{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T20:40:34Z","timestamp":1694637634462},"reference-count":12,"publisher":"Akademiai Kiado Zrt.","issue":"43","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,10,1]]},"abstract":"<jats:p>A fejet, orr ter\u00fclet\u00e9t front\u00e1lis ir\u00e1nyb\u00f3l \u00e9r\u0151 drasztikus er\u0151behat\u00e1s k\u00f6vetkezt\u00e9ben l\u00e9trej\u00f6tt nasoethmoid-orbitalis (NEO) t\u00f6r\u00e9sek gyakran kombin\u00e1l\u00f3dnak az arck\u00f6z\u00e9p \u00e9s a frontob\u00e1zis t\u00f6r\u00e9seivel, szems\u00e9r\u00fcl\u00e9sekkel. A diszlok\u00e1lt orrk\u00e9pletek az intraorbitalis r\u00e9gi\u00f3ba nyom\u00f3dnak \u00e9s s\u00falyos sz\u00f6v\u0151dm\u00e9nyeket (nasalis liquorrhoea, nervus opticus laesio, diplopia, telecanthus, anosmia) okoznak. M\u0171t\u00e9ti ell\u00e1t\u00e1suk speci\u00e1lis team (arc-, \u00e1llcsontseb\u00e9sz, idegseb\u00e9sz, szem\u00e9sz, f\u00fcl-orr-g\u00e9g\u00e9sz) \u00f6sszehangolt munk\u00e1j\u00e1t ig\u00e9nyl\u0151 feladat. Az ell\u00e1t\u00e1s kulcsa a minden esetben \u00e9rintett nasoethmoid-orbitalis csontstrukt\u00fara. A nasalis liquorrhoea megsz\u00fcntet\u00e9s\u00e9nek alapvet\u0151 felt\u00e9tele a mobilis nasoethmoid fragmentumok, arck\u00f6z\u00e9p stabiliz\u00e1l\u00e1sa \u00e9s duras\u00e9r\u00fcl\u00e9sek v\u00edzmentes z\u00e1r\u00e1sa vagy plasztik\u00e1ja. Gyakorlatunkban a t\u00f6r\u00e9sek repoz\u00edci\u00f3j\u00e1t \u00e9s tit\u00e1n minilemezes osteosynthesis\u00e9t alkalmazzuk, csonthi\u00e1ny eset\u00e9n autol\u00f3g csont be\u00fcltet\u00e9s\u00e9vel kieg\u00e9sz\u00edtve. Az 1995\u20132000 k\u00f6z\u00f6tti \u00e9vekben 50, NEO-t\u00f6r\u00e9st szenvedett s\u00e9r\u00fcltet kezelt\u00fcnk k\u00f3rh\u00e1zunk arc-, \u00e1llcsontseb\u00e9szeti oszt\u00e1ly\u00e1n. K\u00f6zlem\u00e9ny\u00fcnkben besz\u00e1molunk a lehets\u00e9ges s\u00e9r\u00fcl\u00e9skombin\u00e1ci\u00f3kr\u00f3l, m\u0171t\u00e9ti m\u00f3dszereinkr\u0151l, ell\u00e1t\u00e1si taktik\u00e1nkr\u00f3l \u00e9s tapasztalatainkr\u00f3l. Az arc- \u00e9s koponyacsontok t\u00f6bbsz\u00f6r\u00f6s \u00e9s defektt\u00f6r\u00e9sei maradand\u00f3 deformit\u00e1st, r\u00e1g\u00e1si \u00e9s t\u00e1pl\u00e1lkoz\u00e1si zavart okozhatnak. Munk\u00e1nk sor\u00e1n t\u00f6rekedt\u00fcnk a s\u00e9r\u00fcltek korai, primer, definit\u00edv ell\u00e1t\u00e1s\u00e1ra, eszt\u00e9tikai szempontok figyelembev\u00e9tel\u00e9vel, korszer\u0171 csontr\u00f6gz\u00edt\u0151 \u00e9s csontp\u00f3tl\u00f3 m\u0171t\u00e9ti m\u00f3dszerek alkalmaz\u00e1s\u00e1val. Alapvet\u0151 c\u00e9lunk a betegek m\u0171t\u00e9ti megterhel\u00e9s\u00e9nek, \u00e1pol\u00e1si idej\u00e9nek cs\u00f6kkent\u00e9se, m\u0171t\u00e9ti eredm\u00e9nyeink jav\u00edt\u00e1sa.<\/jats:p>","DOI":"10.1556\/oh.2009.28644","type":"journal-article","created":{"date-parts":[[2009,10,8]],"date-time":"2009-10-08T01:08:05Z","timestamp":1254964085000},"page":"1983-1987","source":"Crossref","is-referenced-by-count":1,"title":["Primary, definitive treatment of the nasoethmoidorbital-midface-frontobasal injuries in the maxillofacial practice"],"prefix":"10.1556","volume":"150","author":[{"given":"Istv\u00e1n","family":"Nemes","sequence":"first","affiliation":[{"name":"1 Vas Megyei Markusovszky K\u00f3rh\u00e1z Nonprofit Zrt. Arc-, \u00c1llcsont- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Szombathely Markusovszky utca 3. 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikl\u00f3s","family":"P\u00e1cz","sequence":"additional","affiliation":[{"name":"1 Vas Megyei Markusovszky K\u00f3rh\u00e1z Nonprofit Zrt. Arc-, \u00c1llcsont- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Szombathely Markusovszky utca 3. 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"R\u0151thy","sequence":"additional","affiliation":[{"name":"1 Vas Megyei Markusovszky K\u00f3rh\u00e1z Nonprofit Zrt. Arc-, \u00c1llcsont- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Szombathely Markusovszky utca 3. 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"Erm\u00e9nyi","sequence":"additional","affiliation":[{"name":"1 Vas Megyei Markusovszky K\u00f3rh\u00e1z Nonprofit Zrt. Arc-, \u00c1llcsont- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Szombathely Markusovszky utca 3. 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Kocsis","sequence":"additional","affiliation":[{"name":"1 Vas Megyei Markusovszky K\u00f3rh\u00e1z Nonprofit Zrt. Arc-, \u00c1llcsont- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Szombathely Markusovszky utca 3. 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s001130050126","volume":"100","year":"1997","journal-title":"Unfallchirurg"},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1001\/archotol.1992.01880060053014","volume":"118","year":"1992","journal-title":"Arch. Otolaryngol. 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