Modification of Push-Down Rhinoplasty with Maxilla-Pyramid Sutures.

A key point, that determines the late outcome of push-down procedures, is a stable fixation of the bony pyramid in its new position. Therefore, rhinoplasty surgeons are consistently trying to find the effective technique for fixation of the osseocartilaginous vault that has been investigated. Nonetheless, all described techniques are less or non-effective in cases when simultaneous septoplasty is required.

Repair of postoperative and recurrent nasal septal perforations using L-strut overlay flap.

Background: Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations.

Method: The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum.

[The medical specialists' evaluation of actual status of ultrasound diagnostic in pediatric practice].

Unlabelled: The sociological survey of medical specialists is summoned to identify problematic areas of organization nature in functioning of ultrasound service and to elaborate effective measures to eliminate them. The purpose of research: to study opinions of medical specialists concerning state and priority directions of enhancement of ultrasound diagnostics in children.

Materials And Methods: The survey of 196 medical specialists in ultrasound diagnostics was carried out using questionnaire that included questions on evaluation of functioning of corresponding medical organizations, ultrasound diagnostics included, satisfaction with their work and means of improving ultrasound service.

[The medical statistical characteristics of children received services in ultrasound diagnostic in out-patient conditions].

The purpose of the study was to estimate contingent of children that underwent ultrasonography in outpatient conditions of children hospital and to investigate reserves for improvement of actual ultrasonography service. The method of expert evaluation was applied to analyze medical documentation of 1171 children aged 0-18 years that underwent ultrasonography. The analysis was applied to demographic data, number of previous ultrasonography, specialty of physician involved into investigation, children chronic diseases and type of ultrasonography applied.

Endoscopic repair of septal perforation in children.

Objective: Being increasingly faced with the problem of pediatric nasal septal perforations, we have found that the surgical management of nasal septal perforations in children is not widely described in the litrature. The objective of our study was to demonstrate the results of different surgical techniques, including two original endoscopic techniques, in the septal perforation repair in children.

Methods: 24 children, ranging between 6 and 17 years of age, with nasal septal perforations were operated using different endoscopic techniques from February 2015 to May 2019 at the special tertiary referral clinic.

[The prevention of disability as a leading priority of caring of mother and child health].

The prevention of disability in children and support of families fostering disabled children and children with limited capacities in health are included into number of main priorities of the state social policy of the Russian Federation. Thereupon, the project "Childhood Decade" is an important stage that includes social care of disabled children and children with limited capacities in health and their integration in modern society according the Decree of the President on implementation of state policy in the field of family and children care. The underestimation of children disability is supposed to be present produced by such causes as social motivation of family, complicacy of legal official registration, harsh requirements of medical social expertise services, inadequate awareness of medical staff about criteria of disability.