The mandible is misaligned and the face looks crooked

Many people have discovered that their two cheeks are not exactly the same. Some people even find that their faces are a little crooked. What is going on? In fact, although the human body is symmetrical, it is not absolutely symmetrical. Human growth and development may lead to facial distortion due to other internal factors. Some other external factors can also cause the face to grow crooked. For example, a misaligned mandible can make the face appear crooked. This situation can actually be corrected through surgery.

Mandibular dislocation may result in an obvious opening, with only the most posterior teeth in contact. If the mandibular midline is offset to one side, the dislocation is unilateral. Injection of local anesthetic (i.e. 1% lidocaine 2-5ml) into the attachment area of ​​the lateral pterygoid muscle in the joint area can cause the mandible to reposition itself.

Manual reduction may be required. Preoperative administration of weak tranquilizers (such as diazepam 5-10 mg intravenous injection or midazolam 3-5 mg intravenous injection) and anesthetics (such as pethidine 25 mg intravenous injection or 50 mg intramuscular injection for healthy adults on average) is necessary but not absolutely necessary, especially when there is no time to prepare intravenous injections. The longer the dislocation lasts, the more difficult it is to reduce and the greater the possibility of becoming a chronic problem. To apply leverage, the patient's head should be fixed. The surgeon places the two thumbs on the outer oblique line of the mandible (outside the third molar) and the other fingers under the chin. Use rotational force, while the thumbs press downward and forward, and the other fingers press upward until the mandible is reduced.

Use a Barton bandage to fix the mandible in the repositioned position. The patient should avoid opening his mouth wide for at least 6 weeks. When the patient wants to yawn, he should put his fist against his chin to prevent his mouth from opening wide. If this dislocation is not the first time, an oral and maxillofacial surgeon should be consulted. The surgical procedure is to tighten (shorten) the ligaments around the temporomandibular joint or to trim the mandibular joint tuberosity (to make it easier to reposition automatically in the future).

Self-reset:

First, wrap a small amount of bandage on your thumb, bend your arms upwards with your palms facing yourself, cross your wrists, put your thumb into your mouth, press the innermost teeth of your lower jaw (try to put it as far inward as possible), and at the same time lift the front of your chin with the other fingers. At this time, the thumb is facing down and the other fingers are facing up, and they are gently pushed outwards. Notice! ! ! This process is not painful at all. If you experience pain, swelling or other symptoms, please go to the hospital immediately.

Dislocation Prevention:

Avoid laughing, yawning, eating fruit with big mouthfuls, and other actions that may cause you to open your mouth wide. Closing your eyes when you open your mouth wide or supporting your chin with your hands can also help prevent your mandible from dislocating.

What medicine is better for testicular eczema?

With the arrival of summer, many people's genitals will feel a little wet. I believe that male friends must have experienced this deeply. The sticky and wet scrotum always makes people feel that their genitals are not clean. The scrotum is often in a moist state and often causes many skin diseases, such as testicular eczema. When this happens, you should seek treatment promptly. So what should you do when you have testicular eczema? What medicine is better for testicular eczema?

What are the symptoms of scrotal moisture?

1. Subacute symptoms: The scrotum is moist at this time, with symptoms of severe itching, loss of appetite, loose stools, yellow urine, and sometimes blisters and mild erosion.

2. Symptoms of acute attack: The skin of the scrotum is mostly moist, red, itchy, and has papules. If the itching is scratched frequently, the smooth red skin can be exposed.

3. Symptoms of chronic attacks: The scrotum is wet and itchy intermittently. The itching is aggravated by mental stress, drinking, and eating spicy food. The scrotum skin feels hard and the skin surface is dark red or purple-brown. This disease is a skin disease and a men's disease. People with a fat body and local sweating are prone to this disease, and most of the patients are middle-aged and elderly males.

How to prevent scrotal moisture?

To prevent scrotal moisture, avoid wearing tight clothes, wear loose and comfortable underwear, preferably made of pure cotton, and change and wash underwear promptly after exercise. In addition, be careful not to wear tight jeans for a long time, as it is not conducive to the heat dissipation of the scrotum. In terms of diet, you should avoid high-calorie, high-fat foods, drink less alcohol and eat less spicy foods. At the same time, avoid overeating and don't skip one meal and eat too much.

If the scrotum is wet, you should actively cooperate with the doctor's treatment. When there is scrotal itching, the most important thing to avoid is scratching, rubbing, friction, scalding, etc. Hot water, soap, salt water, alkaline water, etc. should not be used. When itching, spray some snake gall and cypress skin refreshing lotion to quickly stop the itching. Also keep the skin dry, only in this way can you effectively avoid the occurrence and recurrence of scrotal moisture.