{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:02:55Z","timestamp":1769090575016,"version":"3.49.0"},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"44","license":[{"start":{"date-parts":[[2023,11,5]],"date-time":"2023-11-05T00:00:00Z","timestamp":1699142400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,11,5]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A b\u0151r rosszindulat\u00fa daganatai a leggyakoribb hum\u00e1n\n                    neoplasm\u00e1k, melyeknek 90%-a a fej-nyaki r\u00e9gi\u00f3ban jelentkezik. Els\u0151dleges\n                    ter\u00e1pi\u00e1juk a m\u0171t\u00e9ti elt\u00e1vol\u00edt\u00e1s, melynek sor\u00e1n gyakran alakul ki val\u00f3di\n                    b\u0151rhi\u00e1ny. Ennek z\u00e1r\u00e1sa ide\u00e1lis esetben sz\u00edn\u00e9ben, vastags\u00e1g\u00e1ban \u00e9s\n                    sz\u0151rt\u00fcsz\u0151tartalm\u00e1ban a laesio kiindul\u00e1si hely\u00e9vel megegyez\u0151 helyi lebenyekkel\n                    t\u00f6rt\u00e9nik. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Jelen munk\u00e1nkban egy random v\u00e9rell\u00e1t\u00e1s\u00fa\n                    helyi lebeny, a kett\u0151s b\u00e1rdlebeny alkalmaz\u00e1s\u00e1val kapcsolatos els\u0151\n                    tapasztalatainkr\u00f3l sz\u00e1molunk be. <jats:italic>M\u00f3dszer:<\/jats:italic> A 2021. november \u00e9s\n                    2023. j\u00fanius k\u00f6z\u00f6tt a fej-nyaki b\u0151rtumor elt\u00e1vol\u00edt\u00e1sa ut\u00e1ni defektus kett\u0151s\n                    b\u00e1rdlebennyel t\u00f6rt\u00e9n\u0151 z\u00e1r\u00e1s\u00e1n \u00e1tesett betegeket prospekt\u00edv m\u00f3don k\u00f6vett\u00fck.\n                    Vizsg\u00e1ltuk a primer tumor lokaliz\u00e1ci\u00f3j\u00e1t, m\u00e9ret\u00e9t, az aneszt\u00e9zia m\u00f3dj\u00e1t, tov\u00e1bb\u00e1\n                    a korai \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1s\u00e1t. A m\u0171t\u00e9t ut\u00e1n legal\u00e1bb 6 h\u00f3napig\n                    k\u00f6vetett betegek eset\u00e9ben egy, a m\u0171t\u00e9t ut\u00e1ni statusra vonatkoz\u00f3 el\u00e9gedetts\u00e9gi\n                    k\u00e9rd\u0151\u00edvet t\u00f6ltett\u00fcnk ki. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A vizsg\u00e1lt id\u0151szakban 13\n                    beteget oper\u00e1ltunk a kett\u0151s b\u00e1rdlebeny technik\u00e1j\u00e1val, \u00e1tlag\u00e9letkoruk 79,6 \u00e9v\n                    volt. A leggyakoribb lokaliz\u00e1ci\u00f3 a skalp volt, a reszek\u00e1tumok \u00e1tlagos m\u00e9rete\n                    40,5 \u00d7 32,1 mm volt. Valamennyi esetben R0-reszekci\u00f3t v\u00e9gezt\u00fcnk. 1 esetben a\n                    defektus teljes z\u00e1r\u00e1sa nem volt lehets\u00e9ges. Korai sz\u00f6v\u0151dm\u00e9nyk\u00e9nt 2 betegben\n                    r\u00e9szleges lebenynekr\u00f3zist, k\u00e9s\u0151i k\u00f6vetkezm\u00e9nyk\u00e9nt 2 betegben mimikai\n                    mozg\u00e1szavart \u00e9szlelt\u00fcnk. A betegek sz\u00e1m\u00e1ra a legzavar\u00f3bb k\u00f6vetkezm\u00e9ny a\n                    hegesed\u00e9s volt. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A helyi lebeny kiv\u00e1laszt\u00e1sakor a\n                    defektus elhelyezked\u00e9se, m\u00e9rete, m\u00e9lys\u00e9ge, a b\u0151r elaszticit\u00e1sa, a defektus\n                    k\u00f6rnyezet\u00e9ben mobiliz\u00e1lhat\u00f3 b\u0151r mennyis\u00e9ge, a Langer-f\u00e9le er\u0151vonalak \u00e9s a r\u00e1ncok\n                    ir\u00e1nya, a sz\u0151rzet (hajas fejb\u0151r \u00e9s szem\u00f6ld\u00f6k), valamint az arc eszt\u00e9tikai\n                    egys\u00e9geinek \u00e9s alegys\u00e9geinek hat\u00e1rai a meghat\u00e1roz\u00f3 t\u00e9nyez\u0151k. Amennyiben a kett\u0151s\n                    b\u00e1rdlebeny kialak\u00edt\u00e1s\u00e1nak alapelveit betartjuk (hossz \u00e9s sz\u00e9less\u00e9g ar\u00e1nya, a\n                    lebeny nyel\u00e9nek sz\u00e9less\u00e9ge a defektus m\u00e9ret\u00e9hez k\u00e9pest), elfogadhat\u00f3\n                    sz\u00f6v\u0151dm\u00e9nyr\u00e1t\u00e1val rendelkez\u0151, megb\u00edzhat\u00f3 m\u00f3dszer \u00e1ll rendelkez\u00e9s\u00fcnkre.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A kett\u0151s b\u00e1rdlebeny mint random v\u00e9rell\u00e1t\u00e1s\u00fa\n                    helyi lebeny k\u00fcl\u00f6n\u00f6sen alkalmas a hajas fejb\u0151r \u00e9s a homlok ter\u00fclet\u00e9n\n                    elhelyezked\u0151 2\u20135 cm-es b\u0151rdefektusok z\u00e1r\u00e1s\u00e1ra. Orv Hetil. 2023; 164(44):\n                    1755\u20131763.<\/jats:p>","DOI":"10.1556\/650.2023.32899","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T01:32:13Z","timestamp":1699579933000},"page":"1755-1763","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Kett\u0151s b\u00e1rdlebeny alkalmaz\u00e1sa fej-nyaki b\u0151rtumorok m\u0171t\u00e9ti defektusainak rekonstrukci\u00f3j\u00e1ra"],"prefix":"10.1556","volume":"164","author":[{"given":"Tam\u00e1s","family":"Major","sequence":"first","affiliation":[{"name":"Heves V\u00e1rmegyei Markhot Ferenc Oktat\u00f3k\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly Eger, Kn\u00e9zich K\u00e1roly u. 1., 3300 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erzs\u00e9bet","family":"Pribelszki","sequence":"additional","affiliation":[{"name":"Heves V\u00e1rmegyei Markhot Ferenc Oktat\u00f3k\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly Eger, Kn\u00e9zich K\u00e1roly u. 1., 3300 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"R\u00e1cz","sequence":"additional","affiliation":[{"name":"Heves V\u00e1rmegyei Markhot Ferenc Oktat\u00f3k\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly Eger, Kn\u00e9zich K\u00e1roly u. 1., 3300 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinga","family":"Nagy","sequence":"additional","affiliation":[{"name":"Heves V\u00e1rmegyei Markhot Ferenc Oktat\u00f3k\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly Eger, Kn\u00e9zich K\u00e1roly u. 1., 3300 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szilveszter","family":"Nagy","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gr\u00f3f Tisza Istv\u00e1n Campus, F\u00fcl-Orr-G\u00e9ge Oszt\u00e1ly Beretty\u00f3\u00fajfalu Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1001\/archdermatol.2011.2244","article-title":"Population-based estimates of the occurrence of multiple vs first primary basal cell carcinomas in 4 European regions","volume":"148","author":"Vries E","year":"2012","unstructured":"1 de Vries E, Micallef R, Brewster D, et al. 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