{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T07:04:47Z","timestamp":1779779087582,"version":"3.53.1"},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"21","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,5,24]]},"abstract":"Magyarorsz\u00e1gon a fegyverrel okozott s\u00e9r\u00fcl\u00e9sek el\u0151fordul\u00e1sa ritka,\n k\u00f6vetkez\u00e9sk\u00e9ppen az ell\u00e1t\u00e1sukhoz kapcsol\u00f3d\u00f3 hazai klinikai tapasztalat \u00e9s\n publik\u00e1lt esetsz\u00e1m korl\u00e1tozott, ami a diagnosztikai \u00e9s ter\u00e1pi\u00e1s strat\u00e9gi\u00e1k\n megv\u00e1laszt\u00e1s\u00e1t k\u00fcl\u00f6n\u00f6sen megnehez\u00edti. A s\u00f6r\u00e9tes pusk\u00e1kb\u00f3l sz\u00e1rmaz\u00f3 apr\u00f3\n \u00f3lomszemek k\u00f6nnyen behatolnak a sz\u00f6vetekbe, v\u00e1ndorl\u00e1sra hajlamosak, ami\n megnehez\u00edti lokaliz\u00e1ci\u00f3jukat \u00e9s biztons\u00e1gos elt\u00e1vol\u00edt\u00e1sukat. S\u00falyos\n sz\u00f6v\u0151dm\u00e9nyeket, p\u00e9ld\u00e1ul neurovascularis k\u00e1rosod\u00e1st, kr\u00f3nikus \u00f3lomm\u00e9rgez\u00e9st vagy\n infekci\u00f3kat (szepszis, meningitis, t\u00e1lyog) id\u00e9zhetnek el\u0151. K\u00fcl\u00f6n\u00f6sen kritikus a\n fej-nyaki r\u00e9gi\u00f3, ahol a koponyaalap, a nagyerek \u00e9s a l\u00e9gutak k\u00f6zels\u00e9ge miatt a\n beavatkoz\u00e1sok fokozott \u00f3vatoss\u00e1got ig\u00e9nyelnek. A nasopharyngealis r\u00e9gi\u00f3ban\n elhelyezked\u0151 idegen testek ell\u00e1t\u00e1sa tov\u00e1bbi kih\u00edv\u00e1st jelent, mivel feln\u0151ttkori\n el\u0151fordul\u00e1suk ritka, \u00e9s elt\u00e1vol\u00edt\u00e1sukra vonatkoz\u00f3an mind\u00f6ssze sz\u00f3rv\u00e1nyos\n irodalmi adatok \u00e1llnak rendelkez\u00e9sre. A hagyom\u00e1nyos k\u00e9palkot\u00f3 m\u00f3dszerek gyakran\n nem el\u00e9g pontosak, ez\u00e9rt az intraoperat\u00edv k\u00e9pvez\u00e9rl\u00e9s alkalmaz\u00e1sa\n kulcsfontoss\u00e1g\u00fa. A jelen tanulm\u00e1nyban egy 34 \u00e9ves f\u00e9rfi eset\u00e9t ismertetj\u00fck, aki\n vad\u00e1szbaleset sor\u00e1n mintegy 30 m\u00e9teres t\u00e1vols\u00e1gb\u00f3l, s\u00f6r\u00e9tes pusk\u00e1val leadott\n l\u00f6v\u00e9s k\u00f6vetkezt\u00e9ben t\u00f6bb, fej-nyaki r\u00e9gi\u00f3t \u00e9rint\u0151 s\u00e9r\u00fcl\u00e9st szenvedett. A beteg\n ell\u00e1t\u00e1sa multidiszciplin\u00e1ris keretek k\u00f6z\u00f6tt t\u00f6rt\u00e9nt, szem\u00e9szeti \u00e9s\n f\u00fcl-orr-g\u00e9g\u00e9szeti egy\u00fcttm\u0171k\u00f6d\u00e9sben. Eset\u00fcnkben bemutatjuk n\u00e9gy, 2\u20133 mm \u00e1tm\u00e9r\u0151j\u0171\n \u00f3loms\u00f6r\u00e9t intratrachealis narcosisban, C-karos intraoperat\u00edv k\u00e9per\u0151s\u00edt\u0151\n seg\u00edts\u00e9g\u00e9vel v\u00e9gzett multimod\u00e1lis (endonasalis, transoralis \u00e9s transcutan)\n elt\u00e1vol\u00edt\u00e1s\u00e1t, hangs\u00falyozva az epipharynxban lokaliz\u00e1lt l\u00f6ved\u00e9k sikeres\n endoszk\u00f3pos kiemel\u00e9s\u00e9t. A bemutatott beavatkoz\u00e1s r\u00e1vil\u00e1g\u00edt a prec\u00edz k\u00e9palkot\u00e1s,\n a minim\u00e1lisan invaz\u00edv seb\u00e9szi technik\u00e1k \u00e9s a szakter\u00fcletek k\u00f6z\u00f6tti kooper\u00e1ci\u00f3\n fontoss\u00e1g\u00e1ra a fej-nyaki idegen testek biztons\u00e1gos kezel\u00e9s\u00e9ben. Orv Hetil. 2026;\n 167(21): 842\u2013847.<\/jats:p>","DOI":"10.1556\/650.2026.33554","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T06:47:49Z","timestamp":1779778069000},"page":"842-847","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["T\u00f6bbsz\u00f6r\u00f6s fejt\u00e1ji idegen test elt\u00e1vol\u00edt\u00e1sa endonasalis, transoralis \u00e9s transcutan megk\u00f6zel\u00edt\u00e9sb\u0151l"],"prefix":"10.1556","volume":"167","author":[{"given":"Lili","family":"T\u00f3th","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor","family":"Forg\u00e1cs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8759-9164","authenticated-orcid":true,"given":"Tibor","family":"Szal\u00f3ki","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Government decree No. 253\/2004 (VIII. 31.) on weapons and\n ammunition. [253\/2004. (VIII. 31.) Korm. rendelet a fegyverekr\u0151l \u00e9s\n l\u0151szerekr\u0151l.] Available from:\n https:\/\/net.jogtar.hu\/jogszabaly?docid=a0400253.kor [accessed: 2\n Feb 2026]. [Hungarian]"},{"key":"R2","unstructured":"Ministry of Agriculture. Decree No. 19\/2022 (VII. 29.) on the\n preparatory course for the hunter\u2019s exam, the hunter\u2019s exam, and supplementary\n exams. [19\/2022. (VII. 29.) AM rendelet a vad\u00e1szvizsg\u00e1t megel\u0151z\u0151 tanfolyamr\u00f3l, a\n vad\u00e1szvizsg\u00e1r\u00f3l, valamint a vad\u00e1sz\u00edjjal, ragadoz\u00f3 mad\u00e1rral, magyar ag\u00e1rral val\u00f3\n vad\u00e1szatra feljogos\u00edt\u00f3 kieg\u00e9sz\u00edt\u0151 vizsg\u00e1kr\u00f3l.] Available from:\n https:\/\/net.jogtar.hu\/jogszabaly?docid=a2200019.am [accessed: 2\n Feb 2026]. [Hungarian]"},{"key":"R3","unstructured":"Act LV of 1996 on the protection of game, wildlife management and\n hunting. [1996. \u00e9vi LV. t\u00f6rv\u00e9ny a vad v\u00e9delm\u00e9r\u0151l, a vadgazd\u00e1lkod\u00e1sr\u00f3l, valamint\n a vad\u00e1szatr\u00f3l.] Available from:\n https:\/\/net.jogtar.hu\/jogszabaly?docid=99600055.tv [accessed: 2\n Feb 2026]. [Hungarian]"},{"key":"R4","unstructured":"Barta T. Weapons and ammunition. [Fegyver- \u00e9s l\u0151szerismeret.]\n Szegedi Tudom\u00e1nyegyetem, Mez\u0151gazdas\u00e1gi Kar, \u00c1llattudom\u00e1nyi \u00e9s Vadgazd\u00e1lkod\u00e1si\n Int\u00e9zet, Szeged, 2019. [Hungarian]"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Ordog GJ, Wasserberger J, Balasubramaniam S. Shotgun wound\n ballistics. J Trauma 1988; 28: 624-631.\n https:\/\/doi.org\/10.1097\/00005373-198805000-00011","DOI":"10.1097\/00005373-198805000-00011"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Cs\u00f3kay G, W\u00fcrsching T, Szentp\u00e9teri Sz, et al. The use of\n patient-specific implants in maxillofacial reconstruction. [P\u00e1ciensspecifikus\n implant\u00e1tumok haszn\u00e1lata arckoponya-rekonstrukci\u00f3 sor\u00e1n.] Orv Hetil. 2024; 165:\n 1594-1600. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2024.33111","DOI":"10.1556\/650.2024.33111"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Celbis O, Karakoc Y, Ozdemir B, et al. Investigation of lead\n mobilization from the buckshot residues to the critical organs. Biol Trace\n Element Res. 2011; 143: 688-694.\n https:\/\/doi.org\/10.1007\/s12011-010-8907-7","DOI":"10.1007\/s12011-010-8907-7"},{"key":"R8","unstructured":"Akhtar AJ, Funny\u00e9 AS, Akanno J. Gunshot-induced plumbism in an adult\n male. J Natl Med Assoc. 2003; 95: 986-990."},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Bakan S, Korkmazer B, Ba\u015f A, et al. Embolism of a pellet after\n shotgun injury: from liver to right ventricle. 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