Publications by authors named "V B Bel'chenko"

Introduction: Over the past 15 years, resorbable materials have been successfully used for osteosynthesis, but their high cost prevents widespread application. However, the use of resorbable systems could be a method of choice, especially in treatment of children in the active growth period. Obviously, biodegradable materials not only are highly competitive with known metal constructs in terms of fixation rigidity, biocompatibility, and a low risk of infection but also have an undeniable advantage, such as gradual resorption allowing quick return of damaged bones to the physiological conditions of functioning.

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The second part of the article presents anatomic and topographic characteristics of the scull base structures and the deep middle face facial skeleton structures. Reviewed anatomic features are important in orbital floor reconstruction through transantral surgical approach. Real and seeming threats of this method are described.

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The rationale for transanthral approach in orbital floor fractures was formulated according to authors' treatment experience. The study included 525 patients aged 13 to 72 years with orbital floor fractures history (278 with posttraumatic deformities and 247 with recent fractures). Reposition and internal fixation was performed via transanthral approach in all cases.

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The paper describes the authors' experience in treating 22 patients aged 2 months to 16 years who had congenital anterior cerebral hernias. A comprehensive principle that consists in removing hernial defects of the pachymeninx and skull base, excising herniation, and performing reconstructive operations in concomitant craniofacial deformities was used in the treatment of children with anterior encephalocele. All these surgical procedures were, if possible, performed in one step.

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In this study authors demonstrate description and analysis of clinical and roentgenological presentations of early synostosis of cranio-cerebral sutures in children. Roentgenological description of cranio-cerebral sutures in infants showed up their significant narrowing and the increase in shadow density, early appearance of ossifications zones in the peripheral parts of the sutures, diffuse increase of cranial bones thickness because of apposition osteogenesis disorder. Results of the study show that many alterations in the cerebral cranium are accompanied with malformations of facial skeleton.

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