[Reconstructive otoplasty: differentiated approach to rib cartilage processing and ear framework formation using carving technique]. / Rekonstruktivnaia otoplastika: differentsirovannyi podkhod k vyboru metoda obrabotki autorebernogo khriashcha i formirovaniia karkasa ushnoi rakoviny pri pomoshchi karving-tekhniki.

The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. All patients underwent ear reconstruction with rib cartilage using carving technique. Preoperative planning was based in Doppler ultrasound of temporal region vessels, laser Doppler flowmetry, temporal skin ultrasound and 3D ribcage CT. The surgical tactic was selected according to the possibility of mastoid region skin usage or necessity of the temporoparietal fascial flap. The approach proved to be highly efficient as otoplasty outcomes were good in 80% of cases, satisfactory in 10% and unsatisfactory in 10%.

[The current problems in the postgraduate training of military physicians]. / Aktual'nye problemy poslediplomnoi podgotovki voennykh vrachei.

The existing medical intern-structures of Military Districts and Fleets cannot meet modern requirements on post-graduate training of military physicians because of its restricted possibilities. It is proposed to reform these structures in the regional Military Medical Institutes (each institute in the interests of several Military Districts or Fleets) for advanced training of physicians. The further improvement of the military physicians' qualification will require new forms and methods of training. It's necessary to increase the efficiency and quality of current and long-term planning of the training process by a wide application of computers. It is reasonable to conduct proficiency test cycles, which will directly influence upon further transfer or/and medical classification estimate of the physician. The training must be performed concerning the principle "work-and-study". The goals of training must converge towards further medical activities, and the final results of studies must provide for thorough professional skill of the physician. It is advisable to apply more widely the active methods of training, such as practical and clinic games, methods of concrete situation analysis, etc.