{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:01:36Z","timestamp":1761058896378},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,2,1]]},"abstract":"<jats:p>M\u00edg a m\u00faltban az autol\u00f3g csontp\u00f3tl\u00e1st a maxillofacialis seb\u00e9szetben szinte csak a mandibuladefektusok helyre\u00e1ll\u00edt\u00e1s\u00e1ra \u00e9s a hasad\u00e9kos betegek oszteoplasztik\u00e1j\u00e1hoz alkalmazt\u00e1k, addig ma m\u00e1r ink\u00e1bb implantol\u00f3giai c\u00e9lokra haszn\u00e1lj\u00e1k fel a saj\u00e1t csont (spongiosa vagy corticalis, vagy mindkett\u0151) szabad transzplant\u00e1ci\u00f3j\u00e1t. A csontp\u00f3tl\u00e1s arany standardj\u00e1t m\u00e9g mindig az autol\u00f3g csont jelenti. Ez\u00a0annak ellen\u00e9re \u00edgy van, hogy a csontp\u00f3tl\u00f3k sz\u00e9les v\u00e1laszt\u00e9ka \u00e1ll rendelkez\u00e9sre, \u00e9s vel\u00fck egyes esetekben a saj\u00e1t csonttal egyen\u00e9rt\u00e9k\u0171 \u00faj csontot lehet k\u00e9pezni. Autol\u00f3g csontot gyakran intraoralis forr\u00e1sokb\u00f3l nyernek, de ha nagyobb mennyis\u00e9g\u0171 spongios\u00e1ra van sz\u00fcks\u00e9g, ezek a helyek (mentum, als\u00f3 \u00e1llcsont retromolaris ter\u00fclete, processus muscularis stb.) nem megfelel\u0151ek. Az extraoralis donorhelyek k\u00f6z\u00fcl a leggyakrabban haszn\u00e1lt ter\u00fclet a crista ilei, de a tibia proximalis epiphysise is megfelel\u0151 erre a c\u00e9lra. Tekintettel arra, hogy int\u00e9zet\u00fcnkben az ut\u00f3bbi id\u0151ben mindk\u00e9t helyr\u0151l ar\u00e1nylag nagyobb sz\u00e1m\u00fa betegen v\u00e9gezt\u00fcnk csonttranszplant\u00e1ci\u00f3t, a\u00a0k\u00e9t donorhely morbidit\u00e1si adatait k\u00edv\u00e1ntuk \u00f6sszehasonl\u00edtani. 2007. m\u00e1rcius \u00e9s 2007. november k\u00f6z\u00f6tt (teh\u00e1t kilenc h\u00f3nap alatt) 14 beteg eset\u00e9ben v\u00e9gezt\u00fcnk tibi\u00e1b\u00f3l vett csonttal sinuselev\u00e1ci\u00f3t. Harmincnyolc beteg eset\u00e9ben vet\u00fcnk crista ileib\u0151l csontot hasad\u00e9k-oszteoplasztika miatt. Az \u00f6sszehasonl\u00edt\u00e1s alapj\u00e1ul a posztoperat\u00edv klinikai vizsg\u00e1latok, a betegek panaszai \u00e9s a donorhely morbidit\u00e1s\u00e1nak objekt\u00edv vizsg\u00e1lata szolg\u00e1lt. Klinikailag a betegek mindk\u00e9t m\u0171t\u00e9tet j\u00f3l toler\u00e1lt\u00e1k. A beavatkoz\u00e1s napj\u00e1n a mobiliz\u00e1l\u00e1s megt\u00f6rt\u00e9nt, l\u00e9nyeges posztoperat\u00edv sz\u00f6v\u0151dm\u00e9ny nem volt. Mindk\u00e9t t\u00edpus\u00fa m\u0171t\u00e9t ut\u00e1n 1-1 esetben kisebb haematoma jelentkezett. A betegek posztoperat\u00edv panaszai k\u00f6z\u00f6tt l\u00e9nyeges k\u00fcl\u00f6nbs\u00e9g volt: a crista ileib\u0151l t\u00f6rt\u00e9n\u0151 csontv\u00e9tel ut\u00e1n a j\u00e1r\u00e1s m\u00e9g 10-14 napig \u2013\u00a0b\u00e1r egyre kisebb m\u00e9rt\u00e9kben, de \u2013 nehez\u00edtett volt. A tibia eset\u00e9ben k\u00e9t nap m\u00falva a betegeknek j\u00e1r\u00e1skor nem voltak f\u00e1jdalmai. A\u00a0donorhely morbidit\u00e1sa tekintet\u00e9ben a cs\u00edp\u0151m\u0171t\u00e9t ut\u00e1n elh\u00faz\u00f3d\u00f3 (1-2 h\u00e9t) \u00f6d\u00e9ma, egy esetben a n. cutaneus femoris lateralis beidegz\u00e9si ter\u00fclet\u00e9nek pareszt\u00e9zi\u00e1ja jelentkezett, m\u00edg a tibia eset\u00e9ben csup\u00e1n egy esetben \u00e9szlelt\u00fcnk kisebb serom\u00e1t. Klinikai tapasztalataink alapj\u00e1n meg\u00e1llap\u00edthatjuk, hogy amennyiben augment\u00e1ci\u00f3 c\u00e9lj\u00e1b\u00f3l 10-15 cm\u00b3 spongios\u00e1t szeretn\u00e9nk nyerni, \u00e9s nincs sz\u00fcks\u00e9g corticalisra, a beteg sz\u00e1m\u00e1ra kev\u00e9sb\u00e9 megterhel\u0151 a csontot a tibia proximalis epiphysis\u00e9b\u0151l nyerni.<\/jats:p>","DOI":"10.1556\/oh.2009.28553","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T02:07:33Z","timestamp":1233713253000},"page":"305-311","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of postoperative complications following bone harvesting from two different donor sites for autologous bone replacement (hipbone and proximal epiphysis of the tibia)"],"prefix":"10.1556","volume":"150","author":[{"given":"S\u00e1ndor","family":"Bogd\u00e1n","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Husz\u00e1r","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rta","family":"Ujp\u00e1l","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"Barab\u00e1s","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Arc-, \u00c1llcsont-, Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest M\u00e1ria u. 52. 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/j.1708-8208.2007.00050.x","volume":"9","year":"2007","journal-title":"Clin. 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