The superficial temporal fascia is distributed in the ear, also known as the temporoparietal fascia, which is loosely attached to the subcutaneous fat layer and is closely related to the frontotemporal branch of the facial nerve and the superficial temporal blood vessels. The superficial temporal fascia is part of the superficial muscular aponeurosis system of the face.

Ruan Bin did it.

Surgery begins in the ear.

Several doctors next to him were surprised when they saw this.

"Is this taking the fascia of the temporal region?" a middle-aged doctor couldn't help but ask.

"Well, Miss Jiang's fascia on the bridge of her nose is seriously damaged and can only be replaced. Ruan Bin nodded.

"It's not easy to get the fascia in this place!" exclaimed another young doctor.

The temporal region is divided into three layers of fascia and three layers of fat pads. The facial nerve runs in the space between the first and second layers of fat pads.

"If you accidentally hurt the facial nerves, the consequences are unimaginable. ”

Although they have not had related surgeries, they also know that the facial nerve is divided into five branches: temporal, zygomatic, cheek, mandibular and cervical. The temporal branch of the facial nerve originates from the upper edge of the parotid gland, is deep when it originates, gradually becomes shallow during the ascending process, and always adheres to the bottom surface of the superficial temporal fascia after crossing the surface of the zygomatic arch and travels in the loose connective tissue, and the frontal branch and its branches have a wide anastomosis in the course of the distribution to the frontalis muscle, and the more anastomosis is more and more distal, so special attention should be paid to the neuroprotection of the proximal temporal branch during the operation.

Once there is a bad pool, the nerve is damaged, then it is gg.

This is why superficial temporal fascia grafting is often difficult.

But, the next moment they shut up.

I saw Ruan Bin's hands flying, gently cutting the first layer of superficial fat pad, cutting the outer layer of the superficial layer of the temporal muscle fascia, avoiding the facial nerve, and taking ......

All the movements were done in one go, as if they could see through, and all the facial nerves were discharged, and there was no harm at all.

After the material is taken, the superficial temporal fascia is carefully wrapped on the carved costal cartilage, and then the costal cartilage wrapped with the superficial temporal fascia is placed under the back of the nose, and then the position of the prosthesis is adjusted to ensure that the curve of the back of the nose is smooth, and then several metal needles are inserted from the skin on the back of the nose to fix the autologous tissue and prevent displacement!

Next: Quickly close the incisions!

This step is very important, first, you have to suture fast, accurate, stable enough, and not let the carved rib cartilage displace. If there is displacement during the suturing process, it is equivalent to the failure of the operation and you have to start again.

Ruan Bin, who has the hands of God, and who has innovative debridement sutures, is definitely easy for this suture.

It's done in 2 minutes!

Perfect!

"Shhh...... The stitching is too good. ”

"The soft ribs did not shake in the slightest. ”

"At the moment, it seems that the cartilage of the bridge of the nose is definitely the most standard. ”

"The tip of the nose is just right, perfect! There is no hypertrophy of the nose tip that needs to be further repaired, there is no need to solve the problem of the tip of the nose being too fat or too low, etc., so that the customer can have a near-perfect nose shape in one step!" exclaimed the middle-aged doctor.

Then Ruan Bin began to repair Jiang Chunjiao's nose, nostrils and other problems......

After 20 minutes of surgery, the autologous cartilage rhinoplasty repair surgery was completed.

"Whew...... It's done. Ruan Bin breathed a sigh of relief.

This time, a BMW M2 should be in hand.

"Ruan Bin, what do you think of the restoration?" Lin Yatong couldn't help but ask. After all, it was postoperative, and the nose was a little swollen at this time, and I couldn't see anything.

But the overall situation is indeed a lot more normal than before.

"I think 9.9 percent has reached the perfect repair! I believe Miss Jiang will be satisfied. Ruan Bin smiled.

Outside the operating room.

Jiang Chunjiao stood in front of the floor mirror, looked left and left, and because of the severe swelling after the operation, she didn't know if it was successful.

But the bridge of the nose definitely looks straightened.

It doesn't look as awkward as it did before the surgery.

"Miss Jiang, are you satisfied?" Lin Yatong asked with a smile.

"It looks okay now, but we still have to wait a week for the swelling to go down!" Jiang Chunjiao whispered, she didn't dare to speak loudly, for fear of straining the wound.

"Don't worry, I said that I was 90% sure that Miss Jiang's nose was repaired to perfection, and now I feel 100% sure that it is absolutely stable after the operation. Ruan Bin boasted about himself without hesitation.

"Well, if I'm satisfied in a week, do you want 100,000 cash or a car?" Jiang Chunjiao asked. She's not the kind of person who doesn't keep her word.

"BMW M2!" Ruan Bin said with a grin.

The appearance of Audi TT is not as good as that of BMW M2, and it is also tens of thousands cheaper. The main thing is that what to say, girls like to sit in a BMW and cry, don't they?

"Well, hopefully I'll be recovering very well by then. ”

"By the way, Miss Jiang, remember to take anti-inflammatory drugs and antibiotics on time these days, come to the hospital every three days for re-examination, and come to remove the stitches after seven days. Ruan Bin admonished.

"No problem. ”

Then, Jiang Chunjiao left.

Everything will be in seven days' time.

"Ruan Bin, this surgery has recovered well, and if it looks very well repaired by then, I believe that your reputation for repairing your nose will definitely hit the market. Lin Yatong said lightly.

"Hopefully. ”

"By the way, I'll transfer your commission for today to you now. Lin Yatong said and began to transfer money.

18,000 commission!

Ruan Bin is not hypocritical, he is a poor bastard tonight, and there is no bank card left.

If you don't have tonight's commission, you'll have to drink the northwest wind tomorrow.

After chatting a few words, Ruan Bin went back to the hospital dormitory.

On the way back, Ruan Bin thought in his heart, after a few days of vacation, he must rent a house, and it is not good to live in the hospital dormitory in general.

When I returned to the dormitory, I transferred 3,000 yuan to my cousin.

He is a person who does not like to owe money, and pays it back as soon as he has it.

"Yo, brother, what are you doing here? You will pay back the money at once! Are you going to please the 60-year-old rich woman?" Ruan Yingyao sent a message after receiving the transfer.

"Guess! If you don't blow it or black, it's still easy for me to earn 10,000 or 20,000 yuan a day. Ruan Bin pouted.

"Yo, brag about you, if you make one or two hundred thousand a day, don't you have a girlfriend?" Ruan Yingyao said disdainfully.

“......”

"Stop talking, do you want me to introduce you to a girl?"

"No! I have a goal. ”

"Little Sister Nurse?"

"Guess!"

"Don't guess, I'm going to supper~"

"......" Don't bring your brother with you for supper?

The next day, go to work as usual.

Because Director Liu Junchi and Director Liu needed to recuperate for half a month after surgery, they were missing a thigh in the emergency department.

The lack of a deputy director has made many fourth-level major surgeries in the emergency department rely on Director Qian and Jiang Yurong to complete them.

But the two of them have to take turns and take turns off, and sometimes only one director goes to work, which leads to the estimation of a serious shortage of high-end combat power in their emergency department in the next half month! I want to chat with more like-minded people about "Krypton Doctor", WeChat pays attention to "excellent reading literature", chats about life, and looks for confidants~