Vol 3, No 4 (2013)

The paper describes an original method for one-stage repair of combined through-and-through defect of soft tissues of the cheek, mouth angles, upper and lower lip. Russian Federation’s patent for invention No. 2489096 was granted for this method. We propose to use 3 different flaps cut from different anatomic areas, which have varying histological structures and independent blood supply. The important characteristic of our procedure is that the replacement flaps perform various functions. The ultimate result is to ensure the functional and anatomic adequacy of resected tissues (resultant through-and-through defect of the cheek, mouth angles, and upper and lower lip fragments), to improve the blood supply of used flaps, to reduce the time of patient rehabilitation, to decrease surgical traumaticity. The method is easy-to-use.

Different variants of the ectopic thyroid are rarely encountered in routine clinical practice and associated with a defect in thyroid embryo-genesis at its early stages. The symptoms depend on the site and sizes of the ectopic thyroid, its function and morphological structure. Its diagnosis is based on radiologic studies. Hormone suppression, radioiodine ablation, and surgery are treatment choices.

The paper describes the first experience with the fibrin sealant Tissucol at Moscow City Cancer Hospital Sixty-Two. The authors used this agent in different clinical situations. However, Tissucol showed the highest efficacy in arresting long-term severe lymphorrhea. The described clinical case clearly demonstrates the abilities of this agent and allows it to be recommended for use in other areas of oncology.

Thyroid cancer metastasis to the brain is rare and little-studied pathology. Problems of their diagnosis and treatment remain to be solved. Features of this group is a metastatic lesion of the brain and bones of the cranial vault with extra- and intracranial growth. The paper details the clinical picture, X-ray, morphological diagnosis and treatment of patients with intracranial metastases thyroid cancer.