{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T22:50:31Z","timestamp":1754261431337},"reference-count":13,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2012,12,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title><jats:p>A szerz\u0151k egy 52 \u00e9ves n\u0151beteg eset\u00e9t ismertetik, akin\u00e9l \u00e9letet vesz\u00e9lyeztet\u0151 l\u00e9gz\u00e9si neh\u00e9zs\u00e9get okoz\u00f3 struma miatt s\u00fcrg\u0151s tracheostomia t\u00f6rt\u00e9nt. A kompresszi\u00f3t okoz\u00f3 pajzsmirigy a k\u00e9s\u0151bbiekben elt\u00e1vol\u00edt\u00e1sra ker\u00fclt. Mivel az at\u00edpusos tracheostoma spont\u00e1n nem z\u00e1r\u00f3dott, rekonstrukci\u00f3t terveztek. Tekintettel arra, hogy a l\u00e9gcs\u0151 el\u00fcls\u0151 fal\u00e1nak folytonoss\u00e1g\u00e1t egy r\u00e9szen p\u00f3tolni kellett, supraclavicularis osteocutan lebeny mellett d\u00f6nt\u00f6ttek. Az a. supraclavicularist felkeresve, a v\u00e1ll ter\u00fclet\u00e9r\u0151l vett szigetlebenyt prepar\u00e1ltak, \u00e9s a clavicula processus coracoideus\u00e1r\u00f3l lev\u00e9sett v\u00e9kony csontdarabbal egy\u00fctt subcutan tunnelen a defektusba forgatt\u00e1k. A csontdarabot a trachea defektus\u00e1ba \u00f6lt\u00f6tt\u00e9k, a lebenyt a stoma hely\u00e9re fektett\u00e9k. A donorter\u00fcletet primeren z\u00e1rt\u00e1k. Az irodalom \u00e1ttekint\u00e9se, valamint saj\u00e1t eset\u00fck kapcs\u00e1n javasolj\u00e1k a lebeny sz\u00e9lesebb k\u00f6r\u0171 alkalmaz\u00e1s\u00e1t, hangs\u00falyozva, hogy kiv\u00e1l\u00f3 eszt\u00e9tikai eredm\u00e9nyt ad, \u00e9s a donorter\u00fclet z\u00e1r\u00e1s\u00e1hoz nincs sz\u00fcks\u00e9g b\u0151r\u00e1t\u00fcltet\u00e9sre.<\/jats:p>","DOI":"10.1556\/maseb.65.2012.6.6","type":"journal-article","created":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T02:25:50Z","timestamp":1355192750000},"page":"426-429","source":"Crossref","is-referenced-by-count":2,"title":["Nyelezett supraclavicularis osteocutan szigetlebeny alkalmaz\u00e1sa tracheostoma z\u00e1r\u00e1s\u00e1ra"],"prefix":"10.1556","volume":"65","author":[{"given":"L\u00e1szl\u00f3","family":"Ag\u00f3cs","sequence":"first","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Daganatseb\u00e9szeti Centrum, 1122, Budapest, R\u00e1th Gy\u00f6rgy utca 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