[Treatment of the wounded and patients with acquired facial defects and deformations]

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.