Chapter 105: Mandibular traction osteogenesis

The only grandson of the king of the boat, Ji Xueli naturally has some impressions.

He and Zhong Yu hadn't come that far before, and they didn't pay much attention to him.

Later, he vaguely heard some gossip, and based on his understanding of Zhong Yu, he didn't think much about it.

After Zhong Yu sat down, he said as if unintentionally:

"Why do I think he's a little scared of you?"

Zhong Yu looked at the menu and said distractedly:

"Probably when I operated on him, I was too impressed with him, and there are still shadows to this day."

Although Cheng Ye's surgical information is secret, he still can't hide it from Ji Xueli's level, from his perspective as a doctor, it is just a normal operation, why not.

"I really don't know what young people think now, I remember that you and Dr. Cheng Yuan from the People's Hospital are classmates, are they cousins?"

Ji Xueli was purely chatting with her, and he didn't think that Cheng Yuan or Cheng Ye would pose a threat to him.

After Zhong Yu chose the dishes he wanted to eat, he smiled and said, "What are you doing so much?" Could it be that there is a sense of crisis? ”

Ji Xueli first called the waiter to order, and after waiting for someone to leave, he said easily:

"Doctor Zhong is too good, there are too many people who covet it, and I know that I know that I can win all battles."

Zhong Yu teased: "When did Dean Ji become so unconfident?"

Ji Xueli is serious.

"My partner is too good, and I am under a lot of pressure, and it has nothing to do with whether I have confidence or not."

Zhong Yu took a sip of lemonade, and his voice was not slow.

"If you stay with me and don't make you better, then there is no need for this relationship to continue."

Ji Xueli's breath was stagnant, and he couldn't help but feel a little flustered, he didn't expect Zhong Yu to say such ruthless words.

He explained with a complicated expression, "I was just joking, am I so weightless in your heart?" Can be easily discarded? ”

Zhong Yu saw that he wanted to talk about a deeper topic, so he couldn't help but say:

"What I just said is not that I don't care about you, it's just that people keep moving forward, and the current state of mind can't represent the future, maybe in a few years, you will have no feelings for me first, and you will suffer in a relationship without love, not only can you not make yourself better, but you will become hateful, which is not necessary."

Ji Xueli relaxed a little because of her explanation, and he smiled bitterly:

"I thought that after I encountered feelings, I would remain calm and rational, but now it seems that I overestimate myself a little, and I am very sure that I am reluctant to let go of your hand whether it is now or in the future."

Zhong Yu saw the sincerity in his eyes, she believed what he said at the moment, couldn't help but reach out and touch his cheek, and said with a smile:

"I'm very lazy, as long as I live comfortably, I don't want to change easily, you behave well, the future is promising!"

Her seemingly joking words of encouragement were like a shot in the arm for Ji Xueli and made him stretch his brows again.

Zhong Yu seems to be gentle and not aggressive, but in fact she is very strong, whether it is at work or in relationships, she has to occupy the right to speak, and Ji Xueli is also not weak, but the feelings are particular about your love and my willingness, whoever pays more is destined to lose.

Although neither of them is interested in Western food, it feels okay to eat once in a while.

When she got home, it was already past nine o'clock at night, and Ji Xueli sent her home very measured and left.

The people living around the family building are all hospital colleagues, they are in love openly, and they don't want to leave any arrangements for gossip, Ji Xueli is more thoughtful than Zhong Yu in this regard.

As soon as Zhong Yu came home, he put down his luggage and looked around, in addition to cleaning the house, two potted plants were added to the balcony, but he didn't see that Ji Xueli was quite interesting in life.

Before leaving, she also brought her mother's braised beef and small pickles, and planned to put them in the refrigerator to refrigerate, and she smiled as soon as she opened the refrigerator door.

Ji Xueli stuffed it with a lot of fruit and milk, and she subconsciously looked at the wine cabinet, and there was bread on it.

She has to give Dean Ji full marks for this wave of operations, and having a boyfriend who can take care of people like this is full of experience.

She picked up the phone and dialed it out in a good mood, Zhou Qin on the other end of the phone had already gone home, she answered the phone quickly, and when she learned that Zhong Yu had arrived safely, she was finally at ease.

This night, Zhong Yu was in a good mood and had a good night's sleep, and the next day he had breakfast at home before he went to the hospital to report in a hurry.

Now she is a regular employee of the General Hospital of the Military Region, and she has to go through the procedures first when she arrives at the hospital, so there is no need to worry.

When she arrived at the General Hospital of the Military Region, she first went to the president's office, and Dean Luo was very happy to see her, and said enthusiastically:

"It's a good idea to bring you back, the upper arm dismemberment and replantation surgery you did for No. 10 perfectly amazed everyone, and if there are related diseases in the future, we won't sigh."

Zhong Yu said modestly: "The success of the operation was due to the timely delivery and the patient's own condition is not too bad, he is still relatively lucky."

Dean Luo agreed with her very much, if No. 10 hadn't been lucky enough to meet her, I don't know what situation he would have fallen into.

As Ji Xueli expected, Zhong Yu's previous outstanding performance was obvious to all, and the icing on the cake of the No. 10 case made her famous in the General Hospital of the Military Region.

Dean Luo is undoubtedly the most suitable person to lead the plastic surgery department, whether it is because of the development prospects of plastic surgery or the high recognition of Zhong Yu's personal professionalism.

After the two finished greetings, Dean Luo said:

"The previous academic exchange meeting was to find excellent plastic surgeons, this department has not been established for a long time, and there has been no one who can take the lead, you just filled this gap, and now your working relationship has been transferred, and it is time to take responsibility."

Zhong Yu's face was calm, although she had not been in the General Hospital of the Military Region for a long time, she had already figured out the general situation inside, and it was expected that there would be a change in her position after she came over.

"Thank you for the dean's trust, as long as you don't think I'm too young and dare to entrust me with important tasks, then I will naturally be respectful rather than obey."

Dean Luo laughed out loud and said with emotion: "It's good to be young, young and more energetic and more capital to work hard, from today onwards, I will officially appoint you as the chief physician of plastic surgery, and Director Zhong will play a leading role!"

Zhong Yu solemnly agreed, and did not refuse, she is just an ordinary ordinary person, and she will be happy because of her promotion and salary increase.

When he came out of Dean Luo's office, he didn't meet Ji Xueli, and now that he has a different position, he must be busy.

The previous office was no longer suitable for her, and the personnel department arranged a new office for her, also because there were not many doctors in the department, otherwise there would be no conditions to open a separate room for her.

Zhong Yu plans to go to the office to put away his things first, and then go to greet his colleagues.

As soon as she appeared, Chu Jianwen brought Zheng Jun and Zhou Zehuan to greet her, Chu Jianwen hugged her, and said with a smile: "Warmly welcome our Director Zhong back~"

She deliberately bit Director Zhong's three words very hard, and Zhong Yu was a little surprised:

"The dean just mentioned this to me, how do you all know."

Zheng Jun explained with a smile, "The dean held a meeting earlier to discuss this matter, you were elected by unanimous vote, and the court issued an announcement yesterday, and it is estimated that you are the last one to know." ”

Zhong Yu smiled dumbly, "No wonder you're all waiting here, let's go back to the office first." ”

Chu Jianwen held her hand and the two chatted while walking, Zhong Yu, the director of the department, they were convinced, she didn't need to worry about the people under her hands not obeying at all, she crushed everyone with absolute strength, so that everyone had no chance to question it at all.

Zhong Yu considered that Wang Qiang and his wife might bring their children to the doctor, so they did not stay in the office for too long.

As expected, as soon as she went to the outpatient hall, she saw the couple holding the child and didn't know how long they had been waiting.

Seeing Zhong Yu and the two of them were very happy, Zhong Yu took their family of three into the consultation room with a friendly attitude, directly opened a checklist for them, and asked them to take their children to do a systematic examination first.

After getting the test results, Zhong Yu carefully looked at them and told them for sure that they could now be treated by mandibular traction osteogenesis.

Xu Jing was so excited that she couldn't help herself, and Wang Qiang was also a little choked, this operation was the first operation after Zhong Yu officially joined the company.

Although she can understand the couple's urgency, she can't do it for the child right away.

They still have to wait for the operating room to prepare medicines and related materials first, the couple has been suffering for so long, and they don't care about waiting for one more day, so they will first admit the child to the hospital and prepare for the operation.

Zhong Yu has been treating several patients at the beginning of his work, and he has not stopped since he sat in the consultation room, and he has not taken care of other things at all.

After she was busy, she took the time to rearrange the rotation schedule of the department staff, and did not make any major changes, but added her own name, so that everyone else could have more time to rest.

Before getting off work, Ji Xueli specially called her and said that he had surgery to do at night and couldn't eat with her.

Zhong Yu is alone most of the time, and he doesn't think that he has to stay together every day when he falls in love, so he directly lets him work with peace of mind and doesn't have to worry about himself.

As soon as she walked out of the hospital gate, she ran into an unexpected person.

Cheng Yuan smiled calmly when he saw her, walked up to her and said naturally:

"I heard that your work relationship has been transferred, and I came to see how you are."

After all, they were old classmates, and she was alone in Guangzhou and had no relatives to take care of her, so she finally persuaded herself to visit her.

Zhong Yu seemed to have forgotten the past, and she said calmly:

"I also just transferred over, and now I'm the director of the plastic surgery department, and everything is fine at the moment."

Cheng Yuan felt that he was getting farther and farther away from her, but he had to remain calm on his face when he was bitter in his heart.

"Then I congratulate you on your promotion and salary increase, I wonder if I can invite you to have a meal with you to celebrate?"

Zhong Yu was a little hesitant, she now has a love interest, and she should keep an appropriate distance from other men.

This is to give her partner a basic sense of security, and also to avoid unnecessary misunderstandings.

She smiled apologetically, "I made an appointment with my partner to have dinner in the evening, he has surgery and has to get off work a little late, so I will go shopping first to buy some things for the family." ”

The smile on Cheng Yuan's face almost couldn't be hung up, the reason why he came over was because Cheng Ye called him last night.

When he said on the phone that Zhong Yu had a partner, he was still a little incredulous, and when he heard that the person was Ji Xueli, he had a sense of fate.

Cheng Ye scolded him for being unproductive, and he was even powerless to refute it, his coming to this trip was tantamount to looking for abuse by himself.

He said in a difficult voice: "Congratulations, Cheng Ye asked me to apologize to you, he didn't mean to rob you last night."

Zhong Yu didn't seem to see his sadness, and only said with a light smile:

"I didn't take last night's incident to heart, if you don't mention it, I'll forget it, I've found a partner, you have to hurry."

Cheng Yuan smiled and pretended to be relaxed: "My mother always tells me about this, and I plan to listen to her go on a blind date."

Zhong Yu nodded and said sincerely: "Blind dates are not necessarily a bad thing, they are all people who know the roots, and they can save a lot of trouble."

Cheng Yuan's chest was a little stuffy, and he didn't know what kind of expression to use to face her.

Zhong Yu raised his hand and looked at his watch, and said apologetically:

"I can't talk to you here, I have to go first, you have something to call me."

Cheng Yuan was not staying, watching her leave, and realized very clearly that he had no chance in this life.

Zhong Yu didn't take Cheng Yuan to heart, and she wouldn't be affected in any way because of him, she didn't even feel guilty.

The next day, they still came to work in excellent condition, knowing that there was an operation to do, Zheng Jun and Zhou Ze were eager to try.

After they coaxed the child to the operating room, everyone was ready.

The surgery is performed under endotracheal intubation under general anesthesia.

In order to preserve the integrity of the dentition of the pediatric patients due to the small size of the mandible, the osteotomy was completed by the extraoral submandibular approach and the retractor was placed in all cases.

The extender rotating rod was threaded through the skin and placed outside the mouth, and the osteotomy method and different traction devices were selected according to different types of deformities.

The osteotomy, retractor placement and traction method adopted by Zhong Yu is to make an incision parallel to the mandibular margin about 1 cm below the lower edge of the mandible on both sides, and the length is about 4 cm.

Separating to the mandibular limbal periosteum, she took great care to protect the mandibular limbal branch of the facial nerve.

Skillfully cut the periosteal horizontally, and do subperiosteal dissection to reveal the mandibular body and anterior part of the ascending ramus.

Then, before the junction of the mandibular body and the ascending branch, the buccal cortex of the mandible is vertically amputated with a fine fissure drill, and then the bone chisel is used to wedge into the osteotomy line near the mandibular margin and pry it to make the mandibular bone completely severe.

A 03 cm long incision is made 2 cm before this incision, and blunt separation is made until it communicates with the prepared wound cavity.

The extender is then inserted, and the rotating rod extends through the small incision in the front so that the extender plate rides in front of and behind the osteotomy line.

Zhong Yu carefully adjusted the direction and fixed it to the mandible with screws.

Depending on the hardness of the bone and the thickness of the mandible, fixation screws are usually used to fix the single-layer cortex with 5mm screws, and individual screws are used to penetrate the medial and lateral bone cortex to fix, and finally the incision is sutured in layers.

The operation lasted six hours, everything went well, Zhong Yu took off his mask and told Zheng Jun:

"Starting tomorrow, you rotate the extender once a day in the morning and evening, pull at a speed of 15mm per day, and after continuous traction for 10~20 days, keep the extender in the body for a period of time to allow further hardening of regenerated bone."

Zheng Jun nodded solemnly in agreement, and then pushed the child out.

When the door of the operating room opened, Xu Jing rushed up as soon as possible.

Because of the nervousness and long waiting, Xu Jing's legs were a little weak when she walked suddenly, if Wang Qiang hadn't helped her in time, I was afraid that she would have fallen to the ground.

Seeing Zhong Yu, Xu Jing asked a little nervously:

"Dr. Chung, how is the child? Was the surgery still successful? ”

Pity the hearts of parents all over the world, and it is always the parents who are most worried about the safety of their children.

Zhong Yu was relieved: "The operation was very successful, and when his postoperative wound grows, he will be no different from a normal child."

Xu Jing smiled and nodded, tears of excitement slid down her face, and the dark cloud above her head was finally dispelled at this moment.

The couple kept thanking Zhong Yu, if it weren't for other medical staff to comfort them, Zhong Yu would be a little unbearable.