[Correction of a vast craniofacial defect -- a case report].

A case of a patient with a vast craniofacial defect after shooting is reported. The case is of interest because of a large size of the defect. The technique is described how to rehabilitate the patient with reconstruction the face contour and calvarium by silicone implants.

[Short-latency brain-stem auditory evoked potentials in patients with a brain concussion]. / Korotkolatentnye slukhovye stvolovye vyzvannye potentsialy u bol'nykh s sotriaseniem golovnogo mozga.

The short-latent acoustic stem potentials were examined in 72 males aged 9 to 61 years (mean 32.3 +/- 10.2 years) with concussion of the brain in different early posttraumatic periods (0.5-15 days). The clinical picture of the victims was characterized by systemic cerebral and mild transient symptoms of involvement of stem regions of the brain. Two thirds of the patients were found to have decreased rates of conduction of electric pulses along the acoustic pathway of the brain stem. Moreover, a fourth of the victims had a retarded perception of acoustic stimuli, which implies that concussion of the brain led to the decreased function of the auditory nerve and all relay nuclei of the acoustic system of the brain. The normal pattern of short-latent acoustic stem evoked potentials was seen in 8.3%, their mild and moderate abnormal changes were observed in 40.3 and 51.4% of the patients. Prolongation of a latent period and interpeak intervals, the deformation and lack of waves were considered to be criteria for abnormal changes in short-latent acoustic stem evoked potentials.

[The use of inflow-outflow drainage after cerebral operations]. / Primenenie pritochno-ottochnogo drenirovaniia posle tserebral'nykh operatsii.

The paper provides strong evidence for the use of inflow-outflow drainage after brain operations and presents an analysis of 255 cerebral operations using various draining modes. The inflow-outflow drainage after brain operations is found to be promising in terms of clinical manifestations. The authors propose their own draining tube for inflow-outflow drainage. A comprehensive macro- and microscopic study of dialysis fluid is recommended. The presence of visible impurities in the dialysate, daily mass of cerebral detritus and the functional activity of granulocytes and mononuclear cells were assessed. A significant early sign has been identified when the inflow-outflow drainage system was applied during occurring local infectious complications by analysing the adhesive properties of mononuclear and polynuclear phagocytes of the dialysate.