Chapter 110: Total Nose Reconstruction

This sudden incident did not affect Zhong Yu's mood, and she was still in the mood to taste the buns in the car.

In fact, I ate a lot of dishes at Ji Xueli's house just now, but I always felt empty when I didn't eat staple food.

Ji Xueli drove the car with a stinky face, and when Zhong Yu fed him in his mouth, he found that he was unhappy, and comforted him with a smile:

"There are many opportunities to accompany your parents to eat, it is not good to delay the best time for the patient's treatment, you can't show face to the dean when you go to the hospital later, we are all here, there is no need to leave a handle on people."

Ji Xueli is emotional, today is a very important day for him, he brought his beloved girl to his parents, it was a warm and joyful time, and this phone call was completely ruined.

He wiped his face, cheered up and said, "I'm really sorry to make you have a good meal."

Zhong Yu smiled and touched his shoulder with his shoulder, and said considerately:

"It's not your fault, what's there to apologize for, I'm just curious, the beautiful little girl of the art troupe, usually in addition to performances, most of the time is rehearsals, how can someone ruin her face and cut her nose, what a grudge this is."

Ji Xueli is not very clear about the specific situation, he said objectively: "Those who can be accepted as apprentices by Captain Cen should have very solid professional basic skills, but there are many women in the art troupe, and there are not a few intrigues, so it is not impossible for such a vicious incident to occur."

Zhong Yu recognized his words, just like the entertainment industry, there is only one good role, but anyone who wants fame and fortune has to fight.

When the two arrived at the hospital, they had adjusted their condition, and as soon as they arrived at the door of the emergency room, Zhong Yu saw the dean's wife who was too frightened and was shedding tears.

Seeing Zhong Yu, Cen Xi was like seeing a savior, she rushed to Zhong Yu, took her hand and said:

"Ah Yu, Xinning, this child is so pitiful, you must save her, her face is ruined and she has no nose, if she can't be cured, her life will be over......"

It could be seen that Cen Xi loved her apprentice very much, Zhong Yu patted the back of her hand with relief, and said calmly:

"Aunt Cen don't worry, I will do my best to save her."

Dean Luo hurriedly helped Cen Xi aside and persuaded in a low voice:

"Zhong Yu is here, what else do you have to worry about, she is a professional doctor, and your crying will delay her time."

Then he said to Zhong Yu: "You two go in and see the patient, I am here."

Dean Luo was not worried that his wife was waiting at the door alone, Ji Xueli nodded, and followed Zhong Yu into the emergency room.

The doctor, who was originally helping the patient clean the wound, suddenly lost the pressure when he saw Zhong Yu coming in.

He didn't hesitate to get out of the way and said politely, "Doctor Zhong, you'll deal with it."

Zhong Yu had already changed into a surgical gown and cleaned and disinfected, she wore a mask and said calmly:

"Did you give her a full body check-up?"

The emergency room physician replied, "The examination is good, and the dean said that you will wait for the follow-up arrangement."

Zhong Yu knew in his heart, and when he came to the patient, Song Xinning was in a state of shock because of severe pain and panic.

Zhong Yu carefully checked for her, and then said to Ji Xueli:

"The examination showed a total nasal loss, a partial soft tissue defect in the left infraorbital and buccal areas, communicating with the upper collar sinus and the oral cavity, a partial defect in the soft tissue of the upper lip and free of the cheek, only the right side was connected to the cheek, the left upper eyelid and the pinnacle were lacerations, and the occipital scalp was lacerated in multiple places, requiring immediate surgery."

Even if Ji Xueli is not a plastic surgeon, he can hear how difficult this operation is, and he said with a solemn face:

"I'll work with the emergency physician as an assistant for you, and you can report what you need for the drug materials, and I'll have people prepare them immediately."

When he said this, it was equivalent to putting pressure on Zhong Yu, which was also a choice that had no choice.

Zhong Yu had no objection to his arrangement, and she quickly entered the work state.

Ji Xueli took advantage of Zhong Yu's debridement of the patient, and he went out to make a phone call to Principal Yang.

Zhong Yu has already shouldered a heavy responsibility, and he wants her to get the most out of this matter.

Zhong Yu's attention at work is highly concentrated, she only has patients in her heart, and she doesn't know that Ji Xueli goes out on a trip.

Debridement and detension sutures are performed under local anaesthesia, in which Zhong Yu carefully repositions the free and lacerated soft tissues and sutures, and then seals the inner layer of the wound that communicates between the oral cavity and the upper collar sinus.

The large area of the infraorbital buccal defect was reduced and sutured, and she minimized the wound as much as possible, which was more conducive to wound healing.

She didn't feel the passage of time as she did this, nor did she notice Principal Yang standing on the sidelines to watch her surgery.

Zhong Yu designed a surgical plan in mind, and she used a thoracic triangular flap to repair the whole nose and part of the infraorbital, buccal and mid-face defects.

Ji Xueli tacitly cooperated with her, she first used a skin tube to establish good blood circulation, and then performed a full nose reconstruction and cheek defect repair.

According to the length of the skin tube and the size of the infraorbital and buccal defects, she cut off the lower 1/3 of the skin tube, then cut the skin tube, removed the excess subcutaneous tissue, performed total nasal reconstruction at the upper end, and repaired the infraorbital and buccal defects at the lower end.

Zhong Yu first repaired the infraorbital and buccal defects, longitudinally dissected the lower part of the skin tube, removed part of the subcutaneous adipose tissue, and then removed the infraorbital and buccal defect scar tissue, exposed the wound, released the infraorbital area, and reduced the paralyzed scar tissue in the infraorbital area caused ectropion, and then sutured the skin flap with the lateral side of the left upper lip, the infraorbital and the edge of the buccal defect.

All her movements are smooth, natural and pleasing to the eye, Yang Zhao looks at her easy appearance, and admires it from the bottom of his heart.

Zhong Yu didn't notice his presence, and she was about to undergo a key step of full nose reconstruction.

The nasal lining consists of two parts, and she sutures the base of the nose and the wound skin and scar tissue on both sides relative to each other as a small part of the nasal lining.

The skin at the lower end of the tube is then folded inward to serve as a large part of the nasal lining and sutured with the upper nasal lining to form a complete nasal lining coverage.

Next, she performed extranasal formation, and according to the size of the flap and the shape of the created nose, she trimmed the lateral edge, sutured the lateral edge of the flap in alignment with the skin of the wound on the edge of the plough foramen, and sutured the lower base of the nose with the wound of the upper lip to form the nostrils.

Then, the columella is formed, and the middle part of the skin at the lower end of the skin tube folds inward, and the lower end is sutured with the median wound of the upper lip to form the columella.

Finally, when the nostrils are supported and fixed, her two nostrils are supported and fixed with iodoform gauze strips wrapped around the urinary catheter, and she is supported and fixed with iodoform gauze strips on both sides of the nasal back, and the thick threads are sutured and fixed, and the wings and sides of the nose are fixed with gauze rolls to support the nasal shape.

The whole operation was time-consuming and labor-intensive, and the day was already bright after the operation.

Zhong Yu shook his strength weakly, Ji Xueli hurriedly helped her up, his eyes were full of anxiety.

Zhong Yu looked at him and smiled, and comforted him softly:

"I'm fine, it's just that I've been standing for too long, and the patient can be sent to the ward, pay attention to post-operative care."

The emergency room physician felt that Dean Ji's eyes were terrifying, and he didn't dare to breathe, so he couldn't wait to shrink his body and push the person away.

After the patient was pushed out, Principal Yang couldn't help but ask:

"Doctor Zhong, why did you choose the chest triangle flap for restoration?"

Zhong Yu was startled by this sudden voice, she looked at Principal Yang with a puzzled face, and Ji Xueli quickly explained:

"Ah Yu, this is Principal Yang, he is here to observe your operation."

Only then did Zhong Yu understand what was going on, she greeted Principal Yang politely, and then said:

"There are many methods of whole nose reconstruction and repair, the source of skin tissue is mainly skin flap or tube transplantation, when I choose the source of skin tissue, in addition to considering that the skin tissue flap is easy to form, I should also consider that the flap blood is abundant, the color and texture should be similar to the normal nose, the later shrinkage is small, the flap is thin and tough, which is convenient for the formation of the nose structure, the fixation is simple and comfortable, and the course of treatment is short."

Principal Yang couldn't stop nodding, what she said was very reasonable, and Zhong Yu continued:

"Simple total rhinoplasia can be repaired with frontal flaps, forearm flaps, upper arm tubes, abdominal tubes, and thoracoacromial tubes. At present, the frontal flap is the most used in clinical practice, but in this case, due to the large area of the middle facial defect, the wound is connected with the oral cavity, nasal cavity, and upper collar sinus, and it is difficult to repair. ”

Principal Yang was amazed by her and continued to ask, "What are the characteristics of the chest triangle flap?"

Zhong Yu almost didn't have to think, she opened her mouth and came.

"The area of the thoracic triangular flap can reach 10cm×22cm, and it is close to the face, the color of the thoracic triangular flap is similar to the face, and the skin thickness of the thoracic triangular flap is appropriate, elastic, and the shape of the nasal alar and columella is better, and it is easy to maintain the shape of the nose.

Through a series of improvements, the thoracic triangular flap has been lengthened and the area of the thoracic triangular flap has been increased, which is more suitable for the reconstruction of large areas of the mid-facial defect, including total nasal defects. ”

Principal Yang listened to what she said, recognized her strength from the bottom of his heart, glanced at Ji Xueli who was protecting Zhong Yu with a smile, and said to Zhong Yu:

"When Xueli recommended you to me, I thought he was carried away by love, and I didn't believe how powerful you could be at a young age, but it turned out that I was indeed narrow-minded, can Doctor Zhong take the time to go to the Military Medical University to teach students a lesson?"

Although Zhong Yu was happy to be recognized by him, she was not to the point of being overjoyed, and she smiled gently:

"Absolutely! I would like to thank President Yang for taking time out of his busy schedule to observe the surgery and for giving me the opportunity to exchange and learn from young people. ”

Principal Yang is a man of temperament, and he laughed when he heard her say this.

"You yourself are so young, and you still say that students are young people, which doesn't sound right."

Zhong Yu's face was lazy, her psychological age was more mature than that of a student, and it was not easy to refute, so she said softly:

"Then I'll prepare a project for you to review first, and then go to class when I don't have a job here?"

Principal Yang likes young people who are thoughtful and not reckless, and he nodded happily and agreed.

"Then you have to implement this as soon as possible, young students are thirsty for knowledge, you come earlier, so that they can preach and receive karma as soon as possible."

Zhong Yu smiled and nodded in agreement, Ji Xueli saw that her eyes were blue and black, and she was eager to protect her, so she directly interrupted:

"Yang Xiao, this matter is settled, Ah Yu is too tired, she has to go back to rest."

Principal Yang also loves talents, and said happily: "Then I'll say hello to you Dean Luo before leaving, you have a good rest."

It's really Ji Xueli's intention to drive people away is too obvious, and Principal Yang can't stay and talk more.

Zhong Yu was directly packed and sent home to sleep, and then he drove back to the hospital alone to deal with the follow-up matters.

She worked all night under such high-intensity conditions, and she really couldn't go to work during the day, so she went home and slept in the dark, and didn't wake up until more than four o'clock in the afternoon.

She also has a small night shift at night, and she has enough rest during the day, but she is embarrassed to leave the night shift to others at night.

I got up and quickly dressed and washed, went to the hospital cafeteria for dinner, and then went to the office.

Chu Jianwen was also on duty at night, and when he saw Zhong Yu, he said exaggeratedly:

"It's pitiful, one night's time has made our Director Zhong tired and thin, look at this little face."

Zhong Yu ignored her and walked straight to his office.

Chu Jianwen followed behind her, and said with a big grin while nibbling on apples:

"Do you guess why Aunt Cen's apprentice was cut off and his face was cut out in public?"

Zhong Yu put the bag in the cabinet and shook his head cooperatively, Chu Jianwen opened the conversation box and said with disdain:

"I saw Song Xinning at Aunt Cen's house when her face was not ruined, she was not as beautiful as you, she looked soft and weak, she cried her nose at every turn, who knew that she dared to seduce a married man in private, and the person she provoked was originally crazy to ruin her face, and she deserved it."

Zhong Yu was very surprised, "Since the dean's wife accepted her as an apprentice, is it difficult not to inquire about her as a person?" ”

Chu Jianwen swallowed the apple in his mouth and said nonchalantly:

"Actually, Aunt Cen is too well protected by Dean Luo, she can't tell the difference between good and bad people, getting along with others is all based on feelings, that Song Xinning is thoughtful, she pretends to act in front of Aunt Cen skillfully, and it is easy to gain her favor."

Zhong Yu thought back to Cen Xi's personality, which was indeed relatively simple and simple, and she asked curiously:

"And how do you know the truth?"

Chu Jianwen threw the apple core into the trash can and said calmly:

"That stinky man who is in the twilight, his wife doesn't stop doing it, thinking of killing Song Xinning in the hospital, but she was caught red-handed, she shouted loudly like a joke, everyone knows about it, where can I hide it."

Zhong Yu frowned, and said with some concern: "Isn't the dean's wife sad?"

Chu Jianwen nodded, "Aunt Cen was taking care of her in the ward at the time, and she was considerate that her family was far away, so she wanted to take care of herself more, who knew that she would hear such a truth, and she was also angry." ”

Although Zhong Yu has never seen Song Xinning when her face is intact, judging from her bone appearance alone, she should look good.

She is a literary female soldier born in the art troupe, with Cen Xi, the head of the regiment, and it should not be difficult to marry an officer in the future, so why destroy her future.

She couldn't figure it out, so she told Chu Jianwen directly, Chu Jianwen was clear about this matter, and she was not surprised at all.

"Do you think those people are stupid, then Song Xinning is a girl from a fishing village, her family is poor, no matter how beautiful she looks, others don't want to help the poor.

Besides, who wouldn't want to climb up? But if there is a background and high status in the family, how can she fall in love with a woman like her, she has no future and is unwilling to take care of it, she is getting older, and she can't marry for a lifetime before retiring. ”

Zhong Yu understood, she was also in a hurry to go to the doctor.

Chu Jianwen gloated: "She probably didn't expect that although his wife is a rural woman who has never studied in the countryside, she has a ruthless spirit, she still has a pair of children, how can she keep her safe, Song Xinning's reputation will be ruined, and the future will be miserable."

Zhong Yu only felt sad, if these two women loved themselves a little more and didn't pin their future lives on useless men, they wouldn't have come to this point.

(End of chapter)