[Medical care of wounded persons with maxillofacial pathology in Main military hospital during the Great Patriotic War].

There was marked work of dental unit of the Main military hospital during the Great Patriotic War, including during evacuation in Gor'ky. Insertion of modern methods of immobilization of fragments of jaws and well organized succession to 1944 permitted to decrease the quantity of operations of traumatic osteomyelitis and increase the quantity of plastic operations. Owing to using of new materials (stainless steel, plastics) and to insertion of antibiotics, the period after 1946 is characterized by increased capabilities of effectuating of plastic operations and treatment of jaw breakups.

[Characteristics of caries and parodontal diseases in young men with constitutionally determined nutrition insufficiency].

151 young men with constitutionally determined nutrition insufficiency were examined. For absolute majority of them multiple caries with primary lesions development in incisors and on 3 molar surfaces was typical. In patients with constitutionally determined nutrition insufficiency caries complications with predominance of acute apical or chronic periodontitis were 3 times more often diagnosed. Low level of oral hygiene was noted in such young men that correlated with high prevalence of severe gingivitis in them.

[Possibility of development of oral and tissues diseases in young men with constitutional nutrition insufficiency].

Thorough examination of 114 young men of pre-constriction military training age disclosed that possibility of oral cavity pathology development is mainly determined by the indices DMFT, PMA, OHI-S and the following parameters of mixed saliva -- basic salivary flow, pH and Lactobacillus and Streptococcus mutans amounts. The degree of these factors changes expressed in scores identifies groups of low, medium and high probability of stomatologic pathology development and basing on this to individualize curative and preventive measures.

[Stomatologic diseases in young men with constitutionally related malnutrition]. / Stomatologicheskie bolezni u iunoshei s konstitutsial'no obuslovlennoi nedostatochnost'iu pitaniia.

The stomatologic investigation has revealed multiple caries in the youths of pre-conscription age with constitutionally conditioned malnutrition (CCM). Its specific features are the following: the high affection of incisor and molar teeth, the involvement as a rule of 3 dental surfaces, the high incidence of complicated caries (especially when the bode mass index is 16.69 + /- 0.25 kg/ m2), with the prevalence of acute apical periodontitis of pulpar origin and chronic periodontitis. The "bad" mark of oral cavity hygiene was more often noted in CCM youths, that causes the high incidence of gingivitis severe forms among them. The wide spread and high intensity of dental-and-maxillary anomaly and deformity connected with permanent lower molar early removal as well as the high incidence of desquamative glossitis are registered in the given patient group. The revealed patterns of incidence and intensity of oral and dental diseases in CCM youths show the necessity of more detailed study of their stomatologic status with the use of special clinical-and-laboratory methods in order to develop the optimal rehabilitation programs.

[Treatment of the wounded and patients with acquired facial defects and deformations]. / Lechenie ranenykh i bol'nykh s priobretennymi defektami i deformatsiiami litsa.

The authors describe the peculiarities of surgical treatment of 293 casualties with gunshot injuries and burns of maxillofacial area and 637 oncologic patients. The working classification of facial defects and deformations based on topographic-and-anatomic, morphological, functional and expert signs was developed 4 degrees of tissue lesions that are very important in the choice of rational treatment method were selected. Individual dental splints and method of formation combined round petiole consisted of arterialized musculocutaneous and dermatofatty parts were proposed. Long experience obtained in surgical treatment of patients with acquired facial defects and deformations permitted to reduce the treatment periods and to obtain good and satisfactory functional and cosmetic results in 95.3% of the cases.

[Experience in the treatment of mandibular condyle fractures at specialized military medical institutions]. / Opyt lecheniia perelomov myshchelkovykh otrostkov nizhnei cheliusti v spetsializirovannykh voennykh lechebnykh uchrezhdeniiakh.

The authors have generalized the experience of treatment of 82 injured with injuries of condylar processus fracture treatment of the lower jaw. By a surgical way were successfully eliminated posttraumatic ankylosis and contracture of temporomandibular articulations with use of titanium endoprosthesis and semi-joints. The osteosynthesis of condylar processus of the lower jaw by titanium miniplates and screws was also practiced.

[Historical stages in the development of maxillofacial surgery and stomatology at the N. N. Burdenko Main Military Clinical Hospital]. / Nekotorye istoricheskie étapy razvitiia cheliustno-litsevoi khirurgii i stomatologii v Glavnom voennom klinicheskom gospitale im. akad. N. N. Burdenko.

The principal trends in the development of stomatological service of the N. N. Burdenko hospital from its foundation in 1707 up to the present time are presented. The first operations on patients with orodental diseases were described in 1710 by the first head of the hospital N. A. Bidloo. Wars had a great impact on the development of methods of therapeutic and surgical dental care. Original methods of treatment and rehabilitation of patients have been developed. At present modern methods of specialized care are used, based on integration and computer analysis, use of automated systems for the collection and processing of information, and up-to-date treatment and diagnostic equipment.

[Variants in using the tubed pedicle in restorative operations on the face and the organs of the oral cavity]. / Varianty primeneniia kruglogo steblia v vosstanovitel'nykh operatsiiakh na litse i organakh polosti rta.

This article is based on 83 histories (89% male, 11% female) of patients who were operated for penetrating or superficial maxillofacial defects and deformations. 293 step-by-step operations were conducted using the bucket-handle graft in combination with nearest tissues. Age of patients: from 18 to 65. The Filatov-Gillies tubed pedicle was used as a carrier for hair-covering chin grafts which were implanted into de-epidermized zones during the formation of eyebrows in supraorbital areas. Bucket-handle graft was also used for reconstruction of lips, including vermillion border. The article contains the history and a photo of a woman who was operated for basaloma of nose and upper lip. After the destruction of a new growth by cryogenic method the plasty of upper lip and vermillion border was carried out with the help of one Filatov-Gillies tubed pedicle. The healing of wounds have proceeded without complications in 93.9 +/- 1.4% of cases. In 2 patients a partial necrosis of graft took place. One graft was removed. The divergence of stitches was marked in 15 (18%) of patients. Nevertheless it did not influence upon the outcome of reconstructive treatment.