Chapter 83: Congenital transverse face

Cai Yi was a little stunned, he didn't expect Zhong Yu to leave like this.

He reflected on his actions just now, maybe a little too hard.

Cai Yizhong is a person who is good at introspection, and this time I can't continue next time.

He believes that there is always a way to get close to her, Guo Pengfei can gain her favor and trust, why can't he?

And Zhong Yu was far away from the office, so he laughed helplessly.

She is not stupid, obviously Cai Yizhong and Guo Pengfei don't want to pull her into the water.

What does their discord have to do with her? Not to mention that she will be transferred away soon, and even if she doesn't, they don't want to use her as a gunman.

She went to the nurse's station and sat for a while, and the first half of the night was uneventful, and she was ready to go home from work.

As always, Zhong Yu got off work and took a taxi back, and when he got out of the car and walked home, he faintly heard the cry of a child.

The cry didn't seem to come from inside the house, Zhong Yu nervously searched for the sound.

The closer she approached the garbage dump, the louder her cry became, Zhong Yu pursed her lips and her face was ugly, and she couldn't help but speed up her pace when she thought of a possibility.

Under the light of the dim street lamp, I saw a baby wrapped in a broken flower bag with a hoarse crying voice.

His hands and feet broke free and were exposed to the cold air, and he was already purple from the cold, as if he knew that he had been abandoned, and he cried heartbreakingly.

Zhong Yu couldn't bear to see it, and hurriedly took the child into his arms and covered it.

The quilt was not thick enough, and the children's clothes were thin.

I don't know what kind of parents would be so ruthless, if she hadn't found this child, I'm afraid he would have frozen to death here.

Zhong Yu walked under the street lamp with the child in his arms, and only then did he see the little face clearly, he was actually congenital facial fissure (macromouth malformation or macrostomatic disease).

This is a rare maxillofacial deformity caused by incomplete fusion of the maxillary and mandibular processes during embryonic development.

The clinical manifestations are divided into unilateral transverse fissures and bilateral transverse fissures, this child is a unilateral transverse fissure, the affected side is accompanied by ear deformity, the length of the fissure is 5~20mm, and it looks a little scary at night.

Zhong Yu couldn't tell what she felt in her heart, she hugged the child tightly and walked home, just wanting to warm him as soon as possible.

The outside temperature was extremely low at night, and the child didn't know how long it had been frozen, but he probably felt the warmth in his arms, and he wasn't crying.

The small mouth was rubbed against Zhong Yu's chest one by one, and he also made a snorting sound from time to time, which was very distressing to listen to.

Zhong Yu gasped to the door, and she hurriedly took the key to open the door.

At this moment, the house is brightly lit, and Zhou Qin and Song Congchun have returned.

As soon as the door opened, they were startled when they saw Zhong Yu holding a child, Zhou Qin frowned and asked:

"Whose child is this, why did you bring it home?"

She stepped forward curiously to pick up the child, but Zhong Yu dodged back and explained softly:

"Mom, don't worry, this child is congenital and has a horizontal split, and it looks a little scary."

Zhou Qin's expression became solemn, she slowly opened the small bag and was looked, even if she was mentally prepared, she was startled at the first sight of this child.

She asked with some hesitation, "Is this child a patient you took in?" Why did you bring it home? ”

Zhong Yu shook his head with a wry smile and said heavily:

"This isn't my patient, I just picked it up next to the garbage dump near our house."

Zhou Qin's face changed when she heard this, and she said angrily:

"This is not the era of not having enough to eat, throwing it outside and freezing on such a cold day is simply killing people, how beautiful the child's eyes are, and the child's parents are simply losing their conscience."

Song Congchun also came over curiously, and when he saw the child's face, he exaggeratedly said:

"How is this the same as the split-mouthed female ghost in a horror movie?"

Zhou Qin patted him and said angrily:

"What nonsense? Our baby's face can be cured, right? Ouch, don't cry~"

The little guy hummed for a long time without eating, and cried aggrievedly.

Although Zhong Yu has operated on the baby, she has no experience in taking care of the child, she said a little anxiously:

"Mom, what's wrong with him, take a look."

Zhou Qin said calmly:

"Don't worry, I'll see if he's peeing, there's a cleaned white cotton cloth in the bedside drawer in my room, let's use it as a diaper for this poor little guy first."

Zhong Yu hurriedly went to get it, Zhou Qin skillfully untied the quilt and looked at it, and said with a smile:

"Yo~ It's still a little brother, look at this diaper is wet, you can wring out a bucket of water."

Song Congchun gnawed on the apple and stood by and watched, he suddenly found that compared with his father's bad things and what happened to this child, it was really nothing, this child even had difficulty surviving, even if he cured his face in the future, it would be no one who loved him.

He looked at the child with great sympathy, and said with pity:

"Since this kid was picked up, shouldn't we call the police first?"

Zhong Yu was walking out with a cotton cloth, she rubbed it as she walked, and said softly when she heard the words:

"I really should call the police, it's inconvenient for our family to adopt this child."

Zhou Qin took the cotton cloth from her hand, folded the cotton cloth carefully, and skillfully changed the diaper for him, and said in a gentle voice:

"Our family can support him, but I don't have time to take care of him, so I can't stay in the store every day."

Zhong Yu waved his hand, "Don't think about this yet, let's call the police first." ”

Song Congchun volunteered to raise his hand, "I'll call the police, you two take care of the little one." ”

After he finished speaking, he directly picked up the phone and skillfully pressed the phone number.

He knows the number of the police station in their jurisdiction by heart, and he is afraid that he will use it when he will use it.

Zhong Yu is not worried that he can't tell things clearly, he is also a junior high school student, or a top student, and he can't do this little thing well, it's too useless.

Zhou Qin put the dirty diaper into the basin, picked up the child and patted it gently, but he was quiet for a minute before he started crying again.

Zhong Yu looked at him with a headache, and said helplessly: "Mom, what's wrong with him?"

Zhou Qin handed his finger to the little guy's mouth, and the little guy opened his mouth like a bird, Zhou Qin quickly withdrew his finger and said with a smile: "This little guy is hungry and wants milk."

Zhong Yu supported his forehead and deeply understood what it means to be difficult to raise children.

"In the middle of the night, where can I find milk powder for him?"

Zhou Qin didn't care, "It's okay, I think this child has to be six or seven months old to be able to eat complementary food, don't we still have malt milk essence at home, you take that for him to eat." ”

The malt milk essence was bought for Song Congchun to eat, he didn't like to eat it, and it was about to expire at home.

Zhong Yu hurriedly went to get it, this kid also has a temper, he can't get it into his mouth for half a day, and he can't stop crying.

Zhong Yu, who was busy in the kitchen, was in a hurry by his crying, stretched his neck and shouted:

"Mom, hurry up and coax him."

Zhou Qin knew that her daughter had no experience in raising children, so she said with a smile:

"This child will cry and laugh when he says he will cry, how will he listen to me, this child will recognize people, it is estimated that there are still some people who recognize life, don't worry, how can a child not cry."

The child was crying lively, and someone knocked on the door over there, Song Congchun thought that the police from the police station had come, so he immediately went to open the door, and when he opened the door, he saw that it was Aunt Fang in a cotton jacket.

She asked unhappily: "In the middle of the night, what are you arguing about, why are there still children's crying?"

Zhou Qin leaned out of her arms with the child in her arms and said, "Sister-in-law Fang, our Ah Yu picked up a child on the way back from work, and she was crying hungry."

Aunt Fang was taken aback when she heard this, "Who is so lacking in virtue, throwing children in the winter." ”

As she spoke, she strode in, and when she saw the child's abnormally big mouth, her face turned white with fright, and she instinctively covered her eyes and shouted:

"Ouch~ Why is this kid so scary, you didn't tell me earlier."

Zhou Qin is used to seeing it now, but she doesn't feel scary, she smiled:

"Don't make a fuss, the child is sick, what's it called?"

Zhou Qin asked her daughter for help, and Zhong Yu said calmly: "This is called congenital facial fissure, which is a rare maxillofacial deformity."

Aunt Fang leaned over with some hesitation and asked:

"Isn't it a youkai? It's too scary, no wonder the family threw it away, boys and girls? ”

Zhou Qin sighed: "It's still a boy, it's really a sin!"

Zhong Yu tasted some malt milk essence, the temperature was just right, and she carefully sent it over with the bowl.

Aunt Fang naturally took the bowl, and she said with a smile:

"Your mother will feed me with you, you haven't given birth to a child, and you don't know how to serve him."

Zhong Yu was not polite to her, although Aunt Fang still had some psychological obstacles, she was also sympathetic.

She patiently fed a small spoonful of it, the little guy was probably really hungry, eating one bite after another, the ruthlessness of holding the spoon, Aunt Fang smiled when she saw it.

"It's really a little gluttonous cat, and I don't know if I will be blessed to eat malt milk essence in the future."

Zhou Qin took the cotton cloth and gently wiped his mouth for him, and said softly with his eyes:

"How can you not eat it, can you be picked up by our family Ah Yu, can you not cure him? His blessings are yet to come. ”

Zhong Yu touched the little guy's sweaty little soft hair, and said with a smile:

"The operation is not difficult, I will treat him, and he will be a handsome young man when he grows up."

When he met Zhong Yu, he was probably the biggest luck.

The little one filled his stomach, changed into a clean diaper, rubbed his eyes and yawned to sleep.

Zhou Qin coaxed him to sleep while chatting with Aunt Fang, and after a while, the police came to the door.

Zhong Yu told them in detail about the process of picking up the child, and seeing such a congenital deformity child, the police officers at the police station were also very sympathetic to him.

In this era, it is not uncommon to throw children, and no one can be found without monitoring, but most of the people who usually throw them are girls, and there are very few people who throw boys.

Officer Zhao looked at the sleeping child and said with some embarrassment:

"We don't have a policewoman at the police station, this child is handed over to a few of our old men, and this won't take care of it, even if it is sent to a welfare home, it will have to be delayed for a few days, and the relevant procedures must be completed first."

Zhou Qin looked at the little guy who was sleeping soundly in her arms, and said with some reluctance:

"Then let's take care of our family for the time being, Xiaolu alone in my store can see it, so if it doesn't work, I'll take it to the store."

Aunt Fang also hurriedly said, "I'll also help with the handle, the little guy is pitiful."

Zhong Yu looked at Officer Zhao and said, "Then let our family go for the time being, I am a plastic surgeon at Nanshan Hospital, I can do corrective surgery for him to cure his face, maybe you can find a good family for him to adopt without going through the welfare home."

Aunt Fang agreed, "Ah Yu is right, there should be people in our area who want to adopt him, it's better to wait first, and the days of going to the welfare home will not be so happy." ”

Although Officer Zhao is a big man, he is also a father, and he understands how pitiful a child is without the protection of his parents.

He said solemnly: "Then I will thank Doctor Zhong for saving his life for this child!"

After speaking, he also saluted Zhong Yu, and Zhong Yu hurriedly retreated.

He said that the grace of saving his life was not exaggerated at all, Zhong Yu picked him up from the garbage heap, avoided his doom of freezing to death, and wanted to heal his face and give him a new life, which is a great kindness.

Zhong Yu didn't think that there was anything great about her, she was just doing her duty as a doctor, but it was even more rare for her mother to take care of him so compassionately.

The next day, Zhong Yu arranged for the child to be admitted to the hospital for treatment, the child is still young, and the sooner the surgery is cured, he can recover better.

If he delays for a few more years, when he becomes sensible, he will feel inferior because of this face.

Zhou Qin also went to the hospital to take care of the child's diet and daily life, and Officer Zhao signed on behalf of the family.

Because he wanted to find him an adoptive family as soon as possible, Zhong Yu arranged surgery for him as quickly as possible.

This time, I don't know what tricks Cai Yizhong used, he actually came to help Zhong Yu, the most amazing thing is that Guo Pengfei didn't make trouble, but when he entered the operating room, his expression looked a little aggrieved.

Zhong Yu put on a mask expressionlessly, she didn't ask much or say much, anyway, no matter who was a helper, it would not affect the operation.

When everything was ready, she first fixed the spot on the child's face.

Combined with the distance from the mouth angle of the unaffected side to the center of the Cu-pid' arch on the right side and the horizontal intersection point between the perpendicular line of the pupil center and the mouth angle of the affected side, the position of the mouth angle of the affected side was determined at the junction of the upper and lower lip lip red skin of the mouth angle cleft on the affected side, and the fixed point of the mouth angle of the affected side was 3~4mm shorter than that of the healthy side.

Then she designed the incision, she designed the red lip corner flap on the upper and lower red lips, and then designed two dual triangular flaps with an angle of 60° between the upper and lower lip on the cleft according to the length from the fixed point of the mouth angle to the fixed point at the end of the fissure.

Zhong Yu then turned the flap, asked Wei Fan to inject local anesthetic, turned the V flap up on the upper and lower red lips, and sutured the new corners of the mouth.

Then make an incision at the junction of the skin and the red lip on the upper and lower edge of the fissure, cut to the subcutaneous and muscular layer, and turn up the skin "Z" flap and mucosal flap to correct the excess skin and mucous membrane.

Then dissecting the orbicularis oculi muscle, she made a transverse incision of 4~5mm of orbicularis oculi muscle, and then cut the connection between the upper orbicularis oculi muscle and the zygomatic muscle, the inferior orbicularis oculi muscle and the laughing muscle, and released the muscle bundle from the lip muscle ring.

Finally, she used a 5-0 absorbable thread to suture the mucosal layer that turned to the oral side.

The upper lip muscle bundle is placed in front of the lower lip muscle tract at a 90° angle, and the 4-0 absorbable line is used to create a joint overlap to restore the sphincter annular structure, and then the zygomatic muscle and laughing muscle are sutured with the orbicularis oculi muscle respectively to achieve the muscle reconstruction effect.

She also used 6-0 absorbable threads to cross-suture the dual triangular flaps of the skin, and finally made a fusiform incision along the appendage to remove the appendage.

None of Zhong Yu's moves are superfluous, she is confident, powerful and at ease.

Cai Yizhong's instructor has also done correction surgery for a unilateral transverse fissure, and his teacher's treatment is dwarfed by the two.

This realization set off a storm in his heart, and as soon as the patient was pushed out of the operating room after the operation, he couldn't wait to ask:

"Doctor Zhong, I don't understand the operation you just did, can you explain it in detail?"

If he said anything else, Guo Pengfei would definitely come with him, but he didn't know much about this operation, so he also looked at Zhong Yu.

Zhong Yu took off the mask, leaned forward with a slight relaxation, and she said clearly:

"Just now I used the anatomical reduction method of the dual triangular valve combined with orbicularis oculi muscle, and the structures on the body surface do not exist in isolation but are a changing whole.

The purpose of surgical correction of transverse facial fissure is to accurately locate the position of the mouth angle, reconstruct the orbicularis oculi muscle ring, so that the skin suture can be concealed to the greatest extent, avoid the displacement of the mouth angle caused by scar contraction, and obtain a good overall aesthetic effect of the cheeks. ”

The two listened intently, and they stared at Zhong Yu with good eyes.

She calmly continued: "The effect of orbicularis oculi muscle reconstruction has a great impact on the morphology of the mouth corner during static and dynamic postoperative surgery. Poor attachment of the upper and lower fascicles of the orbicularis oris muscle will cause a "goldfish mouth".

The dual triangular lobes of the mouth angle design play a very considerable role in forming the natural shape of the mouth corner. The dual triangular flap designed at the corner of the mouth can use the tension of the skin to reconfigure the traction direction of the skin tissue and avoid straight scar contracture pulling the corner of the mouth outward. ”

Cai Yizhong contemplated deeply, and he pointed to the point, "Is the stitching just now also a hidden mystery?" ”

A flash of appreciation flashed in Zhong Yu's eyes, regardless of the sidelines, this young man's professional quality is not low.

She smiled and nodded, "The Z-flap is inserted from the upper lip into the lower lip, and the sutures are placed on the lower lip, so that the scar is far away from the center of the maxillofacial area and avoids scarring at the corners of the mouth.

In addition, the Z-shaped flap is sutured in an S-shape during suturing, so that the edge of the flap is located in the lip-buccal groove, so that the S-shaped scar on the cheek is consistent with the direction of the skin striae, so as to avoid the corners of the mouth from becoming acute angles, and obtain a smooth and natural shape of the corners of the mouth and a good visual effect of the face. ”

Cai Yizhong suddenly realized that Guo Pengfei also benefited a lot.

After Zhong Yu finished speaking, they slowly digested and absorbed it by themselves, she went to wash her hands first, and said another word of advice before leaving.

"The long-term postoperative effect of anatomical reduction of the unilateral transverse fissure deformity of the dual triangular valve combined with orbicularis oris muscle is good, but you should pay attention to the details during the operation, so as to make the mouth angle more rounded and natural, and increase the aesthetic effect."

The two nodded in unison, and watched Zhong Yu leave respectfully.

Cai Yizhong no longer has a contempt for her, and the previous careful thoughts have also been put away, and she can only get along with people with outstanding strength, only to respect the virtuous and virtuous!

This chapter has a little more word count, and the final result last month was 11th on the new book list, thank you very much for the subscription and monthly pass support of the princes and princesses, I will continue to work hard!!