{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T12:32:43Z","timestamp":1648557163406},"reference-count":45,"publisher":"Akademiai Kiado Zrt.","issue":"38","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,9,1]]},"abstract":"<jats:p>A szerz\u0151k fels\u0151 testf\u00e9li (axillaris \u00e9s palmaris) hyperhidrosis kezel\u00e9s\u00e9vel kapcsolatos gyakorlatukat foglalj\u00e1k \u00f6ssze. Ismertetik a k\u00f3ros izzad\u00e9konys\u00e1g klinikai jellemz\u0151it, el\u0151fordul\u00e1si gyakoris\u00e1g\u00e1t \u00e9s patoanat\u00f3miai saj\u00e1toss\u00e1gait. Bemutatj\u00e1k k\u00f6zel 40 \u00e9ves gyakorlatukban alkalmazott kezel\u00e9si m\u00f3dszereiket, azok v\u00e1ltoz\u00e1s\u00e1t a technikai fejl\u0151d\u00e9s \u00e9s az \u00fajabb ismeretek t\u00fckr\u00e9ben. Az els\u0151 id\u0151szakban a ny\u00edlt (axillaris) thoracotomi\u00e1ban v\u00e9gzett mell\u0171ri deszimpatiz\u00e1ci\u00f3s m\u00f3dszer\u00fcket a k\u00e9s\u0151bbiekben minimaliz\u00e1lt felt\u00e1r\u00e1sb\u00f3l (minithoracotomia) t\u00f6rt\u00e9n\u0151 sympathectomia v\u00e1ltotta fel, amelyet a sympathectomia v\u00e9gz\u00e9s\u00e9re oszt\u00e1lyukon t\u00f6bb mint egy \u00e9vtizede alkalmazott VATS-m\u00f3dszer k\u00f6vetett. A sympathectomi\u00e1s gyakorlatban kezdett\u0151l a Smithwick-f\u00e9le (T\n <jats:sub>2<\/jats:sub>\n \u2013T\n <jats:sub>3<\/jats:sub>\n ganglionokat \u00e9s a k\u00f6teget elt\u00e1vol\u00edt\u00f3) megold\u00e1st alkalmazt\u00e1k. Ismertetik a konzervat\u00edv kezel\u00e9si pr\u00f3b\u00e1lkoz\u00e1sokat, a lok\u00e1lis excisi\u00f3s megold\u00e1sok kritik\u00e1j\u00e1t, valamint a plasztikai seb\u00e9szeti gyakorlatban alkalmazott \n <jats:italic>Clostridium botulinum<\/jats:italic>\n \u00e1ltal termelt \n <jats:italic>Botulinum toxin- (Botox-)<\/jats:italic>\n kezel\u00e9seket, azok technikai kivitelez\u00e9s\u00e9t \u00e9s eredm\u00e9nyess\u00e9g\u00e9t. Az irodalomban olvashat\u00f3 el\u0151fordul\u00e1si gyakoris\u00e1g (0,1\u20131,0%) nagysz\u00e1m\u00fa megoldatlan hyperhidrosis-esetre utal, amely hat\u00e9konyabb kivizsg\u00e1l\u00e1si \u00e9s betegir\u00e1ny\u00edt\u00e1si feladatokat ig\u00e9nyelne. Tapasztalataik alapj\u00e1n a legeredm\u00e9nyesebb m\u00f3dszernek a fels\u0151 testf\u00e9li hyperhidrosis kezel\u00e9s\u00e9ben a T\n <jats:sub>2<\/jats:sub>\n \u2013T\n <jats:sub>3<\/jats:sub>\n ganglionokat \u00e9s az \u00e9rintett szimpatikus k\u00f6teget mag\u00e1ban foglal\u00f3 reszekci\u00f3 tarthat\u00f3. K\u00e9toldali \u00e9rintetts\u00e9g eset\u00e9n az egy \u00fcl\u00e9sben v\u00e9gzend\u0151 bilateralis VATS-m\u0171t\u00e9t aj\u00e1nlott. A konzervat\u00edv lehet\u0151s\u00e9gek k\u00f6zt \u2013 egyedi m\u00e9rlegel\u00e9s alapj\u00e1n, d\u00f6nt\u0151en axillaris \u00e9rintetts\u00e9g eset\u00e9n \u2013 a Botox-kezel\u00e9s lehet hat\u00e1sos. Jelent\u0151sebb, az eredm\u00e9nyess\u00e9get befoly\u00e1sol\u00f3 sz\u00f6v\u0151dm\u00e9nyt vagy kompenzatorikus hyperhidrosist nem \u00e9szleltek.<\/jats:p>","DOI":"10.1556\/oh.2009.28618","type":"journal-article","created":{"date-parts":[[2009,9,17]],"date-time":"2009-09-17T00:44:14Z","timestamp":1253148254000},"page":"1786-1790","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of therapeutic modalities in the treatment of palmar and axillary hyperhidrosis"],"prefix":"10.1556","volume":"150","author":[{"given":"K\u00e1roly","family":"Vincze","sequence":"first","affiliation":[{"name":"1 Kaposi M\u00f3r Oktat\u00f3 Megyei K\u00f3rh\u00e1z \u00c1ltal\u00e1nos Seb\u00e9szeti, \u00c9r- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Kaposv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Herke","sequence":"additional","affiliation":[{"name":"1 Kaposi M\u00f3r Oktat\u00f3 Megyei K\u00f3rh\u00e1z \u00c1ltal\u00e1nos Seb\u00e9szeti, \u00c9r- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Kaposv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"Ferenczy","sequence":"additional","affiliation":[{"name":"2 Seffer\u2013Renner Mag\u00e1nklinika Kaposv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"Seffer","sequence":"additional","affiliation":[{"name":"2 Seffer\u2013Renner Mag\u00e1nklinika Kaposv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsuzsanna","family":"Lelovics","sequence":"additional","affiliation":[{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar P\u00e9cs V\u00f6r\u00f6smarty Mih\u00e1ly u. 4. 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","first-page":"27","volume":"580","year":"1998","journal-title":"Eur. 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