{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T05:04:05Z","timestamp":1697691845157},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"10","license":[{"start":{"date-parts":[[2023,3,12]],"date-time":"2023-03-12T00:00:00Z","timestamp":1678579200000},"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":[[2023,3,12]]},"abstract":"<jats:p>A sug\u00e1rkezel\u00e9s induk\u00e1lta heterotop sz\u00f6vetkalcifik\u00e1ci\u00f3 az irradi\u00e1ci\u00f3 rendk\u00edv\u00fcl\n                    ritka sz\u00f6v\u0151dm\u00e9nye a fej-nyaki r\u00e9gi\u00f3ban. Esetismertet\u00e9s\u00fcnkben egy nagy\n                    kiterjed\u00e9s\u0171, kombin\u00e1lt \u2013 subcutan \u00e9s intramuscularis elhelyezked\u00e9s\u0171 \u2013,\n                    sug\u00e1rkezel\u00e9s induk\u00e1lta heterotop kalcifik\u00e1ci\u00f3t mutatunk be a nyaki r\u00e9gi\u00f3ban. A\n                    80 \u00e9ves f\u00e9rfi beteg 2 h\u00f3napja tart\u00f3 nyel\u00e9si nehez\u00edtetts\u00e9g \u00e9s a nyakon kialakult\n                    f\u00e1jdalmas, fek\u00e9lyszer\u0171 elv\u00e1ltoz\u00e1s miatt jelentkezett klinik\u00e1nkon. 42 \u00e9vvel\n                    ezel\u0151tt T3N0M0-st\u00e1dium\u00fa glotticus laph\u00e1mcarcinoma miatt teljes\n                    g\u00e9geelt\u00e1vol\u00edt\u00e1sban, valamint 80 Gy \u00f6sszd\u00f3zis\u00fa radioter\u00e1pi\u00e1ban r\u00e9szes\u00fclt. A\n                    sz\u00f6vettani \u00e9s a CT-vizsg\u00e1lat kiz\u00e1rta a residualis vagy a m\u00e1sodlagos malignit\u00e1s\n                    lehet\u0151s\u00e9g\u00e9t. A CT-angiogr\u00e1fia kiterjedt subcutan \u00e9s intramuscularis\n                    kalcifik\u00e1ci\u00f3t mutatott a nyaki b\u0151rfek\u00e9ly, illetve a hypopharynx fal\u00e1nak\n                    k\u00f6zvetlen k\u00f6zel\u00e9ben, valamint az arteria carotis communis \u00e9s az arteria\n                    vertebralis k\u00e9toldali teljes elz\u00e1r\u00f3d\u00e1s\u00e1t \u00edrta le. A seb\u00e9szi kezel\u00e9s sor\u00e1n a\n                    meszesedett ter\u00fclet elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en a defektust fasciocutan\n                    transzpoz\u00edci\u00f3s lebennyel z\u00e1rtuk. A p\u00e1ciens az elm\u00falt 48 h\u00f3napban t\u00fcnetmentesnek\n                    bizonyult. A sug\u00e1rkezel\u00e9s elengedhetetlen szerepet j\u00e1tszik a fej-nyaki r\u00e9gi\u00f3\n                    laph\u00e1mr\u00e1kjainak kezel\u00e9s\u00e9ben. A nagyban deform\u00e1lt posztoperat\u00edv anat\u00f3mia, a\n                    kiterjedt hegk\u00e9pz\u0151d\u00e9s, a sug\u00e1rkezel\u00e9s okozta fibrosis, valamint a b\u0151r \u00e9s a b\u0151r\n                    alatti sz\u00f6vetek kalcifik\u00e1ci\u00f3ja \u00f6sszess\u00e9g\u00e9ben szokatlan, at\u00edpusos elv\u00e1ltoz\u00e1sok\n                    kialakul\u00e1s\u00e1hoz vezethet. Orv Hetil. 2023; 164(10): 383\u2013387.<\/jats:p>","DOI":"10.1556\/650.2023.32734","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T13:53:11Z","timestamp":1678715591000},"page":"383-387","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Subcutan \u00e9s intramuscularis heterotop kalcifik\u00e1ci\u00f3 a nyakon 42 \u00e9vvel a sug\u00e1rkezel\u00e9st k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"164","author":[{"given":"P\u00e9ter","family":"Pfiszterer","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Vass","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Rov\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1d\u00e1m","family":"Per\u00e9nyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6ngyi","family":"Kelemen","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Onkoter\u00e1pi\u00e1s Klinika Szeged Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1d\u00e1m","family":"Bach","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1038\/s41572-020-00224-3","article-title":"Head and neck squamous cell carcinoma","volume":"6","author":"1 Johnson","year":"2020","unstructured":"1 Johnson DE, Burtness B, Leemans CR, et al. 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