{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:15:41Z","timestamp":1787022941675,"version":"build-2736575974"},"reference-count":10,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2024,4,2]]},"abstract":"<jats:p>El\u0151rehaladott sz\u00e1j\u00fcregi daganatok elt\u00e1vol\u00edt\u00e1sa ut\u00e1n kialakult kiterjedt sz\u00f6vethi\u00e1nyok helyre\u00e1ll\u00edt\u00e1s\u00e1ra funkci\u00f3megtart\u00f3 c\u00e9llal a leggyakrabban alkalmazott elj\u00e1r\u00e1s a mikrovaszkul\u00e1ris technik\u00e1val v\u00e9gzett szabad sz\u00f6vet\u00e1t\u00fcltet\u00e9s. Haz\u00e1nkban a fel\u00fcletes sz\u00e1j\u00fcregi hi\u00e1nyok helyre\u00e1ll\u00edt\u00e1s\u00e1ra a leggyakrabban v\u00e1lasztott szabadlebeny a radi\u00e1lis alkarlebeny. Els\u0151sorban vastagabb vagy nagyobb kiterjed\u00e9s\u0171 hi\u00e1nyokra alkalmazzuk az anterolateralis comblebenyt. Az alkarlebeny eset\u00e9n azonban a donorter\u00fcleti sz\u00f6v\u0151dm\u00e9nyr\u00e1ta j\u00f3val magasabb. V\u00e9kony\u00edtott anterolateralis comblebeny a h\u00e1tr\u00e1nyokat kiiktatva alkalmas lehet az\u00a0alkarlebeny intraoralis alkalmaz\u00e1sa helyett.<\/jats:p>\n                  <jats:p>A kor\u00e1bban nyelvtumor miatt oper\u00e1lt, alkarlebennyel rekonstru\u00e1lt \u00e9s besugarazott 69 \u00e9ves n\u0151betegn\u00e9l a kor\u00e1bbi m\u0171t\u00e9ti ter\u00fclet sz\u00e9l\u00e9n a k\u00f6vet\u00e9ses kontrollvizsg\u00e1lat sor\u00e1n recid\u00edv tumort verifik\u00e1ltunk. Az\u00a0Onkoter\u00e1pi\u00e1s Bizotts\u00e1g d\u00f6nt\u00e9s\u00e9t k\u00f6vet\u0151en a recid\u00edva elt\u00e1vol\u00edt\u00e1s\u00e1t, tangencion\u00e1lis mandibula reszekci\u00f3t \u00e9s szabad lebenyes helyre\u00e1ll\u00edt\u00e1st tervezt\u00fcnk tracheotomi\u00e1s v\u00e9delemben. El\u0151zetes k\u00e9zi dopplerrel \u00e9s\u00a0duplex ultrahanggal t\u00f6rt\u00e9n\u0151 perfor\u00e1tor meghat\u00e1roz\u00e1s ut\u00e1n, a jobb combon a perfor\u00e1torra centr\u00e1lva 6\u00a0\u00d7 8 cm-es superficialis fascia r\u00e9teg\u00e9ben v\u00e9kony\u00edtott anterolateralis comblebenyt prepar\u00e1ltunk. A\u00a0lebeny vastags\u00e1ga 6\u20138\u2009mm, az \u00e9rny\u00e9l hossza 12\u2009cm\u2009volt, mely az intraoralis hi\u00e1nyra ide\u00e1lis volt. A nyakon elk\u00e9sz\u00edtett mikroseb\u00e9szeti anasztom\u00f3zis ut\u00e1n a donorter\u00fcletet primeren z\u00e1rtuk.<\/jats:p>\n                  <jats:p>A lebeny kering\u00e9se mindv\u00e9gig kiel\u00e9g\u00edt\u0151 volt. A tracheotomi\u00e1t a posztoperat\u00edv 11. napon megsz\u00fcntett\u00fck, peror\u00e1lis t\u00e1pl\u00e1lkoz\u00e1sa a posztoperat\u00edv 14. napon helyre\u00e1llt.<\/jats:p>\n                  <jats:p>Az anterolateralis comblebeny sokr\u00e9t\u0171s\u00e9ge az anat\u00f3mi\u00e1j\u00e1ban rejlik. A kor\u00e1bban csak nagyobb \u00e9s vastagabb hi\u00e1nyokra haszn\u00e1lt anterolateralis comblebeny j\u00f3 adapt\u00e1lhat\u00f3s\u00e1ga \u00e9s megfelel\u0151 m\u00e9rete miatt fel\u00fcletesebb hi\u00e1nyokra is alkalmas. A kor\u00e1bban alkarlebennyel helyre\u00e1ll\u00edtott hi\u00e1nyok p\u00f3tl\u00e1s\u00e1ra a\u00a0hasonl\u00f3 tulajdons\u00e1gokkal rendelkez\u0151 v\u00e9kony\u00edtott anterolateralis comblebeny is alkalmazhat\u00f3 azzal a jelent\u0151s el\u0151ny\u00e9vel egy\u00fctt, hogy a donorhely morbidit\u00e1sa minim\u00e1lis az alkarlebennyel szemben.<\/jats:p>","DOI":"10.1556\/1046.2024.10001","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T05:38:27Z","timestamp":1712036307000},"page":"1-5","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["V\u00e9kony\u00edtott perfor\u00e1tor comblebeny alkalmaz\u00e1sa szabad sz\u00f6vetp\u00f3tl\u00e1sra a fej-nyakseb\u00e9szetben"],"prefix":"10.1556","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3851-6307","authenticated-orcid":true,"given":"Attila","family":"F\u00fczes","sequence":"first","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szil\u00e1rd","family":"Szanyi","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rk","family":"Husz\u00e1k","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Sahin-T\u00f3th","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcell","family":"Szanyi","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e1niel","family":"Csizmazia","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nika","family":"R\u00e9v\u00e9sz","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Pio","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferenc","family":"Oberna","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Fej-Nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Budapest, Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Magyar Onkol\u00f3gia","first-page":"175","article-title":"A rosszindulat\u00fa daganatok hazai epidemiol\u00f3giai helyzete a XXI. sz\u00e1zad m\u00e1sodik \u00e9vtized\u00e9ben","volume":"66","author":"Kenessey I","year":"2022","unstructured":"Kenessey I, Nagy P, Polg\u00e1r Cs. 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