[The risk factors in assessing the overall and local status of children with congenital cleft upper lip and palate before cheiloplasty].

Assessment of the status of more than 2000 children with cleft lip and palate before cheiloplasty brought the authors to a conclusion that obturators should be used as early as possible in perforating defects in order to allow breast feeding and prevent the progress of the deformation; iron-deficiency anemias, thymomegaly, and virus carrier state are to be timely detected and corrected as well as the concomitant developmental defects in order to prevent the postoperative complications.

[A method for the surgical treatment of unilateral clefts of the hard and soft palates].

Uranostaphyloplasty method is suggested for cases with unilateral total palatal clefts. It consists in closure of the hard palate defect without cutting mucoperiosteal grafts in it, soft palate defect closure by effective retro-transposition of the corner flaps cut out at the border between the hard and soft palate.

[A comparative evaluation of the traumatic nature of various methods of uranostaphyloplasty].

The authors compare the intensities of nociceptive stimulation and blood loss volumes in children subjected to radical uranostaphyloplasty involving the use of all the elements of the technique and to its sparing modifications. The level of pain aggression, blood loss volume, and mean length of the operation were lower with the sparing methods than with the traditional one, this leading to a conclusion on the lower traumatism of the sparing uranostaphyloplasty technique for the body.

[The importance of the thermometric method for assessing the function of mucoperiosteal flaps in uranostaphyloplasty with/without transection of the neurovascular bundles in the rehabilitation of patients with congenital cleft palate].

The nature and degree of reflow to the mucoperiosteal flaps was evaluated using a distant thermometry of the cleft palate in 67 children under uranostaphyloplasty and in early postsurgical period. In extracting the neurovascular bundles from their channels heat reflow to the palate was more fast and pronounced than with the bundles sectioned.