Chapter 155: Repair of advanced facial paralysis

Zhong Yu likes to deal with cheerful people like Ye Min, and she smiled:

"Thank you Miss Ye for your trust, although our hospital is small, we don't lack anything, you just need to wait for the operation with peace of mind."

Ye Min nodded and said solemnly: "Then trouble Dean Zhong, do I come to the hospital tomorrow or will I be admitted today?"

Zhong Yu Zhengse said: "Come and be hospitalized today, you still need to make relevant preparations before the operation."

Ye Min nodded very cooperatively, and Zhang Xueqian's assistant saw that they were properly arranged, and greeted both sides, and he left.

The hospital is not large, and there are not many wards, but the interior decoration is very fresh and refined, at least Ye Min likes it.

After going through all the formalities, Ye Min moved in comfortably, which was diametrically opposed to Ye Min's state, and Ye was extremely anxious.

"Minmin, should I discuss such a big matter as surgery with your grandfather, in case there is an emergency, I can't explain it to my family."

Ye Min lay on the hospital bed by himself, and said in an indifferent voice:

"The third wife outside my dad just gave birth to an old son for him, and he doesn't have time to take care of me now."

Mrs. Ye's face stiffened, and she forced herself to calm down: "Even if your father has more illegitimate children outside, the property in the family is all yours and your brother's, and you don't have to worry about your grandfather."

Ye Min is not as optimistic as her mother, she took the book she often turned recently, and said sensibly:

"My grandfather will always die one day, relying on the little shares he gave can not suppress my father, my brother is an unbearable wine bag and rice bag, if we rely on him, I am afraid that the second and third wives outside will be torn apart, rather than sit back and wait for death, it is better for me to fight a bloody road by myself, my face is really unsightly, I can't recover without surgery, and now I can heal my face and rely on my grandfather's momentum to enter the company."

Although Ye Min's father is in power, he doesn't know moderation in terms of women, and the second and third wives who were openly brought out by him to entertain are all sons and their abilities are not weak, Ye Min's eldest brother is not better than others except for his superiority in name.

When Ye Min was born, it happened that her grandfather made a profit from investment, so she deliberately spent a lot of money to find the master to approve her life, and it turned out that her life was very expensive, even if she was later diagnosed with congenital facial paralysis, her grandfather also doted on her and firmly believed that she was a noble person.

But this favor is not enough to escort Ye Min for a lifetime, she can only be down-to-earth by rising up and holding real power, and she is used to living a life of a master, how can she be willing to bow down and be small.

Mrs. Ye didn't feel good when she heard this, she regretted not being at the beginning, if the eldest son was stricter when he was young, he didn't let his temperament come, and now it wouldn't be like this.

Her heart ached, and she choked up: "It's all because your brother is not angry, and now I can only let you fight with your life."

Ye Min didn't think much of this, no matter whether her brother fought or not, her good life could only be achieved by her own efforts, whether it was power or money, only those who held it in her own hands were the most at ease.

Mrs. Ye was born in a famous family, she didn't worry about anything in the first half of her life, and she couldn't touch those intrigues, it was impossible to count on her, Ye Min didn't want her to worry about it together, and said with relief:

"Mom, everyone has their own way to go, just have a happy life, don't worry about me and my brother."

Ye Tai is helpless most of the time, she can't hold her husband's heart, and she can't take care of her son's affairs, all she can do is accompany them.

She gathered her emotions and stood up and said, "Then you rest first, Mom will go home and say hello to your grandfather, and then come over to accompany you."

Ye Min immediately objected: "Don't mention this matter to anyone first, others may not be happy to think of me."

Mrs. Ye wanted to say that the old man really loved her, but she didn't want to upset her daughter at this juncture, so she said in a gentle voice:

"Okay, I'll listen to you."

After the two of them finished explaining the matter, Ye Min watched Mrs. Ye leave and sent the life assistant around her out, at this time she just wanted to wait quietly alone.

On the other hand, Zhong Yu stopped receiving consultations after talking to Ye Min, she had to write a detailed surgical plan first, and then check and fill in the gaps and prepare surgical materials.

Chu Jianwen deliberately ran over to ask her if she needed help, and Zhong Yu directly showed her Ye Min's medical records and asked her to prepare narcotic drugs in advance.

This is not difficult for Chu Jianwen, and she will be able to complete it soon.

Chu Jianwen was still quite idle when there was no operation, so she called Zheng Jun when she had nothing to do.

By the way, Zhong Yu's surgery tomorrow, for young doctors like Zheng Jun and Zhou Ze, the more diseases they are exposed to, the more experience they have accumulated, and they only know what their shortcomings are after they stand alone.

Without thinking, he made a request to come and observe, and it happened that he and Zhou Ze did not have an outpatient clinic tomorrow, so they could come over to study.

Chu Jianwen took the initiative to act as a microphone, hung up the phone and came to Zhong Yu, this time Zhong Yu had already designed a detailed surgical plan, and when he saw her, he was very calm, and asked without raising his head: "What's the matter with you?"

Chu Jianwen is not a person who can go around in circles, she said bluntly: "Zheng Jun said that he wanted to come to observe tomorrow's operation, is this okay?"

Zhong Yu didn't think this request was too much, it was strange that they didn't mention it, she said calmly:

"Of course you can come and observe, let them take care of the work at hand, and don't delay the business."

Chu Jianwen said with a smile: "They are working actively, and there will be no outpatient clinic tomorrow, I will thank you for them first, and I will notify them to go."

Zhong Yu shook her head and smiled at the back of her leaving, although she had a detached personality, she had not made any mistakes in her work, and she didn't have to be too strict with her.

When it was time to get off work, Zhong Yu took a look at Ye Min first, and asked Cai Yizhong to take care of it more before leaving, there are no special circumstances where Zhong Yu does not need to be on the night shift.

Although Xiangxiang can get off work on time, she wants to be by Cai Yizhong's side, and the couple will go out for dinner first and then come back.

On the way, Xiangxiang said with emotion:

"Zhong Yu is really amazing, the turnover in the account in the past few days is more than the two of us together in a year, no wonder she would give up such a good job and start her own business."

Cai Yizhong said unhappily when he heard this: "Don't talk nonsense about money, if something goes wrong, you can't be responsible."

Xiangxiang was a little aggrieved and said: "I'm just talking to you, I didn't mention anyone else, my mouth as a financial person must be the strictest, don't count me down at every turn."

Cai Yizhong frowned, and said impatiently:

"I'm not counting you, it's just that this matter can be big or small, you can come to work thanks to the old friendship between the two parents, if you leak the news at will to let outsiders know, what do you let Zhong Yu think of you? It's not like she can't hire employees. ”

Xiangxiang was stunned for a moment, and said a little sneeringly: "No, I didn't tell outsiders."

Cai Yizhong felt a little helpless, she couldn't understand what he meant, she thought that she was in good conditions in all aspects, and she had a personal relationship with Zhong Yu, so she dated her, but after getting married and getting along for a long time, she found that she couldn't keep up with her train of thought at all, and they often talked with a feeling that the donkey's lips were not the horse's mouth.

Cai Yizhong didn't have the idea of giving up at the beginning, but he didn't want to bother to continue to communicate with her, but the things in the hospital's financial books were big or small, and he had to make it clear to her.

"Now that the hospital has just started, it can only be regarded as a small amount of money, if there are more and more patients in the back, the amount of money flowing will be even larger, I am afraid that you will not be able to cope with it, Zhong Yu mentioned to me before, she plans to hire an accountant to come back, I am worried that you will not be able to do it alone, I nodded and agreed."

Xiangxiang was a little flustered and subconsciously asked, "Could it be that Zhong Yu doesn't trust me?" Or am I doing something wrong? Why did you agree to this? ”

The two had already entered the noodle restaurant, and Cai Yizhong ordered two bowls of noodles with the waiter first, and then said:

"It is normal for the regular unit to have two or three or even more accountants, you don't have to worry about it if you don't make a mistake, if the new accountant is more experienced than you, you can learn more from her, remember not to disclose the financial information of the hospital, otherwise I can't save you if you kick the iron plate."

Xiangxiang said unhappily: "I know, don't be angry."

Just when the noodles were served on the table, Cai Yizhong picked up the noodles with chopsticks and sent them to her mouth.

He said with a gentle attitude: "You just have to go to work with peace of mind in the future, just do your job well, I will not be short of money in the future, and if you don't take the initiative to cause trouble, there will be no trouble."

Although Xiangxiang has experienced few things, she is not brainless, she is indeed much inferior to Zhong Yu, and her mother instills in her the concept of marrying a husband from time to time, but she doesn't think Cai Yizhong speaks too much.

Fortunately, Cai Yizhong was vaccinated in advance, otherwise she would have almost made her a big heel.

Cai Yizhong was a lot more relieved to see her words in his ears, and he began to think about Ye Min's condition, imagining what he would do if he received such a patient with advanced facial paralysis.

Although Zhong Yu had mentioned to him the improved sternocleidomastoid muscle transfer method to repair advanced facial paralysis, he still knew a little about some things, and he couldn't completely understand it without observing it with his own eyes.

Xiangxiang was a little aggrieved, eating noodles without knowing the taste, the relationship between the two was originally what she took the initiative to beg, and now that they are married, the cognitive level of the two is very different.

In the past, she thought that Zhong Yu was powerful, but she would not be at ease, because it would not affect her life.

Now watching her husband chasing her footsteps, every time he mentions her in a respectful tone, even if there is no love between the two of them, she still feels uncomfortable.

She knows that if Cai Yizhong can learn Zhong Yu's skills, her future future is limitless, even if she is reluctant, she will still take the initiative to get closer to Zhong Yu.

What she didn't know was that Zhong Yu would not waste her precious time on others, she came to the hospital early the next day, and after Cai Yizhong had made all the preparations before the operation, Guo Pengfei hurried over with a bun in his mouth.

Chu Jianwen looked at the handful of hair on the top of his head and said with a smile:

"Didn't Dr. Guo look in the mirror before going out? Your bunch of goofy hair is quite unusual. ”

Guo Pengfei was a little embarrassed and said: "I overslept in the morning and didn't have time to clean up, I didn't delay the operation, right?"

Zhong Yu waved his hand, "Eat breakfast quickly, let's go to the operating room first." ”

Guo Pengfei and Cai Yizhong are both her assistants, and it is okay to arrange a nurse to take care of minor surgeries, but Ye Min is the owner of the one million consultation fee after all, so they naturally have to wait for it, anyway, they don't want to miss the opportunity to learn.

Zheng Jun and Zhou Ze didn't come too late, and they had already gone in when Guo Pengfei changed into surgical gowns.

Ye Min was quite calm when he was pushed into the operating room, but suddenly seeing so many doctors there, he suddenly became a little nervous.

Zhong Yu smiled and said with relief: "The two people standing in front of the operating table are my assistants, and the two next to me are here to observe and learn, there are more people, you don't have to care about them."

Ye Min nodded slightly, she had no opinion, anyway, she didn't know anything after the anesthesia.

After the anesthesia took effect, Zhong Yu cut Ye Min's skin according to the design, and she sneaked along the deep surface of the platysma muscle to peel off, and after lifting the flap, the full length of the sternocleidomastoid muscle was revealed.

She didn't stop moving her hands, and said in a calm voice:

"During the operation, attention should be paid to protecting the patient's lateral superficial jugular vein, preserving the cervical plexus as much as possible, and fully stopping the bleeding when cutting off the sternum and clavicle attachment points of the sternocleidomastoid muscle."

The four of them responded in unison, and then she lifted the sternocleidomastoid muscle, separated from the mastoid end along the deep part of the muscle, and reminded again:

"Attention should be paid to protecting the deep jugular veins, and small trophic vessels encountered in the middle and lower parts can be ligated, but the trophic veins encountered in the upper segment should be preserved as much as possible."

Zhong Yu carefully dissected the accessory nerve at the posterior edge of the middle of the muscle, and then separated along the nerve to the mastoid end, and in the deep part of the upper sternocleidomastoid muscle, the sternocleidomastoid muscle branch of the accessory nerve and the accompanying sternocleidomastoid muscle trophic artery emitted by the occipital artery can be exposed.

Zhong Yu pointed here and said solemnly: "Pay attention to protection, don't damage."

The four of them immediately noted that in order to reduce the restriction of the accessory nerve when the muscle was transposed, Zhong Yu carefully split the sternocleidomastoid muscle branch from the main trunk of the accessory nerve by 1~2cm to increase the amplitude of the muscle transposition.

The operation continued, Zheng Jun saw that the patient's accessory nerve was bifurcated in the muscle after entering the sternocleidomastoid muscle, sending out the sternocleidomastoid muscle branch, and he whispered to Zhou Ze: "This kind of anatomical structure will undoubtedly increase the difficulty of the operation!"

Zhou Ze's face was solemn, he didn't care about responding to Zheng Jun, and was staring at Zhong Yu without blinking.

At this time, the accessory nerve entry and exit muscles should be exposed, Zhong Yu carefully observed, carefully cut off part of the muscle bundle on the deep surface of the nerve, fully exposed the nerve bifurcation and split 1~2cm proximal for muscle abdominal transposition.

When she did this step, everyone relaxed, Zhong Yu unconsciously sneaked from the anterior incision along the superficial layer of the parotid fascia, downward obliquely to the nasolabial fold incision to separate an arc-shaped tunnel, and then pierced the sternocleidomastoid muscle through the tunnel, adjusted the muscle tension moderately, and then sutured the orbicularis oculi muscle between the lateral foot of the nasal alar and the corner of the mouth.

Due to the long course of Ye Min's disease, there was no orbicularis ori muscle on the affected side of her cheek, so Zhong Yu sutured the sternal head and clavicle head of the sternocleidomastoid muscle with the orbicularis oculi muscle on the unaffected side through the subcutaneous tunnel of the upper lip and lower lip, respectively.

She kept moving like a cloud in her hands, and carefully advised:

"In front of the ear, the muscles and abdomen should be tightened and the deep temporal fascia should be sutured and fixed for several stitches to prevent the muscles and abdomen from moving downward, and at this time, the left and right corners of the mouth should be symmetrical or the affected side should be slightly overcorrected."

Because the angle of the mouth on the affected side is raised, excess skin in the nasolabial fold on the affected side should be excised to further elevate the corner of the mouth.

Zhong Yu sutured several stitches under the skin and deep muscle membrane at the incision site to reconstruct the nasolabial fold, and then sutured the incision for negative pressure drainage.

In the end, she looked at Cai Yizhong and carefully admonished:

"The drain can only be removed after 48 hours, and the patient will be treated with conventional anti-infection treatment after surgery, and the sutures will be removed intermittently for 7 days, and the functional exercise of the displaced muscles can only be started after 1 month if there is no problem."

This is to hand over the postoperative care to Cai Yizhong, who also wants to observe the patient's postoperative reaction in detail, so he readily agrees.