{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:11:31Z","timestamp":1788880291349,"version":"build-2803163510"},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"36","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"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":[[2026,9,6]]},"abstract":"A biol\u00f3giai h\u00e1l\u00f3k alkalmaz\u00e1sa mellkasfali rekonstrukci\u00f3 sor\u00e1n az ut\u00f3bbi \u00e9vekben\n egyre ink\u00e1bb el\u0151t\u00e9rbe ker\u00fclt a szintetikus h\u00e1l\u00f3kkal szemben. Magyarorsz\u00e1gon\n azonban mellkasseb\u00e9szeti alkalmaz\u00e1sukkal kapcsolatban mindeddig kev\u00e9s\n tapasztalat \u00e1ll rendelkez\u00e9sre. Publik\u00e1ci\u00f3nk c\u00e9lja a mellkasfali rekonstrukci\u00f3\n sor\u00e1n alkalmazhat\u00f3 anyagok \u00e9s m\u00f3dszerek \u00e1ttekint\u00e9se, valamint a biol\u00f3giai h\u00e1l\u00f3k\n haszn\u00e1lat\u00e1val szerzett kezdeti tapasztalataink bemutat\u00e1sa. Retrospekt\u00edv m\u00f3don\n elemezt\u00fck az elm\u00falt k\u00e9t \u00e9vben v\u00e9gzett azon mellkasfali rekonstrukci\u00f3kat, amelyek\n sor\u00e1n biol\u00f3giai h\u00e1l\u00f3 be\u00fcltet\u00e9s\u00e9re ker\u00fclt sor. Vizsg\u00e1ltuk a betegek demogr\u00e1fiai\n jellemz\u0151it, a m\u0171t\u00e9ti adatokat, valamint a posztoperat\u00edv korai \u00e9s k\u00e9s\u0151i\n sz\u00f6v\u0151dm\u00e9nyeket. 2024 \u00e9s 2026 k\u00f6z\u00f6tt \u00f6sszesen 5 esetben alkalmaztunk biol\u00f3giai\n h\u00e1l\u00f3t mellkasfali rekonstrukci\u00f3 sor\u00e1n. A m\u0171t\u00e9ti indik\u00e1ci\u00f3k k\u00f6z\u00f6tt 4 esetben\n daganatos megbeteged\u00e9s szerepelt, 1 esetben pedig traum\u00e1s eredet indokolta a\n rekonstrukci\u00f3t. \u00c1tlagosan 3 borda elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en, 2 esetben ehhez\n t\u00e1rsul\u00f3 r\u00e9szleges szegycsontreszekci\u00f3 miatt v\u00e1lt sz\u00fcks\u00e9gess\u00e9 a h\u00e1l\u00f3implant\u00e1ci\u00f3.\n 30 napon bel\u00fcli posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyk\u00e9nt 1 esetben sebfert\u0151z\u00e9s, 2 esetben\n pedig mell\u0171ri dren\u00e1zst ig\u00e9nyl\u0151 mell\u0171ri folyad\u00e9kgy\u00fclem jelentkezett. 30 napot\n meghalad\u00f3, k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. Magyarorsz\u00e1gon els\u0151k\u00e9nt\n oszt\u00e1lyunkon haszn\u00e1ltunk feln\u0151ttek eset\u00e9n sert\u00e9sdermis-eredet\u0171 biol\u00f3giai h\u00e1l\u00f3t\n mellkasfali rekonstrukci\u00f3 c\u00e9lj\u00e1b\u00f3l. Kezdeti eredm\u00e9nyeink alapj\u00e1n a technika j\u00f3l\n \u00e9s eredm\u00e9nyesen alkalmazhat\u00f3 a m\u00e1r megl\u00e9v\u0151 rekonstrukci\u00f3s technik\u00e1k mellett. A\n m\u00f3dszer hat\u00e9konys\u00e1g\u00e1nak \u00e9s el\u0151nyeinek pontosabb meg\u00edt\u00e9l\u00e9s\u00e9hez tov\u00e1bbi klinikai\n tapasztalatok \u00e9s nagyobb esetsz\u00e1m\u00fa vizsg\u00e1latok sz\u00fcks\u00e9gesek. Orv Hetil. 2026;\n 167(36): 1445\u20131451.<\/jats:p>","DOI":"10.1556\/650.2026.33624","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:40:58Z","timestamp":1788878458000},"page":"1445-1451","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Mellkasfali rekonstrukci\u00f3 biol\u00f3giai h\u00e1l\u00f3val"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0705-0540","authenticated-orcid":true,"given":"Katinka","family":"Andr\u00e1si","sequence":"first","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Szombathely, Markusovszky u. 5., 9700 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"L\u00f3derer","sequence":"additional","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, \u00c1ltal\u00e1nos- \u00c9r- \u00e9s Plasztikai Seb\u00e9szeti Oszt\u00e1ly Szombathely Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Balassa","sequence":"additional","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Traumatol\u00f3giai Oszt\u00e1ly Szombathely Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Farkas","sequence":"additional","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Szombathely, Markusovszky u. 5., 9700 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Seder CW, Rocco G. 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