What Is Ectropion?

Toes are excessively deflected to the outside of the foot. The disease has genetic factors, but pointed shoes are the main cause of the disease. Often accompanied by inversion of the first bone, outward displacement of the toe bones, flat feet, transverse arch collapse, medial osteosynthesis and cystitis of the first metatarsal head, condyles below the second and third metatarsal heads, second toe overlap or hammer Toe and toe sacral; severe metatarsophalangeal joint osteoarthritis. Those who are painless need not deal with it. Deformities and mild pain wear wide-toed shoes and hyperthermia. In patients without osteoarthrosis, the medial bursa and bone processes were removed, the adductor tendon was cut off or transplanted to the first bone neck, and the medial joint capsule aponeurotic flap was tightened or sutured. The orthopedic effect of the first bone neck incision was good. Patients with osteoarthritis can remove the proximal toe or use artificial joints.

Eversion

Right!

Chinese name: Eversion
Osteoarthritis: Proximal proximal toe or artificial joint
Brief introduction: some people

Eversion Overview

Scarring ectropion is an eye condition caused by contracture of scar tissue. The clinical manifestations are the outward turning of the eyelid conjunctiva, which causes the eyelid to come out of close contact with the eyeball, and the palpebral fissure is incompletely closed. The conjunctiva is chronically exposed after eversion and chronic conjunctivitis occurs. The direction of eyelashes also changes significantly. The ectropion of the upper eyelid is prone to corneal trauma and keratitis due to the exposed cornea, resulting in reduced vision or blindness, with serious consequences. The disease is the most common of all types of ectropion. Most of them are the result of eyelid burns or infections. After sufficient pre-operative anti-infection preparations have been made to reduce or resolve conjunctival inflammation, surgical treatment is performed. After the valgus eyelid is reset, the wound is repaired according to the specific situation of the wound.

Clinical manifestations of valgus

1. The scar pulls the skin of the eyelid, causing the conjunctiva to be exposed; 2. The upper and lower eyelids are not fully closed, the cornea is exposed, and tears are present; 3. The conjunctiva is dry, congested, rough, and hypertrophic due to long-term exposure, and severe cases can cause exposed keratitis And ulcers.

Eversion diagnosis basis

1. History of burns, trauma, infections; 2. Scars pulling the skin of the eyelids, causing conjunctival exposure; 3. Incomplete closure of the upper and lower eyelids, exposing the cornea, and tears; 4. Conjunctival dryness, congestion, roughness, and hypertrophy due to long-term exposure 2. Seriously caused exposed keratitis and ulcers.

Eversion principle

1. Treatment of conjunctivitis and keratitis before surgery. 2. The scar is loosened or removed, followed by a full-thickness skin graft followed by blepharoplasty if necessary. 3. Local flap transfer or V-Y angioplasty.

Eversion medication principle

1. In general, the use of medicines during surgery is mainly based on the "A" and "B" limits. 2. When the economic conditions permit, the use of drugs can include the "C".

Valgus assisted examination

1. In general, the inspection project is mainly based on the inspection frame "A"; 2. In the case of postoperative infection, the inspection project may include the inspection frame "A" and "B".

Evaluation of valgus efficacy

1. Cure: The eversion has been corrected, the eyelids can be completely closed, and the shape is basically normal. 2. Improvement: Eversion is basically corrected, but there is still mild incomplete closure. 3. Unhealed: The valgus is not corrected, and the eyelids are not fully closed.

Eversion expert tips

Scarring ectropion is the most common form of ectropion, which is more common than paralytic, senile, and spastic. Most of them are local skin or deep tissue damage, caused by contracture after wound scar healing. The depth of operation caused by burns is mostly superficial. Although the degree of valgus seen is very serious, it is usually limited to the skin. The damage caused by the infection may be deep, sometimes reaching the meibomian, and the formation of dead bone due to maxillary osteitis. After the eyelid rupture and prolapse, the eversion caused by the formation of a sunken scar is common in the lower eyelid Outside the lower part. Different causes are distinguished during the treatment, and the appropriate technique can be used to obtain good results.