Zhong Yu paused, looking at Cheng Ye's eyes full of suspicion, she subconsciously wanted to refuse, and said indifferently:

"I still have something to do in the hospital, Mr. Cheng might as well say it here if he has something to say."

Cheng Ye pleaded with a sad face: "Doctor Zhong, my grandfather's situation is a little special, so I can only trouble you to go over in person."

Zhong Yu has not had much contact with the Cheng family for most of the year, and when her hospital opened, she vaguely remembered that Master Cheng had asked someone to send a flower basket over, and she couldn't be too ruthless in this regard.

She said tentatively: "But what happened to Old Man Cheng's body?"

Cheng Ye was not as high-spirited as before, he had grown a lot older, and his voice was full of tiredness and said:

"It's not convenient to talk too much outside, you can see for yourself."

Although Zhong Yu didn't ask anything, he guessed that there was a high probability that Old Man Cheng was in a physical condition, and since he wanted to see her, he still had to go.

She said: "I can only go for an hour at most, and I really can't leave the hospital."

Cheng Ye immediately assured: "One hour is enough, I will personally send you back to the hospital later, and I will definitely not delay your business."

Zhong Yu finally got into the car with him, the atmosphere on the road was dull Zhong Yu was a little uncomfortable, when he first met Cheng Ye, he was still an unrestrained young master, but now he looks like he has matured a lot.

Knowing that he had no bad intentions, Zhong Yu simply closed his eyes in the car to recuperate, and he didn't know how long it took for the car to finally stop.

Zhong Yu opened his eyes and looked sideways, the car had already driven into the villa, Cheng Ye didn't wait for her to ask, and said:

"This is our family's old house, and now I live here with my grandfather."

Zhong Yu nodded and didn't say much, got out of the car and followed Cheng Ye to the house, Old Man Cheng is known as the king of ships, and the wealth he has accumulated is countless, and the ornaments in the villa can be seen to be worth a lot even if Zhong Yu doesn't know the goods.

She didn't look curiously, she just followed Cheng Ye upstairs, and when she walked to the door of the room, Cheng Ye stopped and said softly:

"Trouble Doctor Zhong wait a moment, I'll go and say hello to grandpa first."

Zhong Yu nodded in agreement, stood at the door and waited quietly, Cheng Ye didn't stay long when he went in, he came out after a while, Cheng Ye came out and said softly: "Doctor Zhong, my grandfather just woke up, please come in."

Zhong Yu followed him into with a solemn expression, the curtains in the room were half-opened, the light inside was a little dim, and Zhong Yu saw the old man sitting at the head of the bed at a glance.

The old man was very different from the energetic appearance in his memory, he was very emaciated, and he had a penetrating defect in the maxillofacial area caused by radical resection of malignant tumors, which looked a little scary.

Seeing her coming, the old man cheered up and said, "Doctor Zhong has run away, I scare you like this, right?"

Zhong Yu shook his head and said in a relaxed tone: "The old man is too worried, I have seen a lot of information about you, and it is nothing like you."

Old man Cheng laughed in a good mood because of her words, he hadn't laughed for a long time, laughed a little hard, and took a breath to calm down, he said helplessly:

"I'm useless now, Cheng Yuan can't even drink a glass of wine when he gets married, but I wrapped him a big red envelope, which can be regarded as a whole, it's a pity that kid missed you, you just came to see the luxury of our family, and now it's too late to regret it."

Zhong Yu couldn't cry or laugh, at this time, his old man still had the heart to joke, Zhong Yu had to refuse again:

"I already have a partner, and I really have no fate with Cheng Ye."

The disappointment in Old Man Cheng's eyes flashed, and he sighed:

"You married the wife of my big family business, and my old bones won't live long, and it will definitely not hinder your eyes, so don't you reconsider?"

Zhong Yu shook her head without hesitation, she said helplessly: "Did you come to me just to talk about this?" I'm leaving? ”

The old man hurriedly waved his hand, and he said with some difficulty:

"I'm looking for you to help me fix my face, I can't go out to meet people like this, this stinky boy hasn't gained a foothold yet, I have two more years to hold on and can only trouble you again."

Zhong Yu was not surprised, she said solemnly: "What is the specific situation of your disease?"

Cheng Ye had been listening to the side, and seeing that his grandfather was not in good health, he took over and said:

"My grandfather is a cheek puncture defect formed after the resection of nasopharyngeal cancer, and the attending doctor said that this kind of repair is more difficult, and if there is no guarantee of repair technology, it may limit the surgeon's worries about the radical resection of maxillofacial malignant tumors, thus affecting the survival rate and quality of life."

As Zhong Yu expected, Cheng Ye continued:

"I thought about it with my grandfather, and I still believe in you the most, so I invited you to come to my house, I wonder how sure you are of such an operation?"

Zhong Yu said: "Show me the old man's medical record first."

Cheng Ye had already prepared, he turned around and took out the medical records from the drawer behind him, Zhong Yu took the medical records and studied them carefully, she thought for a moment and said:

"There are many ways to repair cheek hole defects, if you leave it to me, I will use the lower trapezius muscle flap to make a longitudinal arrangement of double lobe muscle flaps for transfer repair, one lobe muscle flap as the oral lining, and the other lobe muscle flap to repair the facial defect, the operation is done at one time."

Cheng Ye frowned and said: "I don't know these professional terms, but my grandfather is old and has undergone excision surgery, and his health is not good, so I just want to choose the least harmful and easiest surgery for him."

No matter what he did before, he was always filial to the old man, Zhong Yu could understand his mood very well, and said softly:

"If you believe me, you can go to my hospital for surgery."

Old man Cheng said: "I will definitely go to your hospital for surgery, but I have to trouble you to help me keep it a secret, if the news spreads, I am afraid it will have an impact on the company."

People like Mr. Cheng can affect the future of many people by stomping their feet casually, and some things are really not suitable for publicity, which is good for everyone.

Zhong Yu understood very well, and she said solemnly:

"Our hospital will definitely do a good job of confidentiality, you can rest assured of this."

Cheng Ye breathed a sigh of relief, and he said gratefully: "Then my grandfather's operation will be entrusted to Doctor Zhong, can I send my grandfather to the hospital tomorrow?"

Zhong Yu agreed without an opinion, there are no serious patients in the hospital now, Ye Min's operation has been completed, as long as he takes care of his body in the future, there should be no conflict with Old Man Cheng.

Old man Cheng has excellent psychological quality, and he is very optimistic:

"As long as Dr. Zhong can make my old face look good, I will not be stingy with the cost of surgery."

Zhong Yu cooperated: "The Cheng family is a big business, you naturally don't care about this money, you can rest assured, I will try my best to satisfy you."

After talking about business, Zhong Yu did not stay for a long time, and Cheng Ye personally drove her back to the hospital, it may be that there is a way to solve the matter, Cheng Ye relaxed a little, he said while driving:

"Cheng Yuan's wife, have you seen it?"

Zhong Yu said with a calm expression: "I saw it at the wedding, and it is quite a match for him."

Cheng Ye didn't care, "His object was selected by my cousin, not only has a superior family background but also is a rare virtuous person, and it is estimated that he will dedicate himself to his mother and mother in the second half of his life." ”

Zhong Yu didn't quite understand Cheng Ye's thoughts.

"Don't all men want to find such wives? Why are you dissatisfied? ”

Cheng Ye sneered: "I'm not dissatisfied, I just feel sorry for that woman, and now I realize that if Cheng Yuan is really with you, my aunt will not agree."

Zhong Yu has never experienced the relationship between mother-in-law and daughter-in-law, and he has little experience in this area, so he makes a gesture that he is willing to hear about it.

Cheng Ye continued: "Although my cousin's legs are not dexterous, her control over her son is not weak, if you marry Cheng Yuan, you will definitely not be willing to stay at home, how can she control you if you are financially independent?"

Zhong Yu didn't know about these things, and she said suspiciously: "Is it difficult for Cheng Yuan to be a mother?"

Cheng Ye pondered the meaning of Ma Baonan carefully, and said with a smile: "This word is really appropriate, my cousin is very good at controlling her son, and it is estimated that her daughter-in-law will have to listen to her in the future, don't look at her crippled, her family is still her master."

Zhong Yu definitely can't give up her career and stay at home to teach her husband and children, so she doesn't feel sorry, she doesn't care:

"Isn't this good, at least there is no contradiction between mother-in-law and daughter-in-law, and life is also harmonious, and everyone has their own place."

Cheng Ye was stunned for a moment, shook his head and said with a smile: "I'm also thinking too much, or what you said is right, this matter is a wish to fight and a wish, respect and bless."

They had nothing else to talk about except Cheng Yuan, Zhong Yu always didn't ask him if there were any sequelae of the previous operation, neither of them spoke anymore, and when Zhong Yu got out of the car at the hospital, he drove away.

Zhong Yu always felt that Cheng Ye still had a shadow on her, and it was not an important matter anyway, so she did not continue to delve into it.

When Zhong Yu returned to the hospital, he called everyone together for a meeting, Cai Yizhong and Guo Pengfei were quite distressed after reading the medical records of Old Man Cheng, and they had a feeling that they didn't know what to do.

Zhong Yu was not in a hurry, he drank tea and waited for them to think, and after a while, Cai Yizhong took the lead and said:

"There are many methods for the repair of cheek penetrating defects, and in recent years, with the widespread clinical application of various pedicle and free flaps, it has become possible to repair penetrating defects with single or two muscle flaps and musculocutaneous flaps, and it has been reported that the repair of musculocutaneous flaps + free flaps or double muscle flaps has been reported in the past.

The use of free flap repair surgery is difficult, time-consuming, costly, and risky, and if an arteriovenous crisis occurs, complete necrosis will occur.

However, the scope of double muscle flap repair surgery is large, requiring two donor areas, the operation time is long, the trauma is large, the appearance is relatively bloated, and some flaps still need to be broken in the second stage, and some flaps may leave new surgical scars on the face. ”

Guo Pengfei added: "There are also advocates that the repair of cheek penetrating defects should focus on the lining, emphasizing the use of muscle flaps to repair the outer layer with skin sheets, and to repair the face with skin sheets.

Cai Yizhong was quite distressed and said: "This is not good, there are flaws like that, how to deal with this?"

Zhong Yu just wanted them to think about the technique and didn't mean to make it difficult, so he said directly:

"I plan to repair the maxillofacial cavinating defect with a folded lower trapezius insular flap, which has axial blood vessels, long blood pedicles, rich blood supply, flexible texture, hairless, incision on the back, and insignificant scarring that has little impact on shoulder function, so I think this flap is the first choice for cavitating defects in the cheeks."

Cai Yizhong's eyes flashed, and he said excitedly:

"I have read reports before, saying that through the microsurgical anatomy study of the trapezius muscle, it was found that the superficial descending branch of the transverse carotid artery supplies the lower part of the trapezius muscle, and anastomoses with the perforatorial vessels of the dorsal scapular artery and the posterior branch of the intercostal artery to form a cross-regional blood supply, and it is indeed feasible to design the lower trapezius muscle flap surgery on this basis."

Zhong Yu was very satisfied with what he said, at least he had worked hard in private, Zhong Yu said solemnly:

"The design of the surgical flap is very important, using the musculocutaneous flap composed of the lower muscle tissue of the trapezius muscle and the skin on its surface, the vascular pedicle selects the superficial descending branch of the transverse carotid artery, and draws a parallel vertical line in the middle of the spinous process line of the 3~7th thoracic vertebra and the medial border of the scapula, that is, the body surface projection of the superficial descending branch of the transverse carotid artery and the central axis of the lower trapezius flap.

The flap range was designed according to the distance of the receiving area and the size of the defect in the mouth opening position, and the position and size of the flap were determined. At the folded part of the musculocutaneous flap, the surface layer of the musculocutaneous flap with a width of about 15~2cm and a thickness of about 2mm and part of the dermis layer are excised to form two musculocutaneous flaps.

Because the skin on the back is thick and cannot be well aligned with the oral mucosa and facial skin, the superficial layer of the skin and part of the dermis tissue with a thickness of about 2mm around the periphery of the two skin islands are separated respectively to facilitate good alignment with the oral mucosa and facial skin.

At the same time, the distal muscle flap can remove the superficial layer of the skin and part of the dermis to fill the cavity. Because the inferior trapezius muscle flap is a multi-source blood supply, the blood vessels form a rich vascular network under the skin, and as long as the subdermal vascular network is not damaged, there is no obvious effect on the distal blood circulation of the lower trapezius muscle flap, which is the key to the success of the folded lower trapezius muscle flap. ”

Zhong Yu drew a detailed anatomical diagram while speaking, Guo Pengfei and Cai Yizhong listened with relish, and after she finished speaking, the two were still unsatisfied, Cai Yizhong stood up and said, "I'll go and arrange surgical materials and medicines."

Guo Pengfei saw that he was in front of him in everything, and he was quite unhappy, but this was not something he could control, so he could only take a slow step and say: "I'll go and help Cai Yizhong."

Zhong Yu's mind was still in Fang Cai's thoughts, she waved her hand indifferently, and let Guo Pengfei walk out with her breath in her breath.

Cai Yizhong was preparing materials in the operating room, and when she saw Guo Pengfei coming in, she said very naturally:

"I'll be enough here, you can go about other things."

These words were like stepping on Guo Pengfei's tail, and he said unhappily:

"Why can you behave in front of Teacher Zhong, but I can't? Who dictates that you have to do these things? ”

Cai Yizhong stopped what he was doing, and said with a smile: "I can't do it without anyone stipulating it?" Are you here to find fault with me? ”

Guo Pengfei said unconvinced: "You have to rush to me in front of me in everything, what is your intention to deliberately make me worthless?"

Cai Yizhong said with a smile: "It's embarrassing to blame me for not doing things yourself, I didn't stumble on you, and I didn't deliberately suppress you, where did you get so many opinions?"

Guo Pengfei said unhappily: "You compare me to me in everything, it will make it difficult for me to do."

Cai Yizhong was not so good-tempered and continued to argue with him, and only said lightly:

"You look for problems from yourself, don't bother me, otherwise your friends won't have to do it."

Guo Pengfei's breath stagnated, looking at Cai Yizhong's busy figure, he still didn't continue to entangle. (End of chapter)