Nasal column extension requires caution. Who is suitable for nasal column extension?

If you have any questions about cosmetic surgery, just click the blue word on the top and subscribe to follow me. The extension of the nasal column can make you have a harmonious beautiful nose. So which nasal column deformities need to undergo nasal column extension surgery? Next, today Lao Wang will The majority of beauticians would like to introduce the knowledge about the extension of the nasal column. Which nasal column deformities need surgical correction: The repair of the nasal column defect 01 The repair of the nasal column is to make an I-shaped incision in the nasal tip and nasal septum and the base of the nasal column to separate the skin and mucous membrane flaps, fully relax the scar, and increase the area of ​​the affected area At the contact surface, according to the size of the defect wound, cut the skin fat composite tissue under the ear wheel or ear lobe, and cut the auricular composite tissue surface slightly to increase the height. The nasal column is depressed. 02 deformed nasal small column plastic surgery can use the nasal septal cartilage or ear nail cavity cartilage curl transplantation to fill the invaded nasal small column. Nasal column inversion combined with low nose tip can be made into L shape with autogenous bone or substitutes, and correct the above two deformities at the same time. If the nasal column is invaded and the septal tissue is tightened, it is possible to relax the nasal septum, the upper tissue slides down, and the nasal spine is partially excised to relax the lower tissue of the septum. At the same time, a small nasal column cartilage implantation is also possible. Flap advancement or full-thickness V-YY suture advancement of the nasal septum. The nasal column is too low. 03 The commonly used methods of this deformed nasal column are V-Y forming method and local skin flap method. It is possible to change the nasal defect. If the nasal column is too wide and too short. 04 Only need to remove the crescent-shaped excess tissue on the inner edge of the anterior nostril. When the nasal column is too wide, only the crescent-shaped excess tissue can be removed at the inner edge of the nostril when the deformed nasal column is reshaped. When the nasal column is short and wide, fusiform resection can be done, and the medial feet of the nasal cartilage on both sides can be pulled together at the same time to reduce the width of the nasal column and increase the height of the nasal column. Nose sag. 05 The sagging of the nasal column can be fusiform to remove the full-thickness septal tissue, lift the nasal column, or perform a marginal incision of the nasal column to remove part of the skin and soft tissue. The nasal column is skewed. 06 The deflection of the nasal column is often accompanied by deformities of the anterior nostril, nasal tip and even the alar, which requires comprehensive treatment. While correcting the nasal column, the position of the tip of the nose, the symmetry of the nostrils and the balance of the entire lower nose also need to be corrected. In the plastic surgery, there are many beauty seekers who actually do not need to renovate the small nose column, but because blindly seeking beauty to shape their noses, you can compare the first when you see the above problems Own situation, and then do the consultation, the above questions

【Guide to treatment】 What should I do when children with cerebral palsy are found to have symptoms of knee reflexion?

Children with cerebral palsy may experience a variety of disorders and postural abnormalities, and knee extension is one of the common symptoms. Many parents and patients will ask when they see a doctor: Doctor, why does the child have knee reflexion? Can knee reflexion not be treated? Professor Chang Chongwang said: “Knee reflexion must be dealt with, if not, even deal with Improperness may lead to aggravation of the child ’s symptoms, or even severe disability in standing and walking. ”Therefore, parents must pay enough attention to this and carry out treatment according to the plan made by the doctor. So, why do children with cerebral palsy have knee reflexion? & Nbsp. The reasons for the occurrence of knee reflexion in children with cerebral palsy include roughly quadriceps weakness, quadriceps spasm, and gastrocnemius spasm. Muscle strength and flexor muscle strength are severely unbalanced, that is, flexor muscle strength is too small. 2. Excessive tension of knee extension muscles. 3. Knee extensor weakness. 4. The calf triceps tension is too high / that is, the foot is drooping, and the passive can not cross the neutral position. 5. It may be related to hip joint control. 6. The weakness of the quadriceps muscle is also one of the causes of knee hyperextension. 7. The weakness of one side of the knee joint causes the opposite side to compensate for knee hyperextension. 8. Spasms or contractures of the plantar flexor muscles lead to knee overextension. 9. Knee hyperextension is used to compensate for knee collapse gait. 10. Support the spasm of the extensor knee muscles. 11. When the torso bends forward, the gravity line falls in front of the center of the knee joint, prompting the knee joint to extend backward to maintain balance. 12. Compensatory knee hyperextension caused by Achilles tendon contracture. At present, for children with knee reflexion, they advocate functional exercise through rehabilitation training, and most of the time they can achieve better results. Of course, if the patient has severe knee extension, lower limb correction or surgical correction is required. So, how should a child with knee flexion improve the symptoms through rehabilitation training? 1. The child kneels on his knees and supports it on the mattress, and the affected knee joints do flexion and extension training. The child’s training can be changed to a supine or standing position for training. 2. Help the child with both hands or let him hold the bed rail or table, and slowly squat down. When the body cannot bend, the knee joint tries to move forward. It should be noted that the child’s heel cannot be off the ground. Each time can last 1-3 minutes. 3. When the child is in the supine or long sitting position, the parent holds the child’s ankle in one hand and the other palm under the heel. Hold the child’s heel so that the foot is attached to the forearm and pull upwards in a horizontal direction. The time of each pull is 1 to 3 minutes, and the number of pulls depends on the degree of plantar flexor contracture. 4. Take a long sitting position, do knee extension exercises, press the child’s knee joint down firmly, and hook up the toes. After tightening the thighs at the same time, continue for 6 to 10 seconds, and then relax. Warm reminder: Rehabilitation training is a necessary rehabilitation method for cerebral palsy children to improve dysfunction and posture abnormalities. Parents must gradually and persistently help children do suitable rehabilitation training under the guidance of doctors!

Why is cervical physiological curvature disappearing? Can it be restored? (One)

Recently, there have been many consultations on cervical spine physiological curvature problems. Some people saw that the physiological curvature became straight in the unit medical examination report, and some people went to the hospital for examination when their necks were uncomfortable, and found that the cervical spine physiological curvature was recurved. Today I will talk about the related issues of cervical physiology. Our neck can flexibly turn and bear the weight of the head, completely dependent on the physiological structure of the cervical spine. On the X-ray film, we can see the cervical spine imaging. The cervical vertebral body forms a continuous, smooth curved curve, which is medically called cervical spine physiological curvature. What is the physiological curvature of cervical spine? Under normal circumstances, in order to maintain the human body’s upright and trunk balance, the cervical spine is convex forward. Without this lordosis, our cervical spine will be like a wooden stick, which is very easy to break, but with this curvature, the cervical spine It becomes a spring, which can increase the ability to buffer shocks, increase the stability of the spine, and better protect our head and brain. Why does the cervical curvature disappear? There are usually many reasons for the disappearance of cervical spine physiological curvature. For example, in the degeneration of the elderly cervical spine, the water content of the intervertebral disc is reduced, the height is lost, and the osteoporosis wedge shape of the vertebral body is deformed. The young people are holding their necks for a long time due to bad postures such as bowing down to play mobile phones, working at desks, etc., and lack of exercise. The muscle strength of the neck is weakened, and the physiological curvature of the cervical spine will become straight or even curved over time. Is cervical cervical spondylopathy a straightening of cervical spine physiological curvature? In fact, cervical spine physiological curvature straightening ≠ cervical spondylosis! The straightening of cervical spine physiological curvature is usually a prelude to cervical spondylosis. Even if it further develops into cervical spondylosis, it can only be regarded as a cervical spine sub-health, a precursor to cervical spondylosis, not cervical spondylosis. At this stage, you may feel sore and stiff necks. If you do not reverse this trend, your shoulders and back will also start to appear sore and stiff. At this time, your body’s function will be greatly affected. Now everyone should have a certain understanding of the cervical spine physiological curvature, so usually pay attention to prevent the cervical spine physiological curvature from changing, and even prevent the occurrence of cervical spondylosis. Correct the wrong postures and bad habits in daily life and work, strengthen the exercise of neck and shoulder and back muscles, and protect your cervical spine health.