Little finger deformity (Kirners deformity and lateral deviation deformity of fingers)

In daily life, some people often encounter the little finger is not straight, accompanied by different degrees of lateral deviation and flexion, which affects the appearance. Therefore, today we will talk about this type of deformity, mainly including kirners deformity and finger lateral deformity. Kirners’ deformity (finger tip deformity) Kirner’s deformity is characterized by deflection of the finger tip, in addition to deflection, accompanied by palmar flexion, usually involving the little finger. This deformity has less effect on hand function. The operation is mainly to restore the shape of the finger. The surgical method was multiple segment osteotomy of distal phalanx + Kirschner wire fixation. This patient is a Kirners deformity. The picture above is a comparison photo before and after surgery. Finger lateral deformity (finger skew). Finger deflection deformity is the angled deformity of the finger. The deformity is different from the kirners deformity, mainly involving the middle phalanx, mostly due to abnormal epiphyseal plate. The surgical method is to correct the lateral deformity of the abnormal bone osteotomy. This patient’s little finger lateral deformity, x-ray shows that the middle phalanx is trapezoidal, and the appearance and x-ray&nbsp. 9th Floor, No. 500, 13:30 every Saturday afternoon

Why should children perform orthodontics as soon as possible?

In fact, in developed countries such as Europe, America, Japan, and South Korea, their orthodontics are very advanced. They all think that children should have dental deformities as early as 7 years old, because it is generally believed that it is better to prevent and block as soon as possible. What are the benefits of doing orthodontics for children? Orthodontics can be performed during the eruption period and replacement period of the child’s teeth. Through this period, the prevention and blockage of the wrong jaw deformity can be prevented and the chewing function can be improved, which is beneficial to the health of teeth and periodontal tissues. &nbsp. ● Orthodontics can help improve and restore chewing function. If the teeth are deformed, the teeth of the upper and lower rows are badly bitten, which has a great impact on chewing things. If the food is not chewed properly, it will affect digestion and thus affect our entire digestive system. If we go further, it will even affect the child’s physical development. ●Good orthodontics can prevent and avoid many periodontal diseases. If the teeth are deformed, there will be more dead corners than normal teeth. It is difficult to clean the teeth. In the long-term, it is easy to cause gingivitis, periodontitis, caries, and tooth decay. Find and correct! Children’s teeth have these problems must pay more attention! Medical statistics show that the incidence of staggered malformations in my country is as high as 90%, that is to say, most children have different degrees of dental deformities. What kind of dental situation does the child really need to do orthodontics? This problem may be different for each person. If you find that your child has a problem with his teeth, it is recommended to directly seek a professional doctor to check it, and analyze the specific problem. However, if the child’s teeth have the following conditions, it is recommended to take the child to the doctor directly to see if it needs to be corrected: ※The child’s deciduous teeth fall off too early or too late; ※There are long-term sucking fingers, biting lips, sucking pacifiers 3. The habit of mouth breathing; ※ The sound of the jaw joint when eating, sleeping and grinding teeth at night (indicating that there may be a bad bite); ※ Occlusal disorders. For example: anti-jaw, deep overbite, earth covering (anti-bite), deep overbite, buck teeth, etc.; ※The teeth are not neat. For example: crowded teeth, misaligned teeth, large teeth gaps, etc. Distinguish the condition of maxillofacial deformity. Is the orthodontics child hurt? Under normal circumstances, it is not too painful. If you need to extract your teeth, there will be a little pain when you pull out your teeth; with braces, eating, braces tightening, there may be dull pain and soreness when removing braces, but all will suffer Within the range, it usually disappears within a few days. In addition, wearing braces may cause poor comfort, inconvenience in life (eating, brushing teeth, etc.), wear/scratch the mouth, but for health, can still tolerate dripping. Although there is ample time and a convenient time schedule for summer vacation, dental orthodontics is a relatively cumbersome and relatively long process. During the orthodontic process, parents also need a lot of cooperation and close attention to supervise the child’s oral hygiene, and decided to take the child to do orthodontics It is necessary to prepare for a battle that is sufficiently long to 1/2 year~ At present, children who don’t see big problems in their teeth, parents should pay more attention to it. Remember to take children to check regularly during the tooth replacement period.

What are the symptoms of rheumatoid

What is rheumatoid   &nbsp.1, joint deformity  In medicine, what exactly causes rheumatoid arthritis has no definite cause. I only know that rheumatoid arthritis is a chronic and systemic disease mainly caused by inflammatory synovitis. The most notable feature of this disease is inflammation of the hand and foot joints of the patient, as well as involvement of organs other than joints and rheumatoid serum, which may even cause deformities and loss of function in the joints of the patient. Therefore, rheumatoid patients must be paid attention to and treated early.  &Nbsp. 2. Weak body weight    In most cases, patients with rheumatoid arthritis are women, and the incidence of women is three times that of men. At the same time, the disease can occur at any age of the patient, but most patients after the age of forty. In general, patients with rheumatoid arthritis suffer from weight loss, fatigue, and low fever. In addition, when getting up in the morning, patients will find that their joints are abnormally inflexible, which is also one of the manifestations of arthritis.

What are the causes of adolescent epilepsy

The causes of adolescents suffering from epilepsy include the following:    1. Congenital malformations of epilepsy are hereditary. Shaped as chromosomal malformations, congenital hydrocephalus, microcephaly, corpus callosum hypoplasia, cerebral cortical hypoplasia, etc.   2 Sequelae of high fever convulsions severe and long-lasting high fever convulsions can cause brain damage including neuronal loss and glial hyperplasia. Mainly in the inner side of the temporal lobe!    3. People with epilepsy after craniocerebral injury. Associated with depression fractures and dural tears Split, local nervous system signs, memory impairment after long-term injury, early seizures that occur within a few weeks of injury are more common! .Clinical manifestations are. Intellectual disability, triad of sebaceous adenoma with butterfly distribution on the face, congenital dominant hereditary disease of neurofibromatosis, trigeminal hemangioma of the brain, cessation of hemilateral atrophy, all are congenital inheritance!   5. Toxic diseases: ethanol poisoning, drug poisoning, metal poisoning!

What are the causes of adolescent epilepsy

The main causes of epilepsy in adolescents are as follows: 1. Congenital malformations: epilepsy diseases are inherited. Shaped as chromosomal malformations, congenital hydrocephalus, microcephaly, corpus callosum hypoplasia, cerebral cortical hypoplasia, etc. 2. Hyperthermia convulsions: severe and persistent seizures can cause brain damage including neuronal loss and glial hyperplasia. Mainly in the inner side of the temporal lobe!    3. Craniocerebral injury: people with epilepsy after craniocerebral injury. Associated with depression fracture , Dural tears, local nervous system signs, memory impairment after long-term injury, early seizures within a few weeks after injury are more common!    4, neurocutaneous syndrome: nodular sclerosis congenital autosomes Dominant genetic disease. Clinical manifestations are mental retardation, triad of sebaceous adenoma on the face of butterfly distribution, congenital dominant genetic disease of neurofibromatosis, trigeminal hemangioma of the brain, discontinuation of lateral atrophy, all are congenital Heredity!    5. Poisoning: Toxic disease alcohol poisoning, drug poisoning, metal poisoning!

Are the ears made by ear reconstruction natural? Is it different from normal ears?

In recent years, the proportion of patients with congenital microtia has also increased year by year. For patients with microtia, ear reconstruction surgery is a better way to improve. In the face-to-face consultation process, many patients have such concerns: Are the ears created by ear reconstruction surgery really natural? Is it different from normal ears? Today, let’s talk about the reconstructed ear, what factors will affect the fidelity of the reconstructed ear! What are the factors that affect the fidelity of the reconstructed ear? ① The reconstructed ears and natural ears cannot be exactly the same. There are still some differences between the reconstructed ear and the natural ear in terms of color, texture, outline and other details. At present, the similarity between the most realistic reconstructed ear and the natural ear is only about 70-80%. ② The nerve function reconstruction ears will not appear red and red, and there will be no feeling of fever. But as time goes on, the sensory nerves will gradually restore function, so the pain and touch can be felt when the ear is reconstructed. The function of the sensory nerves is similar to that of normal ears. ③ Touch feel In terms of feel, there is also a certain difference between reconstructed ears and natural ears. The natural ear structure is softer and more elastic. Reconstructed ears use rib cartilage or artificial materials as the ear support material. It is difficult to be the same as natural ears in terms of feel and texture. Even so, ear reconstruction surgery is still the most effective way to improve microtia. With the continuous development of medical technology, ear reconstruction technology will also become increasingly mature and mature, benefiting more patients with microtia. Ear plastic surgery and repair medicine expert-Professor Yu Wenlin, Professor Yu Wenlin, doctor and postdoctor in plastic and aesthetic surgery, member of the flap flap group of the Professional Committee of Rehabilitation and Reconstruction Surgery of the Chinese Society of Rehabilitation Medicine. He has worked in plastic surgery for more than 20 years, shaping real “quote” ears. He continues to innovate in ear reconstruction technology. He has developed the self-costal cartilage ear reconstruction technology. The reconstructed ears have the same color, clear ear contours, and natural lifelikeness. They are recognized as currently less invasive, less expensive, and less scarring Ear reconstruction technology.

What are the joint manifestations of rheumatoid arthritis

Everyone knows that rheumatoid arthritis is a chronic disease. There are many patients suffering from this disease in my country, and there are more women than men. The most common one is the 20-50 population. So what are the joint manifestations of rheumatoid arthritis? What are the symptoms of the patient?   &nbsp. Rheumatoid arthritis joint manifestations&nbsp. Joint pain Once the patient has rheumatoid arthritis, the affected joint will be Pain, tenderness, morning stiffness, and swelling will occur, and the patient will have limited mobility. At the beginning, the arthritis will be wandering, and then it can be fixed. The patient will have one or more joints involved and symmetry. Under normal circumstances, the patient’s hand, foot and small joints will first be involved. The involvement of the inter-digital joint, the metacarpophalangeal joint, and the wrist joint will be more common, and the patient will be more affected.  &Nbsp. Joint deformity  Secondly, the most common deformities of patients are fusiform enlargement of the proximal interphalangeal joint and swan neck deformity of the fingers, metacarpophalangeal joint subluxation, and wrist joint fixation. At the same time, bursitis and muscular atrophy and tenosynovitis can occur around the patient’s joints. In addition, there will be nodules under the skin of the patient, and often there will be joint protruding parts or areas that are often oppressed. The patient’s quality and toughness are similar to rubber. long.

Does adult spinal deformity need treatment? Will it affect life?

In fact, this question should be answered in two situations. The first case is mild to moderate spinal deformity, and the second case is severe spinal deformity. For mild to moderate spinal deformity, because the bone growth and development has stopped in adulthood, the progress of his deformity is very slow, and it will not affect cardiopulmonary function. Therefore, in this case, no special treatment is needed, and only physical exercise needs to be strengthened. For the second case, which is severe spinal deformity (which means that the Cobb angle is greater than fifty degrees), it must be actively treated if this is the case. For this type of scoliosis that is greater than fifty degrees or more, even after the bone growth and development stops, the scoliosis will slowly increase, and to a certain extent, it will affect the patient’s cardiopulmonary function, and this cardiopulmonary function The impact of this will cause the loss of patient labor and shorten the lifespan. Patients often tell me that I am now in my twenties or thirties, and my scoliosis has been around for many years. Doesn’t it require treatment? This concept is wrong. Because when it reaches the age of 50 or 60, his lung function may be like that of a person in the age of 80 or 90, then this situation will seriously affect his life span.

Can the ear reconstruction be done at the same time?

The vast majority of children with congenital ear deformities are accompanied by external auditory meatus atresia and middle ear deformity. In addition to auricle shape deformity, they also face hearing problems, which is very concerned by many parents. In response to this problem, we consulted with Dean Yu Wenlin of Guangzhou Noble Medical Aesthetic Center. Q: Does ear deformity definitely affect hearing? Dean Yu Wenlin: Ears are generally divided into outer ear, middle ear and inner ear. For patients with ear deformities accompanied by external auditory meatus atresia and middle ear deformities, there is an air conduction disorder. But because the inner ear develops normally, bone conduction exists. Therefore, the ears on the affected side are not completely deaf, and about 40% of hearing exists. Q: How to reconstruct hearing? Dean Yu Wenlin: You can choose according to your actual situation. On the one hand, you can contact an otologist, wear a hearing aid or implant a cochlear implant to correct the hearing impairment. On the other hand, hearing reconstruction surgery can improve children’s hearing. External auditory meatus atresia requires external auditory meatus plastic surgery, and middle ear deformity requires middle ear surgery such as tympanoplasty and ossicular chain reconstruction surgery. Q: Do unilateral and bilateral ear deformities require hearing reconstruction? Dean Yu Wenlin: The vast majority of patients with unilateral ear deformity have some hearing in the affected ear, plus normal hearing in the healthy ear. In general, it is not recommended if the normal language pronunciation, life and learning of the child are not affected. Do hearing reconstruction. For patients with bilateral ear deformities, there are hearing impairments on both ears, which can seriously harm the child’s hearing function. Patients with bilateral ear deformities should prompt hearing reconstruction. Ear plastic surgery and repair medicine expert-Professor Yu Wenlin, Professor Yu Wenlin, doctor and postdoctor in plastic and aesthetic surgery, member of the flap flap group of the Professional Committee of Rehabilitation and Reconstruction Surgery of the Chinese Society of Rehabilitation Medicine. He has worked in plastic surgery for more than 20 years, shaping real “quote” ears. He continues to innovate in ear reconstruction technology. He has developed the self-costal cartilage ear reconstruction technology. The reconstructed ears have the same color, clear ear contours, and natural lifelikeness. They are recognized as currently less invasive, less expensive, and less scarring Ear reconstruction technology.

Can triangle uterus be used for IVF?

The triangular uterus is one of the uterine malformations. For women, the uterus is an important place for women to conceive life. When a female’s uterus is malformed, then it means that women will have certain difficulties in conception. For women with triangular uterus In other words, can fertility be assisted by IVF?    Triangular uterus is the shape of the uterus, which means that the uterus is deformed. It is divided into two types, one is that the uterus is not developing, and the other is The uterus has developed but is deformed. Women with triangular uterus are prone to infertility. Even if they are pregnant, they are also prone to dysplasia, which can lead to premature delivery or miscarriage. The intrauterine environment is an important factor that affects the success rate of test-tube babies. The uterus is the cradle for babies. A good intrauterine environment is like a comfortable and warm room. The comfort of the room will directly affect the growth and development of the baby in it. The same is true for blastocysts transplanted by IVF technology. Its implantation, pregnancy, growth and development depend on the quality of the intrauterine environment. Therefore, the intrauterine environment is also the key to the success of IVF. The intrauterine environment How does it affect test-tube babies?      The first blastocyst to be implanted in order to implant successfully, there must be a good intrauterine environment.   Good intrauterine environment generally refers to normal uterine size and shape, moderate endometrial thickness, and no other uterine diseases. Can the triangular uterus be a IVF? Is the success rate high? If the patient himself meets the indications for IVF and is suffering from a triangular uterus, then this situation can still be considered through IVF. As long as the female’s uterine malformation is not serious, then the doctor will choose the time for transplantation based on the female’s basic situation. For patients with severe uterine malformations, patients are usually advised to undergo uterine correction before transplantation.

Can the sperm deformity rate be high?

Due to some bad habits in our daily life or environmental factors, some diseases cannot be avoided. Most of the sperm deformities are caused by the bad habits of male friends. In addition, the lack of attention to the disease leads to aggravation of the disease. Then, can the sperm deformity rate be high to be a test-tube baby?     Sperm deformity refers to abnormalities in the shape of the sperm head, tail, and body, such as huge heads, double heads. The body is thick, broken, incomplete, etc. The tail The deformities include curl tails, double tails, and missing tails, which is medically called teratospermia. Some studies have found that male friends who smoke too much and like drinking alcohol have a higher probability of developing teratospermia than other male friends. It is recommended that male friends still try to reduce the frequency of smoking and drinking.  Everyone knows that severe teratospermia is difficult to conceive, but if healthy sperm can be found in semen, it can be assisted by second-generation IVF technology. The second-generation IVF refers to the selection of healthy and viable sperm to be injected into the oocyte under the microscope. For patients with severe oligozoospermia, the number of healthy sperm is very small. If you let the sperm and egg It is very difficult to achieve natural fertilization in vitro.   Therefore, even if the sperm deformity rate is high, as long as you can find healthy sperm, you can make a second-generation IVF, which is mainly for the treatment of severe oligozoospermia. It is recommended that patients receive treatment as early as possible before treatment can be avoided, so as not to be test-tube babies due to the aggravation of the condition.

Do you need to wait for the teeth to be replaced before doing the orthodontics? #正牙谣言碎机#

This statement is one-sidedly inaccurate. As for when is the best time to start correction of children’s dental jaw deformity, let us look at what the authoritative Chinese orthodontics textbook says: “Early correction refers to the early growth stage of children, generally refers to the peak period of youth growth and development ,Prevent, block, correct and guide treatment of the already displayed dental deformity, deformity trend and the etiology that can lead to dental deformity. The timing of early correction should be appropriate, the general correction of primary dentition is best at 4 years old Starting from the left and right, the root of the deciduous tooth has been fully developed, and it has not started to absorb. The correction effect is good. The correction of the dentition begins at about 6 years old. The early correction treatment of jaw deformity should be judged according to the bone age of the whole body.”——From: As mentioned in Chapter 8 of the sixth edition of Orthodontics, 5-12 years old is a rapid period of growth and development of children’s teeth. During sleep, the child’s hormones are vigorously secreted. Under the action of growth hormone, the child’s maxillofacial region The department and teeth are undergoing rapid development. Studies have found that children’s maxillofacial growth and development is about 60% completed at 4 years old, 70% completed at 7 years old, and 90% completed at 12 years old. Therefore, early correction can achieve comfortable correction, allowing teeth and jaws to grow in the correct physiological direction. However, if there are no obvious abnormalities of jaw development, maxillofacial deformity, muscular occlusion or severe ectopic teeth causing occlusal trauma, simple tooth irregularities can be corrected after the teeth are replaced.

Will my father’s ear deformity be inherited? What should I do if my father and son have ear deformity?

Many patients with ear deformities have undergone ear reconstruction surgery at the appropriate age and their lives have returned to normal. This disease of microtia is more common in men, and the ratio of men to women is about 2:1. Therefore, there are many male patients but at the age of birth, there will always be a problem that troubles them-will the ear deformity be inherited? It is precisely because of the physical inability to understand the taste. So the more I worry about my children in the future, I have to face this kind of experience again. So, are ear deformities inherited? Dr. Yu Wenlin, director of Guangzhou Noble Medical Aesthetic Center and executive director of the Technical Committee of China Plastic and Aesthetic Society, said that the specific cause of microtia in medicine is still unclear so far, but it was in the first three months of embryonic development. During this period, any factors such as internal and external environment or genetics may cause ear and maxillofacial deformities. However, in fact, we can see that most patients with ear deformities are sporadic cases and generally have no family history. Most patients with microtia or cleft lip and palate are not hereditary, and many patients have no such diseases in the previous generations. If you are really worried, you can do chromosomal examinations and regular obstetric examinations. The development of the fetal ears is basically completed in five or six months, and the psychological pressure of the parents is too great. You can do a B-ultrasound to study carefully, you can see whether the child’s ears are developing normally. What if the microtia is found only after the child is born? In fact, many ear reconstruction operations are already available in my country, and the operation is not difficult. However, since the ears grow and develop, it is generally necessary to wait for the child to be seven years old before the ears mature and can be taken from the body costal cartilage to sculpt the ear support before performing ear reconstruction surgery. The Noble Medical Aesthetic Center is an exclusive medical aesthetic center under the Noble Medical Group, with Professor Yu Wenlin as the core. The professionalism of each project team is at a high level in the country, especially in the field of ear reconstruction and nasal deformities. Technical innovation has reached the international front-end level.

Wassel classification type III multifinger treatment

&nbsp.&nbsp.&nbsp.&nbsp. Multi-finger deformity is a common deformity of the hand, with the multi-finger of the thumb being the most common, and the pre-axial multi-finger. &nbsp.&nbsp.&nbsp.&nbsp. The multi-finger deformity is currently used in the Wassel classification, which is divided into 7 types according to the position of the bone bifurcation. As shown below &nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Among them, TypeIII is mostly two equal-sized thumbs, which are all dysplastic than normal. Removal alone can cause small and unstable thumb, which affects the function of the thumb. &nbsp.&nbsp. This technique can get good appearance of the thumb and joint stability. As shown in the figure &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Generally recommended for surgical treatment at about 1 year old, it needs to be fixed with Kirschner wire during the operation, and the plaster is fixed for about 6 weeks after the operation, to be reviewed Then, remove the Kirschner wire and remove the plaster, use a bracket to fix it, and use the thumb for rehabilitation. It is important to emphasize the importance of rehabilitation exercise here. Parents need to insist on rehabilitation, which can effectively avoid joint stiffness.

Correct treatment of claw valgus in children with cerebral palsy

We often see that some patients with cerebral palsy have valgus or valgus feet, or cross steps, etc. These are all caused by long-term dyskinesia and there is no active treatment with age. This is due to the imbalance of the muscles of the children for a long time to form bone and joint deformities, and the weight-bearing on the basis of the deformity causes the deformity to be more serious. Clinical manifestations of clubfoot: 1. Symptoms: the foot sags, the heel is up, the lateral edge of the foot touches the ground, and the sole of the foot is backward. It looks like a golf club. Due to the above phenomenon, the heel turned inward and the anterior part of the foot retracted. 2. Type: Horseshoe varus can be divided into two types. (1) The elongated (relaxed) foot is thin and light, and the deformity is light. It is easy to manually place the foot in the neutral position, and the calf circumference is similar to the healthy side. The effect of non-surgical treatment is good. (2) Short fat type (stiff type) foot fat and short, small heel, serious deformity, calf circumference is thinner than the healthy side, the deformity is not easy to correct by hand, often need to be supplemented by surgical treatment. 3. X-ray performance: the positive X-ray shows the heel angle (intersection angle of the talar axis and the calcaneal axis) &lt.30°. The intersection angle of the longitudinal axis of the talus and the metatarsal bone is 0-20°. The above two angle measurement results are helpful for diagnosis. Lateral X-rays showed that the longitudinal axis of the talus intersected with the tangent of the plantar surface of the calcaneus at an angle of <30°, otherwise the feet would sag. Inversion of the foot is a common complication of cerebral palsy in children. If the children are not treated in time and effectively, it will seriously affect their normal standing and walking in the future. Rehabilitation training for horseshoe varus (1) put the child in supine position. The trainer can also hold the arms of the child with both hands and raise their heads, crossing the arms to the left and right, thereby driving the body of the child to turn to the sides. (2) Let the child take the supine position, the trainer holds his ankles, and when turning to the left, the right leg twists to the left and twists his head to the left, so that the body's center of gravity follows the head The legs are turned over, which is a good way to train the shifting center of gravity of the limbs and coordinate the upper and lower limbs. (3) Let the child take the supine position, and the trainer holds the two ankles, and when the child turns over, the child's right leg is flexed, crossing the left leg midline, the left arm is flexed, and the head is tempted to slow down Slowly tilting to the left causes the child's body to roll over with the ball rolling. (4) Let the child lie horizontally on the inclined surface of the wedge-shaped cushion, which can assist the rotation of the child's torso. The vast majority of children can obtain normal foot morphology through the above-mentioned training, massage and necessary control measures, especially the soft type congenital horseshoe varus can fully meet this requirement. Even the stiff type that is considered to be more difficult Through patience and long-lasting manual massage treatment, some children can also get the desired results. &nbsp. Surgical treatment of cerebral palsy combined with horseshoe varus valgus If the child has little rehabilitation training at the age of 5 or there is no systematic rehabilitation treatment and joint contracture occurs, we can consider appropriate surgery on it. The child can walk independently on the basis of: firstly, the child is 2.5 to 6 years old with FSPR to reduce the child's excessive muscle tension and resolve muscle spasm, and then cooperate with various second-stage operations. At present, the second-stage surgery for cerebral palsy children with horseshoe valgus foot mainly includes tendon surgery, bone and joint surgery, neuromuscular branch amputation and other three major types, mainly including Achilles tendon extension, three joint fusion, and posterior tibial tendon extension There are dozens of surgical methods such as lysis of the gastrocnemius muscle at the beginning, which can be selected according to the specific deformity of the child. Tips: If the child has obvious limb dysfunction and poor muscle strength, long-term rehabilitation training must be performed after the operation, otherwise the motor function recovery is slow and the deformity is easy to recur.

Scar hyperplasia after foot deformity

&nbsp.&nbsp.&nbsp.&nbsp. Anomalous toe deformity is a common foot deformity, which can usually be solved by surgery. The surgery itself is not complicated, but compared with other foot deformities, more serious postoperative Complications-scar hyperplasia. As shown in the picture&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&bn.b Scar hyperplasia after deformity&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. The current cause of scar hyperplasia after amputation is unclear. Many children show obvious scar hyperplasia of the foot, but the scar in the skin area is not obvious . Clinically, there is obvious scar hyperplasia, which can break through to normal tissues and destroy normal structures. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp. There are no special drugs for this kind of situation. Early viable elastic bandage, scar patch, scar needle treatment, and adult local radiotherapy; if scar hyperplasia is obvious, affecting life after surgical resection Skin grafting, active anti-scarring treatment after surgery, there is still the possibility of recurrence. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Finally, there is a high probability that the above-mentioned situation will not occur after foot and toe deformity, but there is currently no way to predict the occurrence of this situation, so care should be taken when choosing treatment. If scar hyperplasia occurs after surgery, it is necessary to seek medical treatment in a timely manner.

What are the joint manifestations of rheumatoid arthritis

Everyone knows that rheumatoid arthritis is a chronic disease. There are many patients in our country who suffer from this disease, and there are more women than men. The most common one is the 20-50 population. So what are the joint manifestations of rheumatoid arthritis? What are the symptoms of patients? The joints of rheumatoid arthritis show joint pain&nbsp. Once the patient has rheumatoid arthritis, the affected joints will have pain , Tenderness and morning stiffness and swelling, the patient will have limited activity, and the arthritis that occurs at first will be wandering and then fixed. The patient will have one or more joints involved and symmetry. Under normal circumstances, the patient’s hand, foot and small joints will first be involved. The involvement of the inter-digital joint, the metacarpophalangeal joint, and the wrist joint will be more common, and the patient will be more affected. Joint deformity is second. The most common deformities of patients are fusiform enlargement of the proximal interphalangeal joint and swan neck deformity of the fingers, metacarpophalangeal joint subluxation, and wrist joint fixation. At the same time, bursitis and muscular atrophy and tenosynovitis can be caused around the patient’s joints. In addition, there will be nodules under the skin of the patient, and there will often be joint protruding parts or areas that are often oppressed. The patient’s quality and toughness are similar to rubber. The patient will not have obvious tenderness, and the patient will be very long. long. &nbsp. Knowing this, I believe that everyone already knows the joint performance of rheumatoid arthritis. Therefore, once a patient suffers from a disease such as rheumatoid arthritis, he must go to the hospital for treatment in time, and treatment must not be delayed. If the patient does not go to the hospital for treatment in time, the patient’s joints will be deformed.

Today’s 3 operations: modified NUSS surgery, Wang surgery, improved Wang

【Summary】Today, three thoracic deformity operations were completed, one of which was the modified NUSS operation for adult funnel chest, the other was the Wang operation for funnel chest after congenital heart disease, and the other was the modified Wang operation for groove chest. The operation of the 3 sets was smooth and satisfactory results were obtained. &nbsp. A total of 3 thoracic deformity surgeries were performed today, one of which was an adult funnel chest, one was Wang surgery for congenital heart disease after funnel chest surgery, and the other was a modified Wang surgery for groove chest. Adult patients with funnel chest were corrected by modified NUSS operation. Two steel plates were used during the operation, and the operation was completed using tubeless technique without using thoracoscopy. Children with congenital heart disease who underwent funnel chest surgery underwent Wang surgery. The incision was made in the middle of the old surgical scar, and no new incision was made. Children with hooked chest undergo modified Wang operation. Based on the standard Wang operation, additional corrections are made to the concave parts of the chest wall on both sides. The operation of the three sets was smooth, without any complications, and the postoperative deformity completely disappeared, and satisfactory results were obtained. &nbsp. All three patients today belong to depression-type deformities. Such deformed patients are generally regarded as ordinary funnel chests by ordinary doctors. Since it is a funnel, according to popular opinion, the common practice is to use NUSS surgery to complete the treatment. However, none of the operations we performed were standard NUSS operations. Why do such operations? The reason is simple, because standard NUSS surgery has many drawbacks, and it is not an ideal choice for these three patients. &nbsp. First of all, for the adult patients with funnel chest, the standard NUSS surgery may not be wrong, but after using the modified NUSS surgery we designed, there will be very clear advantages. The difference between the two procedures is so great that it is natural to choose a modified NUSS operation. If the former is chosen, it must not be the right choice. &nbsp. Second, for the funnel chest surgery after congenital heart disease, due to the extreme adhesions in the mediastinum, doing NUSS surgery at this time is almost a joke with the patient’s life. Wang surgery is different. Not only can it avoid the risk of damage to the heart, but it can also simplify the surgery to the greatest extent. Such surgery is of course the only choice. &nbsp. Third, for the grooved chest, because the two sides are low and flat, it cannot provide satisfactory support for the steel plate, so NUSS surgery is also a troublesome choice. However, after Wang operation is performed, if additional operations are performed, the correction of the deformity will become perfect. This is the beauty of improved Wang surgery. &nbsp. (Wang Wenlin, Director of Chest Wall Surgery, Second People’s Hospital of Guangdong Province, WeChat: wangwenlinzhuren. Public number “Expert of Thoracic Surgery”: wangwenlinyishi)

What is the effect of ear defects? Can human ears be reconstructed?

Although the ears are distributed on both sides of the skull and are easily overlooked in facial appearance, natural earlessness has a great impact on the psychological development and healthy growth of children with ear deformities. This is the consensus of ear reconstruction doctors and psychologists. What is the effect of ear defects? When the child was a child, the impact of ear deformity on the child’s mental development and health was not obvious. After all, the child was still in a state of ignorance and ignorance. He would not care about his appearance, nor would he notice his missing ears. After 6 years old, children start school and come into contact with collective life. They are inevitably subject to strange visions from their friends, and even unfriendly ridicule and discrimination, which will inevitably have an indelible impact on the child’s psychological growth. Be lonely, uncommon, or inferior. Can human ears be reconstructed? The ears of our human body can be reconstructed, and the ear defects of children can be completely repaired by ear reconstruction surgery. It is generally recommended that children undergo ear reconstruction surgery at the age of six. The earlier the ear reconstruction surgery, the better for the child. After all, children with ear deformities after 6 years of age have basically stereotyped ear development and mature rib cartilage. This is the golden age of ear reconstruction. Performing ear reconstruction surgery can minimize the adverse effects of ear deformities on children’s psychology. Ear plastic surgery and repair medical expert-Professor Yu Wenlin, Professor Yu Wenlin, doctor and postdoctor in plastic surgery, and member of the flap flap group of the Professional Committee of Rehabilitation and Reconstruction Surgery of the Chinese Society of Rehabilitation Medicine. After more than 20 years of practice, he has been deeply involved in plastic surgery to shape the real “quote” ears. He has continuously innovated in ear reconstruction technology, and developed the self-costal cartilage ear reconstruction technology. The reconstructed ears have the same color, clear ear contours, and natural lifelikeness. Ear reconstruction technology.

What are the methods to prevent sperm deformity?

Sperm deformity patients, whether they are young guys or middle-aged uncles, may have sperm deformities. Everyone knows that male sperm deformity will directly lead to infertility. Therefore, I hope that male friends can develop habits in daily life. To prevent sperm deformity in advance. Here are some ways to prevent sperm deformity?   What are the ways to prevent sperm deformity? Do not have too frequent sexual intercourse: too frequent sexual intercourse can not only cause impotence, but also reduce the amount of sperm contained in each ejaculation. 2. Do not smoke or drink alcohol: Smoking and alcoholism are the enemies of sperm. Sperm is quite sensitive to toxins in cigarettes. Nicotine in cigarettes can reduce the secretion of sex hormones and kill sperm. Long-term heavy drinking can cause chronic or acute alcoholism in humans. Make% sperm develop poorly or lose vitality.   3. Don’t cut off the nutrition: some men have a monotonous diet, partial eclipse, and don’t like to eat animal food. For a long time, the zinc content in the body can be reduced. Men’s zinc deficiency will make their sexual desire and sexual function decrease, and the number of sperm drops by about 30%, and even make men lose their fertility.   4. Don’t get too hot: The scrotum is the “temperature regulator” of the testicles. Usually the temperature is lower than the body temperature, the testicles can produce sperm smoothly. If men have the habit of taking a hot bath, they should try to quit. Because hot water tends to increase the temperature of the scrotum, resulting in decreased sperm, and wearing jeans and tights can make it difficult for the scrotum to dissipate heat and hinder the return of venous blood in the scrotum.   Fifth, don’t be melancholic: Anxiety, worry, and bad mental state all directly affect the function of the nervous system and endocrine system, and indirectly affect the quality of sperm.  What are the methods for preventing sperm deformity? Warm reminder: Once a man notices his semen sperm problems, he must go to a regular inspection in time to find out the cause of symptomatic treatment to avoid infertility.