnych zmien \u2013 napr\u00edklad v tehotenstve \u2013 po infek\u010dnom ochoren\u00ed, ako s\u00fa os\u00fdpky, alebo po silnom vystaven\u00ed hluku. Uva\u017euje sa aj o genetickej predispoz\u00edcii. Zauj\u00edmav\u00e9 je, \u017ee dev\u00e4\u0165 z desiatich \u013eud\u00ed s otoskler\u00f3zou nem\u00e1 \u017eiadne pr\u00edznaky, hoci v oblasti sp\u00e1nkovej kosti okolo stredn\u00e9ho ucha doch\u00e1dza k v\u00fdrazn\u00e9mu nadmern\u00e9mu rastu kostn\u00e9ho a m\u00e4kk\u00e9ho tkaniva.<\/p>\n

Ak sa objavia pr\u00edznaky, zvy\u010dajne sa najsk\u00f4r objav\u00ed prevodov\u00e1 porucha sluchu pre hlbok\u00e9 t\u00f3ny, ktor\u00e1 sa v\u00a0priebehu rokov a\u017e desa\u0165ro\u010d\u00ed postupne zhor\u0161uje. Typick\u00fdm znakom je tzv. Willisova parak\u00fazia<\/em>, pomenovan\u00e1 po anglickom lek\u00e1rovi Thomasovi Willisovi: re\u010d sa paradoxne lep\u0161ie rozumie v hlu\u010dnom prostred\u00ed ne\u017e v tichu. A\u017e u jednej tretiny pacientov sa osifik\u00e1cia nesk\u00f4r roz\u0161\u00edri aj do vn\u00fatorn\u00e9ho ucha, \u010do vedie ku kombinovanej alebo senzorineur\u00e1lnej poruche sluchu. Obzvl\u00e1\u0161\u0165 v\u00fdrazn\u00e9 kostnatenie slim\u00e1ka (lat. cochlea) sa ozna\u010duje ako osifik\u00e1cia kochley.<\/p>\n

Otoskler\u00f3za zvy\u010dajne postihuje obe u\u0161i, hoci nie v\u017edy rovnako v\u00fdrazne. V\u00e4\u010d\u0161ina pacientov uv\u00e1dza aj p\u00edskanie v u\u0161iach (tinitus) a pribli\u017ene 40 % poci\u0165uje mierne z\u00e1vraty. U 10 a\u017e 15 % \u013eud\u00ed zost\u00e1vaj\u00fa sluchov\u00e9 kosti\u010dky s\u00edce pohybliv\u00e9, ale nadmern\u00fd rast tkaniva produkuje l\u00e1tky, ktor\u00e9 po\u0161kodzuj\u00fa vn\u00fatorn\u00e9 ucho a sp\u00f4sobuj\u00fa senzorineur\u00e1lnu stratu sluchu. Tento stav sa ozna\u010duje ako otoskler\u00f3za vn\u00fatorn\u00e9ho ucha.<\/p>\n

Implant\u00e1ty \u2013 d\u00f4le\u017eit\u00e9 alternat\u00edvy v lie\u010dbe!<\/strong><\/p>\n

\"\"

Yi Ge, MD, senior mana\u017e\u00e9r pre medic\u00ednske ot\u00e1zky v spolo\u010dnosti MED\u2011EL: \u201eAk ani na\u010d\u00favac\u00ed pr\u00edstroj, ani stapedekt\u00f3mia nedok\u00e1\u017eu obnovi\u0165 sluch, pacienti s otoskler\u00f3zou m\u00f4\u017eu obvykle najlep\u0161ie profitova\u0165 z r\u00f4znych implanta\u010dn\u00fdch syst\u00e9mov.” \u00a9Private<\/p><\/div>\n

ORL lek\u00e1ri pri otoskler\u00f3ze \u010dasto volia strat\u00e9giu pozorn\u00e9ho sledovania. Be\u017en\u00e9 na\u010d\u00favacie pr\u00edstroje s\u00fa ur\u010den\u00e9 na kompenz\u00e1ciu \u013eah\u0161\u00edch por\u00fach sluchu. U pacientov s v\u00fdraznou prevodovou poruchou sluchu sa \u010dasto dosahuj\u00fa dobr\u00e9 v\u00fdsledky stapedekt\u00f3miou<\/em>, vr\u00e1tane stapedekt\u00f3mie strmienka<\/em> (lat. stapes), ktor\u00fd je z troch sluchov\u00fdch kosti\u010diek t\u00fdm, kde osifik\u00e1cia zvy\u010dajne za\u010d\u00edna a pri tomto z\u00e1kroku sa \u010diasto\u010dne alebo \u00faplne nahr\u00e1dza prot\u00e9zou \u2013 ide o tzv. pas\u00edvny implant\u00e1t stredn\u00e9ho ucha<\/em>.<\/p>\n

U 10 a\u017e 15 percent pacientov sa v\u0161ak po\u017eadovan\u00e9 zlep\u0161enie sluchu nedosiahne ani pomocou na\u010d\u00favacieho pr\u00edstroja, ani oper\u00e1ciou \u010di kombin\u00e1ciou oboch postupov. \u201e\u017dia\u013e, zatia\u013e neexistuje jednotn\u00fd n\u00e1zor na to, ako tak\u00fdchto pacientov lie\u010di\u0165 \u010do najefekt\u00edvnej\u0161ie,\u201c vysvet\u013euje Dr. Yi Ge, senior mana\u017e\u00e9r pre medic\u00ednske ot\u00e1zky u v\u00fdrobcu implant\u00e1tov MED\u2011EL. \u201eVo v\u00e4\u010d\u0161ine pr\u00edpadov m\u00f4\u017eu t\u00edto pacienti najlep\u0161ie profitova\u0165 z r\u00f4znych typov implanta\u010dn\u00fdch syst\u00e9mov.\u201c<\/p>\n

V skuto\u010dnosti sa medzi \u013eu\u010fmi s otoskler\u00f3zou n\u00e1jdu vhodn\u00ed kandid\u00e1ti takmer pre ka\u017ed\u00fd typ implant\u00e1tu. Implant\u00e1t kostn\u00e9ho vedenia BONEBRIDGE<\/em> je obzvl\u00e1\u0161\u0165 vhodn\u00fd pre ve\u013ek\u00fa skupinu pacientov s izolovanou alebo preva\u017ene prevodovou poruchou sluchu. Ak v\u0161ak strata sluchu v danom uchu sp\u013a\u0148a krit\u00e9ri\u00e1 pre kochle\u00e1rny implant\u00e1t, pr\u00e1ve ten sa st\u00e1va najperspekt\u00edvnej\u0161ou mo\u017enos\u0165ou.<\/p>\n

Aj pri otoskler\u00f3ze plat\u00ed: v\u010dasn\u00e1 implant\u00e1cia je k\u013e\u00fa\u010dov\u00e1!<\/strong><\/p>\n

Pri otoskler\u00f3ze doch\u00e1dza k nadmern\u00e9mu rastu m\u00e4kk\u00e9ho tkaniva (fibr\u00f3za<\/em>) a kostn\u00e9ho tkaniva (osteogen\u00e9za<\/em>). Pri zav\u00e1dzan\u00ed elektr\u00f3dy KI to m\u00f4\u017ee predstavova\u0165 chirurgick\u00fa v\u00fdzvu. O to d\u00f4le\u017eitej\u0161\u00ed je jedine\u010dn\u00fd pl\u00e1novac\u00ed n\u00e1stroj OTOPLAN, pomocou ktor\u00e9ho m\u00f4\u017eu chirurgovia presne napl\u00e1nova\u0165 implant\u00e1ciu sluchov\u00fdch syst\u00e9mov MED\u2011EL a dokonca ur\u010di\u0165 optim\u00e1lnu d\u013a\u017eku nosi\u010da danej elektr\u00f3dy. \u0160irok\u00e1 ponuka elektr\u00f3d umo\u017e\u0148uje \u010do najlep\u0161ie prisp\u00f4sobenie implant\u00e1tu individu\u00e1lnej d\u013a\u017eke e\u0161te neosifikovanej \u010dasti slim\u00e1ka:<\/p>\n

Takto mo\u017eno zachova\u0165 cenn\u00e9 predpoklady pre neskor\u0161ie porozumenie re\u010di s\u00a0KI.<\/p>\n

Otoskler\u00f3za je progres\u00edvne ochorenie \u2013 a rovnako aj porucha sluchu, ktor\u00e1 z nej vypl\u00fdva. Kochle\u00e1rne implant\u00e1ty, rovnako ako na\u010d\u00favacie pr\u00edstroje, stapedekt\u00f3mia \u010di in\u00e9 sluchov\u00e9 implant\u00e1ty, s\u00fa ur\u010den\u00e9 na zlep\u0161enie sluchu a porozumenia re\u010di. Nedok\u00e1\u017eu v\u0161ak zastavi\u0165 ani spomali\u0165 nadmern\u00e9 kostnatenie. Ochorenie m\u00f4\u017ee na\u010falej pomaly postupova\u0165 a \u010dasom ovplyvni\u0165 i po\u010dutie s implant\u00e1tom. Elektrick\u00e1 stimul\u00e1cia v\u0161ak pom\u00e1ha zachova\u0165 funkciu sluchov\u00e9ho nervu a zabra\u0148uje jeho \u010fal\u0161ej degener\u00e1cii.<\/p>\n

Pacienti s otoskler\u00f3zou dosahuj\u00fa s kochle\u00e1rnymi implant\u00e1tmi ve\u013emi dobr\u00e9 v\u00fdsledky. 4\u00b75 Hoci pou\u017e\u00edvanie implant\u00e1tu si vy\u017eaduje zvyk a rehabilit\u00e1ciu, v\u00fdskumy potvrdzuj\u00fa, \u017ee pri spr\u00e1vnej indik\u00e1cii ved\u00fa KI u pacientov s otoskler\u00f3zou dokonca k v\u00fdrazne vy\u0161\u0161ej spokojnosti ne\u017e rekon\u0161trukcie strmienka. ~ Faktory ovplyv\u0148uj\u00face \u00faspe\u0161n\u00e9 po\u010dutie s KI sa zdaj\u00fa by\u0165 rovnak\u00e9 ako u ostatn\u00fdch pou\u017e\u00edvate\u013eov KI \u2013 bez oh\u013eadu na to, \u010di je pr\u00ed\u010dinou z\u00e1kladn\u00e9 ochorenie alebo otoskler\u00f3za. Plat\u00ed napr\u00edklad fakt, \u017ee \u010d\u00edm krat\u0161ie bolo postihnut\u00e9 ucho \u00faplne nepo\u010duj\u00face, t\u00fdm lep\u0161\u00ed je v\u00fdsledok. O to \u0165a\u017e\u0161ie je pochopi\u0165, pre\u010do musia pacienti s otoskler\u00f3zou \u010daka\u0165 v priemere a\u017e 16 rokov, k\u00fdm im je KI kone\u010dne odporu\u010den\u00fd a ich ucho sa tak vyslobod\u00ed z\u00a0ticha.<\/p>\n

1 Kopelovich JC, et al., Intracochlear electrical stimulation suppresses apoptotic signaling in rat spiral ganglion neurons after deafening in vivo. Otolaryngol Head Neck Surg. 2013 Nov;149(5):745-752. doi: 10.1177 \/0194599813498702.<\/p>\n

2 Chen 1, et al. The effect of cochlear-implant-mediated electrical stimulation on spiral ganglion cells in congenitally deaf white cats. J Assoc Res Otolaryngol. 2010 Dec;11 (4):587-603. doi: 10.1007\/s10162-010- 0234-3.<\/p>\n

3 Fallon JB, et al. Effects of chronic cochlear electrical stimulation after an extended period of profound deficiency on primary auditory cortex organization in cats. European Journal of Neuroscience. 2014 March; 39(5):811-820. doi: 10.1111 \/ejn.12445<\/p>\n

4 Skarzynski PH, et al. Outcomes of Cochlear Implantation in Patients with Far-Advanced Otosclerosis Who Had Previously Undergone Stapes Surgery. J Int Adv Otol. 2024;20(2):101-107. doi:10.5152\/iao.2024.231332<\/p>\n

5 Assiri M, et al. Cochlear implantation among patients with otosclerosis: a systematic review of clinical characteristics and outcomes. Your Arch Otorhinolaryngol. <\/em>2022;279(7):3327-3339. doi:10.1007\/s00405- 021-07036-5<\/p>\n

6 Kondo M, et al. Cochlear Implantation in Far Advanced Otosclerosis: A Systematic Review and MetaAnalysis. Laryngoscope. <\/em>2023;133(6):1288-1296. doi: 10.1002\/lary.30386<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

U 10 a\u017e 15 % \u013eud\u00ed s otoskler\u00f3zou nedok\u00e1\u017eu ani na\u010d\u00favacie pr\u00edstroje, ani oper\u00e1cia strmienka (stapedot\u00f3mia) obnovi\u0165 sluch. Pre nich s\u00fa vhodnou alternat\u00edvou sluchov\u00e9 implant\u00e1ty \u2013 \u010dasto pr\u00e1ve kochle\u00e1rne implant\u00e1ty.<\/p>\n","protected":false},"author":10,"featured_media":33336,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[],"class_list":["post-33289","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravie"],"yoast_head":"\nDobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak\" \/>\n<meta property=\"og:description\" content=\"U 10 a\u017e 15 % \u013eud\u00ed s otoskler\u00f3zou nedok\u00e1\u017eu ani na\u010d\u00favacie pr\u00edstroje, ani oper\u00e1cia strmienka (stapedot\u00f3mia) obnovi\u0165 sluch. Pre nich s\u00fa vhodnou alternat\u00edvou sluchov\u00e9 implant\u00e1ty \u2013 \u010dasto pr\u00e1ve kochle\u00e1rne implant\u00e1ty.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/\" \/>\n<meta property=\"og:site_name\" content=\"Slovak\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-24T08:35:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1400\" \/>\n\t<meta property=\"og:image:height\" content=\"652\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"articleflow\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"articleflow\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/\",\"url\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/\",\"name\":\"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak\",\"isPartOf\":{\"@id\":\"https:\/\/lifelonghearing.com\/sk\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg\",\"datePublished\":\"2026-04-24T08:35:46+00:00\",\"dateModified\":\"2026-04-24T08:35:46+00:00\",\"author\":{\"@id\":\"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/d0edcc0a625e2f23267e35d92373b717\"},\"breadcrumb\":{\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage\",\"url\":\"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg\",\"contentUrl\":\"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg\",\"width\":1400,\"height\":652,\"caption\":\"\u00a9Adobe Stock\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lifelonghearing.com\/sk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/#website\",\"url\":\"https:\/\/lifelonghearing.com\/sk\/\",\"name\":\"Slovak\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lifelonghearing.com\/sk\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/d0edcc0a625e2f23267e35d92373b717\",\"name\":\"articleflow\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/ce5adb94a89bcd93687bce9b019e3dd3?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/ce5adb94a89bcd93687bce9b019e3dd3?s=96&d=mm&r=g\",\"caption\":\"articleflow\"},\"url\":\"https:\/\/lifelonghearing.com\/sk\/author\/articleflow\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/","og_locale":"en_US","og_type":"article","og_title":"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak","og_description":"U 10 a\u017e 15 % \u013eud\u00ed s otoskler\u00f3zou nedok\u00e1\u017eu ani na\u010d\u00favacie pr\u00edstroje, ani oper\u00e1cia strmienka (stapedot\u00f3mia) obnovi\u0165 sluch. Pre nich s\u00fa vhodnou alternat\u00edvou sluchov\u00e9 implant\u00e1ty \u2013 \u010dasto pr\u00e1ve kochle\u00e1rne implant\u00e1ty.","og_url":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/","og_site_name":"Slovak","article_published_time":"2026-04-24T08:35:46+00:00","og_image":[{"width":1400,"height":652,"url":"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg","type":"image\/jpeg"}],"author":"articleflow","twitter_card":"summary_large_image","twitter_misc":{"Written by":"articleflow","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/","url":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/","name":"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu) - Slovak","isPartOf":{"@id":"https:\/\/lifelonghearing.com\/sk\/#website"},"primaryImageOfPage":{"@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage"},"image":{"@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage"},"thumbnailUrl":"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg","datePublished":"2026-04-24T08:35:46+00:00","dateModified":"2026-04-24T08:35:46+00:00","author":{"@id":"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/d0edcc0a625e2f23267e35d92373b717"},"breadcrumb":{"@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#primaryimage","url":"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg","contentUrl":"https:\/\/lifelonghearing.com\/sk\/wp-content\/uploads\/sites\/15\/2026\/03\/template_featured-3.jpg","width":1400,"height":652,"caption":"\u00a9Adobe Stock"},{"@type":"BreadcrumbList","@id":"https:\/\/lifelonghearing.com\/sk\/dobry-sluch-aj-napriek-osifikacii-skostnateniu\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lifelonghearing.com\/sk\/"},{"@type":"ListItem","position":2,"name":"Dobr\u00fd sluch aj napriek osifik\u00e1cii (skostnateniu)"}]},{"@type":"WebSite","@id":"https:\/\/lifelonghearing.com\/sk\/#website","url":"https:\/\/lifelonghearing.com\/sk\/","name":"Slovak","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lifelonghearing.com\/sk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/d0edcc0a625e2f23267e35d92373b717","name":"articleflow","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lifelonghearing.com\/sk\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/ce5adb94a89bcd93687bce9b019e3dd3?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/ce5adb94a89bcd93687bce9b019e3dd3?s=96&d=mm&r=g","caption":"articleflow"},"url":"https:\/\/lifelonghearing.com\/sk\/author\/articleflow\/"}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/posts\/33289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/comments?post=33289"}],"version-history":[{"count":2,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/posts\/33289\/revisions"}],"predecessor-version":[{"id":33338,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/posts\/33289\/revisions\/33338"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/media\/33336"}],"wp:attachment":[{"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/media?parent=33289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/categories?post=33289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lifelonghearing.com\/sk\/wp-json\/wp\/v2\/tags?post=33289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}