{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T20:22:46Z","timestamp":1760300566619},"reference-count":21,"publisher":"Akademiai Kiado Zrt.","issue":"10","license":[{"start":{"date-parts":[[2021,3,7]],"date-time":"2021-03-07T00:00:00Z","timestamp":1615075200000},"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":[[2021,3,7]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Az orrmell\u00e9k\u00fcreg-daganatok kezel\u00e9s\u00e9ben a legfrissebb\n                    nemzetk\u00f6zi aj\u00e1nl\u00e1sok alapj\u00e1n tov\u00e1bbra is a seb\u00e9szi reszekci\u00f3 az els\u0151dlegesen\n                    v\u00e1lasztand\u00f3 m\u00f3dszer. B\u00e1r az endoszk\u00f3pos technik\u00e1k fejl\u0151d\u00e9s\u00e9vel a k\u00fcls\u0151\n                    felt\u00e1r\u00e1ssal j\u00e1r\u00f3 m\u0171t\u00e9tek bizonyos esetekben h\u00e1tt\u00e9rbe szorultak, napjainkban m\u00e9g\n                    mindig a Weber\u2013Fergusson-f\u00e9le metsz\u00e9st tartj\u00e1k a legsz\u00e9lesebb felt\u00e1r\u00e1st\n                    biztos\u00edt\u00f3 technik\u00e1nak, annak ellen\u00e9re is, hogy a m\u00f3dszer stigmatiz\u00e1l\u00f3 hegeket \u00e9s\n                    deformit\u00e1sokat hagy a p\u00e1ciensek arc\u00e1n. <jats:italic>M\u00f3dszer:<\/jats:italic> A \u201efacial\n                    degloving\u201d elj\u00e1r\u00e1st mint alternat\u00edv, hegmentes technik\u00e1t el\u0151sz\u00f6r az 1970-es\n                    \u00e9vekben publik\u00e1lt\u00e1k, az\u00f3ta sz\u00e1mos m\u00f3dos\u00edt\u00e1s\u00e1t \u00edrt\u00e1k le. A szerz\u0151k az\n                    orrmell\u00e9k\u00fcregi tumorok elt\u00e1vol\u00edt\u00e1s\u00e1ra m\u00e1r 8 \u00e9ve kiz\u00e1r\u00f3lag az \u00e1ltaluk m\u00f3dos\u00edtott\n                    technik\u00e1t alkalmazz\u00e1k. 2012 \u00e9s 2019 k\u00f6z\u00f6tt Klinik\u00e1nkon 34 beteg esett \u00e1t a\n                    m\u00f3dos\u00edtott \u201efacial degloving\u201d m\u0171t\u00e9ten. A m\u00f3dszer alapja egy fels\u0151 sz\u00e1jpitvari\n                    behatol\u00e1sb\u00f3l a k\u00f6z\u00e9parc ter\u00fclet\u00e9n kialak\u00edtott oszteoplasztikus lebeny, melynek\n                    felemel\u00e9s\u00e9vel sz\u00e9les r\u00e1l\u00e1t\u00e1s ny\u00edlik az orr\u00fcregre \u00e9s mell\u00e9k\u00fcregeire, valamint az\n                    el\u00fcls\u0151 koponyaalapra is. A m\u0171t\u00e9ti ter\u00fclet a daganat elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en j\u00f3\n                    kozmetikai eredm\u00e9nnyel rekonstru\u00e1lhat\u00f3. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A szerz\u0151k\n                    akusztikus rinometriai vizsg\u00e1latokkal \u00e9s az arckifejez\u00e9seket \u00e1br\u00e1zol\u00f3\n                    posztoperat\u00edv k\u00e9pi dokument\u00e1ci\u00f3val t\u00e1masztott\u00e1k al\u00e1 eredm\u00e9nyeiket. Az oper\u00e1lt\n                    oldalon sem az orrbemenet besz\u0171k\u00fcl\u00e9s\u00e9t (orrl\u00e9gz\u00e9s g\u00e1tolts\u00e1ga), sem pedig az\n                    arcmozg\u00e1s zavarait, az arc aszimmetri\u00e1j\u00e1t nem \u00e9szlelt\u00e9k. Betegeik t\u00fal\u00e9l\u00e9s\u00e9t\n                    Kaplan\u2013Meier-g\u00f6rb\u00e9n \u00e1br\u00e1zolt\u00e1k. <jats:italic>Megbesz\u00e9l\u00e9s, k\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Hab\u00e1r az eredeti \u201efacial degloving\u201d technik\u00e1nak sz\u00e1mos m\u00f3dos\u00edt\u00e1s\u00e1t publik\u00e1lt\u00e1k,\n                    az itt bemutatott m\u00f3dszer (oszteoplasztikus lebeny, melyben a k\u00f6z\u00e9parc l\u00e1gy\n                    r\u00e9szeinek integrit\u00e1sa megtartott) r\u00f6videbb hospitaliz\u00e1ci\u00f3s id\u0151t \u00e9s kevesebb\n                    komplik\u00e1ci\u00f3t eredm\u00e9nyezett. A bemutatott m\u00f3dos\u00edtott \u201efacial degloving\u201d technika\n                    v\u00e9lem\u00e9ny\u00fcnk szerint megfelel\u0151 \u00e9s biztons\u00e1gos seb\u00e9szi reszekci\u00f3t biztos\u00edt\n                    orrmell\u00e9k\u00fcregi rosszindulat\u00fa daganatok eset\u00e9n, tov\u00e1bb\u00e1 kombin\u00e1lhat\u00f3 endoszk\u00f3pos\n                    technik\u00e1kkal, \u00e9s sz\u00fcks\u00e9g eset\u00e9n nyitott m\u0171t\u00e9tt\u00e9 alak\u00edthat\u00f3, ak\u00e1r orbitalis\n                    kiterjeszt\u00e9ssel. Orv Hetil. 2021; 162(10): 392\u2013398.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> The widely used external approach\n                    (Weber\u2013Fergusson\u2019s incision) for the removal of maxillo-ethmoidal tumors leaves\n                    stigmatizing scars and deformities on the patient\u2019s face. As an alternative\n                    technique, the scarless facial degloving approach was first described in the\n                    1970\u2019s, and since then, several modifications have been developed.\n                        <jats:italic>Method:<\/jats:italic> We have been using our modified facial degloving\n                    technique for eight years now with maxillo-ethmoidal tumors. Between 2012 and\n                    2019, 34 consecutive patients have been operated with our modified facial\n                    degloving approach at the Department of Oto-Rhino-Laryngology and Head-Neck\n                    Surgery, University of Szeged, Hungary. We describe our method which provides a\n                    wide surgical approach <jats:italic>via<\/jats:italic> an osteoplastic flap for the whole\n                    nasal and paranasal region, with good cosmetic results. <jats:italic>Results and\n                        conclusion:<\/jats:italic> We have evaluated our results with acoustic rhinometry\n                    and photo-documentation of the facial mimic postoperatively. Neither narrowing\n                    of the nasal cavity on the operated side (loss of nasal breathing function), nor\n                    facial movement dysfunction was visible in our patients. We represent our\n                    patients\u2019 survival in Kaplan\u2013Meier curve. Although several modifications of the\n                    original facial degloving approach have been published, in our technique, the\n                    novel osteoplastic flap and the intact soft tissue of the nasal and midfacial\n                    region results in shorter hospitalization time and fewer complications. Our\n                    modified facial degloving technique offers proper and safe surgical resection\n                    for tumors of the maxillo-ethmoid region. It can be routinely combined with\n                    endoscopic techniques, and, if necessary, can be converted to an open approach.\n                    Orv Hetil. 2021; 162(10): 392\u2013398.<\/jats:p>","DOI":"10.1556\/650.2021.31997","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T12:09:48Z","timestamp":1617106188000},"page":"392-398","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A m\u00f3dos\u00edtott \u201efacial degloving\u201d technik\u00e1val szerzett hossz\u00fa t\u00e1v\u00fa tapasztalataink"],"prefix":"10.1556","volume":"162","author":[{"given":"\u00c1gnes","family":"Szalenko-T\u0151k\u00e9s","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Bella","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"T\u00f3bi\u00e1s","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Iv\u00e1n","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Rov\u00f3","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Vass","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"ALBERTSON FINEMAN, M. 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