Chapter 193: Double Frontal Extension Osteotomy

Zhong Yu glanced at the two of them, and said in a gentle voice, "You guys sit down first."

Cai Yizhong also knew that he was too excited, and after he calmed down, he said apologetically:

"Dean, I'm not questioning your abilities, I just don't think there's any need to risk it."

Guo Pengfei sneered: "Are you still poor people?" If the patient's family can pay a huge amount of money for medical expenses, do you think it's worth the risk? ”

Cai Yi didn't answer him at all, but said to Zhong Yu in his heart:

"Our hospital is essentially about making a profit, and even if I really think so, there's nothing wrong with that."

Guo Pengfei frowned and said: "At that time, if the dean ignored the situation, what would others think of our hospital?"

Cai Yizhong said helplessly: "If the dean helps him free of charge every time he encounters such a thing, will there be more patients to follow, and some of them can obviously pay the starting fee, but they want to eat white food to take advantage, so how to put an end to it in the future?" At that time, Li Jiajia should not have charged any fees. ”

Guo Pengfei disagreed: "Making money is indeed a very important thing, but we can't lose our humanity because of this, besides, the income of the hospital is not low, so there is no need to worry too much."

Zhong Yu saw that the two of them had a quarrel first, and said helplessly: "I have already agreed to accept the patient, so it is not good to go back on my word."

She looked at Cai Yizhong and said: "It's not as free as you think, the patient's family has no money to pay on credit now, I asked her to write an IOU before the operation, so the problems you are worried about are not a problem, including Li Jiajia, she is also paying the medical expenses in her own way, as the dean, I will take into account the interests of all the staff, you don't have to worry about this."

Guo Pengfei said with a smile: "This is very good, you don't have to die without help, and you don't let the hospital lose anything."

Cai Yizhong was still not optimistic, he said in a low voice: "Don't overestimate human nature, she wrote an IOU, but if the child is cured, she takes the child and pats her ass and leaves, where do you find her?" If the child is not cured, not only will she not pay back the medical expenses, but she may also have to beat us up for a sum of money, which is a lesson from the past. ”

Cai Yizhong is far more realistic than Guo Pengfei, Zhong Yu is willing to listen to their opinions, not to ask for their consent, no one can change what she has decided.

Zhong Yu Zhengse said: "I am mentally prepared for the situation you said, I hope you can spend more time on the study of medical records, in terms of management, I will not let you down, now I want to hear how much you know about craniosynostosis premature austration."

Guo Pengfei frowned and said: "I only know that the occurrence of craniosynostosis may be related to genetic abnormalities."

Zhong Yu looked at Cai Yizhong again, wanting to hear his opinion, Cai Yizhong said expressionlessly:

"Patients with craniosynostosis have one or more cranial sutures closed at birth or shortly after birth, not only have abnormal forehead and skull shapes, but also have more severe brain development restrictions in children."

Zhong Yu nodded and said, "You both are right, so early surgical treatment is extremely necessary, the purpose of surgery is not only to improve the shape of the skull as soon as possible, but also to relieve the pressure of premature closure of the cranial suture on brain development in time."

In fact, excluding those external factors, Cai Yizhong is still very interested in the study of this medical record, he thought about it for a while, but he still had no clue about the surgical plan.

"I don't know where to start with this surgery, and the slightest mistake will put the patient's life in danger......"

Before he finished speaking, Sun Wenhui came to knock on the door at this time, and she stood at the door and raised her voice and said:

"Dean, the patient's examination report is out, can I show it to you now?"

Zhong Yu immediately stood up and replied, "Bring it to me now."

Sun Wenhui knew that she was in a hurry, and trotted in, Zhong Yu took the inspection reports, couldn't wait to look at them, and after a while she said:

"The CT scan of the child's brachycephaly showed hypertrophy of the lateral ventricles and no papilledema, which is not too bad."

Cai Yizhong and Guo Pengfei also breathed a sigh of relief, and Zhong Yu continued:

"The child had brachycephaly with bilateral frontal flattening, and the horizontal skull diameter of the retracted head was shorter than that of normal children of the same age...... So I considered a double frontal extension osteotomy to treat craniosynostomy in young children. ”

Cai Yizhong couldn't wait to ask: "Double forehead extension osteotomy?" How does it work? ”

Zhong Yu said in a deep voice: "It is to form and move forward the frontal orbital belt in the scalp coronal incision approach, and multi-piece osteotomy and splicing of the frontal skull and parietal skull to expand the anterior cranial fovea and improve the shape of the skull."

Although they are not as powerful as Zhong Yu, they are not ignorant, Guo Pengfei was a little excited: "Dean, I'll help, I'm very interested in this operation."

Cai Yizhong couldn't help but pour cold water on him and said, "Can you keep up with the dean's pace?" Don't let you affect the progress of the child's surgery because you alone, can you take this responsibility at that time? ”

Guo Pengfei was unconvinced and said: "It's not the first time I've done a favor for the dean, you don't come to bluff me, this time there is no negotiation."

In order to prevent the two from continuing to quarrel, Zhong Yu immediately clapped his hand and said:

"Guo Pengfei will help me this time, please ask Doctor Cai to help me prepare the surgical materials, after I design the surgical plan, arrange the operation as soon as possible, you two can go out and get busy if you have nothing to do."

It's not good to argue in the office, and the two of them came out and tore up again.

And Zheng Jun on the other end finally gave a good face after stalking Chu Jianwen to death.

Zheng Jun's brain is quite flexible, and he knows the truth of saving the country with curves, so he deliberately went to the dessert shop downstairs to buy some pastries and distribute them to everyone.

After all, eating people with short mouths and soft hands, in line with the principle of persuasion and not persuasion, everyone began to say good things to Zheng Jun again.

Chen Zhaodi was the first to speak: "Jianwen, you see how good Doctor Zheng is, if you break up with him at this time, won't you be cheaper for outsiders."

Sun Wenhui nodded busily, and said in a low voice: "There are a lot of thoughtful little girls outside, and you will stick it on Qiao's family without face and skin, I guess that intern must not have a good family background."

Chen Zhaodi rolled her eyes and said: "This has nothing to do with family background, she has a problem with her character, anyway, even if you break up, you can't choose this time, if the intern knows, he will definitely catch up."

Zheng Jun stood aside like a prisoner and listened, he couldn't help but laugh and said, "Nurses and sisters, I really have nothing to do with the intern, and I just have contact with her at work."

Chu Jianwen still didn't have a smile on his face, but he felt preoccupied, she and Zheng Jun hadn't gone on a date recently, and her parents knew about the conflict.

She deliberately coquettishly said that she wanted to break up with Zheng Jun, thinking that her parents would follow her wishes, but her parents not only did not face her, but instead reprimanded her with a face, and said that their marriage had passed the clear road, and the two families had reached an agreement, and this marriage was definitely going to be concluded.

Chu Jianwen was blindsided at that time, she didn't understand why the marriage was obviously a matter between her and Zheng Jun, so why the agreement between the two families was involved.

was a mouthless word, but after listening to her parents' words, the idea of breaking up became stronger and stronger, she cried and told her mother that Zheng Jun was half-hearted and hooked up with interns behind her back.

As a result, her mother dragged her to the room and told her bitterly that men are essentially the same thing, and that their occasional stealing can be ignored at all, as long as her mother's family does not fall, her position will always be as stable as Mount Tai.

Chu Jianwen was dumbfounded at the time, this theory was completely different from what she expected, and she didn't even know how to reply to her mother.

She seems to have grown up overnight, she thought she was lucky, her parents loved her brother and sister-in-law, and in the end she still had to sacrifice her marriage for the so-called family.

Although Zheng Jun gags with others, he always pays attention to Chu Jianwen's state, he has been with Chu Jianwen for so long, and he knows her character very well.

She has always been simple and direct, and her eyes are always smiling, but now the smile in her eyes is gone, and she always feels a sad taste.

Zheng Jun was a little flustered in his heart, he didn't care about the others, took Chu Jianwen's hand and said, "Let's go to other places to talk, okay?"

Chu Jianwen glanced up at him, but she didn't refuse, she said hello to everyone, and then took Zheng Jun to the empty office downstairs.

When she arrived at the office, she didn't speak, only looked out the window with empty eyes, Zheng Jun was frightened by her appearance, and he asked cautiously:

"Jianwen, what's wrong with you? Are you still mad at me? I didn't have any contact with that intern in private, and now I don't take her with me, you don't mind this kind of thing, I will resolutely put an end to it in the future, you believe me! ”

Chu Jianwen is not stupid, she can see Zheng Jun's sincerity, but she can't pass the hurdle in her heart, she asked in a low voice:

"Do you really love me and want to marry me?"

Zheng Jun nodded without hesitation, and said with sincerity on his face: "Actually, I liked you long before you confessed to me, and I was afraid that rash action would scare you, so I kept waiting for the opportunity."

The expression on Chu Jianwen's face did not change at all, and she spoke: "Then did you choose me because I was right with you, and the power of the Chu family could be combined with the Zheng family?"

Zheng Jun's face changed slightly, only he knew how innocent Chu Jianwen was, and he didn't want to see her disturbed by these messy things.

He sighed and said helplessly, "Did your family tell you something?"

Chu Jianwen nodded without concealment, and said mockingly:

"My mother said, whether I want it or not, the marriage between the two of us is a certainty, I don't understand, shouldn't marriage be a matter for the two of us?"

Zheng Jun held her cold hand and said distressedly: "Don't listen to your mother's nonsense, marriage is what I want to marry you, because I love you, I want to marry you, it's just that the two of us can take this opportunity to join forces, I know that many of our people are political marriages, but we are not, if I really sacrifice for the family, I can choose stronger supporters, and I work in the hospital, and those power struggles have nothing to do with it, as for their parents, they ......"

Chu Jianwen's eyes were still staring at him, wanting to see what else he could say, he smiled slightly: "What they think is their business, if you don't like to live with them after marriage, we can buy a house to live alone, I have enough ability to let you live a good life, you don't have to worry."

Chu Jianwen still had him in her heart, and she was also moved by his words, she asked again:

"You really weren't with me because of your family background?"

Zheng Jun held her in his arms distressedly, and repeatedly emphasized:

"It's not like that, I'm with you because I love you, it has nothing to do with anyone or anything, our love is not the result of weighing the pros and cons."

Chu Jianwen believed what Zheng Jun said at this moment, and she sadly found that she actually had no ability to resist the family's arrangement, the only thing to be thankful for was that Zheng Jun was the person she wanted to marry.

Chu Jianwen is not stupid, there is no room for turning around at this point, no matter what, she has to hold Zheng Jun in the palm of her hand.

She treated Zheng Jun both soft and hard, and only after getting a lot of assurances did she willingly expose the matter.

Zheng Jun was satisfied after coaxing a good person, and only at this time did he pay attention to the affairs of He Yuemei's mother and son, he was already close to his colleagues in the hospital, so it was very simple to inquire about some news.

After learning that Zhong Yu was going to perform craniotomy on the patient, he was so excited that he would come to observe and learn from him.

Zhong Yu put all his mind on designing the surgical plan, and agreed to his request without much consideration, anyway, it was not the first time he had observed.

Zhong Yu prepared for two days without sleeping or eating, and finally after making sufficient preoperative preparations, the operation officially began.

Guo Pengfei stood firmly in the position of a helper, Cai Yizhong was not happy even if he was unhappy, and Chu Jianwen took the lead in anesthetizing the child.

After the anesthetic had taken effect, Zhong Yu first made a coronal incision on the scalp, and she separated the scalp flaps to the orbital lug planes on both sides of the scalp in the cap-shaped aponeurosis layer. The periosteum is incised at 15 cm and the midline of the superior orbital border, and the periosteal flaps are peeled and lifted to the temporal fossa on both sides, revealing the entire frontal, parietal, and temporal skull.

The base of the nose is exposed by subperiosteal, and then the supraorbital neurovascular bundles on both sides are released to expose the bilateral supraorbital wall and the lateral orbital margin.

Zhong Yu began to design osteotomy lines for the supraorbital, frontal, parietal, and temporal regions. She forms a 15~20cm wide frontal orbital girdle in the supraorbital wall and orbital margin, lateral to the lateral edge of the orbital periphery - temporal region.

A frontal plate with a good curvature and appropriate width is then designed throughout the skull exposed area to reconstruct the ideal frontal shape.

Then there was a craniotomy, she calmly used a skull knife to open the cranium according to the design line, and removed the amputated skull plate outside the dura. Transverse osteotomy is performed in both supraorbital walls and nasal base to form the frontal orbital girdle, and the integrity and good curvature of the frontal girdle and frontal bone plate are maintained.

Then to reshape the skull and enlarge the cranial cavity, she cut it in pieces on the removed skull plate, perfectly maintained the curvature and integrity of the frontal plate, overlapped the frontal orbital belt on the supraorbital wall and tilted forward at 30~40°, fixed at the root of the nose and the lateral edge of the bilateral orbital - temporal, and the frontal plate was placed on the frontal orbital belt, so that the two formed a suitable frontal-nasal angle and frontal curvature and then fixed.

Finally, the remaining skull plate is fixed in the space between the cranial apex and temporal region, and a suitable space at the top of the skull is maintained to prevent recurrence.

She didn't panic in the slightest during the whole operation, but the few onlookers didn't dare to breathe.

After the whole operation was completed, their tense nerves were completely relaxed. (End of chapter)