{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T15:00:28Z","timestamp":1785510028922,"version":"3.56.0"},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"26","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,6,28]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A pajzsmirigym\u0171t\u00e9tek egyik legs\u00falyosabb lehets\u00e9ges\n sz\u00f6v\u0151dm\u00e9nye a nervus (n.) laryngeus recurrens \u00e1tmeneti vagy tart\u00f3s\n funkci\u00f3k\u00e1rosod\u00e1sa. Az idegs\u00e9r\u00fcl\u00e9s kialakul\u00e1s\u00e1t a szakirodalom szerint t\u00f6bb\n demogr\u00e1fiai, m\u0171t\u00e9ti \u00e9s patol\u00f3giai t\u00e9nyez\u0151 befoly\u00e1solhatja.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Vizsg\u00e1latunk c\u00e9lja saj\u00e1t beteganyagunkban a\n pajzsmirigym\u0171t\u00e9tet k\u00f6vet\u0151 \u00e1tmeneti \u00e9s tart\u00f3s hangszalagb\u00e9nul\u00e1s gyakoris\u00e1g\u00e1nak\n meghat\u00e1roz\u00e1sa, valamint a kialakul\u00e1s\u00e1val \u00f6sszef\u00fcgg\u00e9sbe hozhat\u00f3 preoperat\u00edv\n prognosztikai t\u00e9nyez\u0151k azonos\u00edt\u00e1sa volt.\n M\u00f3dszer:<\/jats:italic>\n A 2022.\n janu\u00e1r 1. \u00e9s 2024. m\u00e1rcius 31. k\u00f6z\u00f6tt pajzsmirigym\u0171t\u00e9ten \u00e1tesett betegek adatait\n elemezt\u00fck retrospekt\u00edven. Vizsg\u00e1ltuk a demogr\u00e1fiai jellemz\u0151ket, a m\u0171t\u00e9ti\n indik\u00e1ci\u00f3t, a beavatkoz\u00e1s t\u00edpus\u00e1t \u00e9s kiterjed\u00e9s\u00e9t, a posztoperat\u00edv sz\u00f6vettani\n eredm\u00e9nyeket. Fisher-f\u00e9le egzakt teszttel \u00e9s t\u00f6bbv\u00e1ltoz\u00f3s regresszi\u00f3s\n anal\u00edzissel elemezt\u00fck, hogy a 65 \u00e9ves vagy id\u0151sebb \u00e9letkor, a malignus indik\u00e1ci\u00f3\n \u00e9s a teljes pajzsmirigy-elt\u00e1vol\u00edt\u00e1s prognosztikai jelent\u0151s\u00e9ggel b\u00edr-e a n.\n laryngeus recurrens posztoperat\u00edv funkci\u00f3zavara szempontj\u00e1b\u00f3l.\n Eredm\u00e9nyek:<\/jats:italic>\n A vizsg\u00e1lt id\u0151szakban 153 betegen (125 n\u0151, 30\n f\u00e9rfi; \u00e1tlag\u00e9letkor: 53,7 \u00e9v) \u00f6sszesen 155 m\u0171t\u00e9tet v\u00e9gezt\u00fcnk (\u201enerve at risk\u201d\n [vesz\u00e9lyeztetett ideg]: 227). Ezek k\u00f6z\u00fcl 143 primer m\u0171t\u00e9t, 11 komplett\u00e1l\u00f3\n thyreoidectomia \u00e9s 1 reoper\u00e1ci\u00f3 volt; 83 esetben lobectomia, 72 esetben teljes\n pajzsmirigy-elt\u00e1vol\u00edt\u00e1s t\u00f6rt\u00e9nt. A m\u0171t\u00e9ti indik\u00e1ci\u00f3 123 esetben benignus (a The\n Bethesda System for Reporting Thyroid Cytopathology [2023] alapj\u00e1n II\u2013IV.\n kateg\u00f3ria, gy\u00f3gyszerrezisztens hyperthyreosis, kompresszi\u00f3s t\u00fcnetek), 32 esetben\n malignus (V\u2013VI. kateg\u00f3ria, ellenoldali malignit\u00e1s, hideg g\u00f6b) volt. A sz\u00f6vettani\n vizsg\u00e1lat 128 benignus \u00e9s 27 malignus elv\u00e1ltoz\u00e1st igazolt. K\u00f6zvetlen\n posztoperat\u00edv g\u00e9gemozg\u00e1szavar 18 esetben fordult el\u0151 (\u201enerve at risk\u201d: 19;\n 8,4%). 4 beteg nem jelent meg kontrollon (\u201elost to follow-up\u201d), \u00edgy 11 eset\n \u00e1tmeneti (5,0% 220 \u201enerve at risk\u201d-b\u0151l), 3 eset (1,4% 220 \u201enerve at risk\u201d-b\u0151l)\n tart\u00f3s b\u00e9nul\u00e1snak bizonyult. A statisztikai elemz\u00e9s egyik vizsg\u00e1lt t\u00e9nyez\u0151t sem\n igazolta f\u00fcggetlen prediktork\u00e9nt.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A\n posztoperat\u00edv g\u00e9geb\u00e9nul\u00e1s el\u0151fordul\u00e1sa a nemzetk\u00f6zi adatokkal \u00f6sszhangban\n alakult, ugyanakkor a vizsg\u00e1lt potenci\u00e1lis kock\u00e1zati t\u00e9nyez\u0151k egyik\u00e9nek sem\n siker\u00fclt prognosztikai jelent\u0151s\u00e9g\u00e9t igazolnunk, \u00edgy szem\u00e9lyre szabott\n kock\u00e1zatbecsl\u00e9s\u00fcnk tov\u00e1bbra is els\u0151sorban az irodalmi adatokra t\u00e1maszkodik. Orv\n Hetil. 2026; 167(26): 1034\u20131040.\n <\/jats:p>","DOI":"10.1556\/650.2026.33595","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T05:25:59Z","timestamp":1782883559000},"page":"1034-1040","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A pajzsmirigym\u0171t\u00e9tet k\u00f6vet\u0151 hangszalagb\u00e9nul\u00e1s predikt\u00edv faktorai"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1642-0655","authenticated-orcid":true,"given":"Ad\u00e9l","family":"Kincses","sequence":"first","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia","family":"Borsos","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kata","family":"Ill\u00e9s","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barnab\u00e1s","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Budapesti Bajcsy-Zsilinszky K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly Budapest, Magl\u00f3di \u00fat 89\u201391., 1106 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Gualniera P, Scurria S, Mondello C, et al. Narrative review of\n proving the causal link of recurrent laryngeal nerve injury and thyroidectomy: a\n medico legal appraisal. Gland Surg. 2020; 9: 1564-1572. Erratum: Gland Surg.\n 2021; 10: 1279. https:\/\/doi.org\/10.21037\/gs-20-203","DOI":"10.21037\/gs-20-203"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Rov\u00f3 L, J\u00f3ri J, Brz\u00f3zka M, et al. Airway complication after thyroid\n surgery: minimally invasive management of bilateral recurrent nerve injury.\n Laryngoscope 2000; 110: 140-144.\n https:\/\/doi.org\/10.1097\/00005537-200001000-00025","DOI":"10.1097\/00005537-200001000-00025"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Ambrus A, Rov\u00f3 L, Bach \u00c1. The effect of unilateral endoscopic\n arytenoid abduction lateropexy on swallowing in cases of bilateral vocal fold\n palsy. Laryngoscope Investig Otolaryngol. 2025; 10: e70063.\n https:\/\/doi.org\/10.1002\/lio2.70063","DOI":"10.1002\/lio2.70063"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Mahoney RC, Vossler JD, Murayama KM, et al. Predictors and\n consequences of recurrent laryngeal nerve injury during open thyroidectomy: an\n American College of Surgeons National Surgical Quality Improvement Project\n database analysis. Am J Surg. 2021; 221: 122-126.\n https:\/\/doi.org\/10.1016\/j.amjsurg.2020.07.023","DOI":"10.1016\/j.amjsurg.2020.07.023"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Jeannon JP, Orabi AA, Bruch GA, et al. Diagnosis of recurrent\n laryngeal nerve palsy after thyroidectomy: a systematic review. Int J Clin\n Pract. 2009; 63: 624-629.\n https:\/\/doi.org\/10.1111\/j.1742-1241.2008.01875.x","DOI":"10.1111\/j.1742-1241.2008.01875.x"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Gunn A, Oyekunle T, Stang M, et al. Recurrent laryngeal nerve injury\n after thyroid surgery: an analysis of 11,370 patients. J Surg Res. 2020; 255:\n 42-49. https:\/\/doi.org\/10.1016\/j.jss.2020.05.017","DOI":"10.1016\/j.jss.2020.05.017"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Yang X, Ouyang W, Ma P. Risk factors for recurrent laryngeal nerve\n injury following thyroid surgery: a systematic review and meta-analysis. Front\n Surg. 2026; 12: 1731701.\n https:\/\/doi.org\/10.3389\/fsurg.2025.1731701","DOI":"10.3389\/fsurg.2025.1731701"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Ringel MD, Sosa JA, Baloch Z, et al. 2025 American Thyroid\n Association management guidelines for adult patients with differentiated thyroid\n cancer. Thyroid 2025; 35: 841-985. Erratum: Thyroid 2025; 35: 1350.\n https:\/\/doi.org\/10.1177\/10507256251363120","DOI":"10.1177\/10507256251363120"},{"key":"R9","unstructured":"Vasireddy DD, Gudi DN, Nikitha M, et al. Observational study of\n correlation between RLN injury with thyroiditis in patient undergoing total\n thyroidectomy in a tertiary care centre. TPM Testing Psychometr Methodol Appl\n Psychol. 2025; 32(S3): 1561-1565."},{"key":"R10","doi-asserted-by":"crossref","unstructured":"L\u00e9vay B, Oberna, F. Thyroid surgery without scars - TOETVA as a new\n surgical procedure of the thyroid. [Heg n\u00e9lk\u00fcli pajzsmirigym\u0171t\u00e9t - a TOETVA mint\n \u00faj elj\u00e1r\u00e1s a hazai pajzsmirigyseb\u00e9szetben.] Orv Hetil. 2020; 161: 1764-1768.\n [Hungarian] https:\/\/doi.org\/10.1556\/650.2020.31850","DOI":"10.1556\/650.2020.31850"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Bartsch DK, Dotzenrath C, Vorl\u00e4nder C, et al. Current practice of\n surgery for benign goitre - an analysis of the prospective DGAV StuDoQ|Thyroid\n Registry. 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[Hungarian]\n https:\/\/doi.org\/10.1556\/650.2024.33132","DOI":"10.1556\/650.2024.33132"},{"key":"R17","unstructured":"Helfferich F, Rem\u00e9nyi \u00c1, Kocsis \u00c1, et al. The learning curve of 1000\n thyroidectomies [1000 pajzsmirigym\u0171t\u00e9t tanul\u00e1si g\u00f6rb\u00e9je.] F\u00fcl-Orr-G\u00e9gegy\u00f3gy.\n 2026; 72: 17-24. [Hungarian]"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Sahli ZT, Ansari G, Gurakar M, et al. Thyroidectomy in older adults:\n an American College of Surgeons National Surgical Quality Improvement Program\n study of outcomes. J Surg Res. 2018; 229: 20-27.\n https:\/\/doi.org\/10.1016\/j.jss.2018.03.057","DOI":"10.1016\/j.jss.2018.03.057"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Francis DO, Pearce EC, Ni S, et al. Epidemiology of vocal fold\n paralyses after total thyroidectomy for well-differentiated thyroid cancer in a\n Medicare population. 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