Dr. Chung’s 90s
Chapter 105 Mandibular distraction osteogenesis
Ji Xueli, the only grandson of the Ship King, was naturally somewhat impressed.
He and Zhong Yu hadn't reached that point before, so 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 unconsciously:
"Why do I feel like he's a little afraid of you?"
Zhong Yu looked at the menu and said nonchalantly:
"Maybe when I performed the surgery on him, I left too deep an impression on him, and the shadow is still there to this day."
Although Cheng Ye's surgical information was secret, it could not be hidden from someone of Ji Xueli's level. From his perspective as a doctor, it was just a normal operation, why should it be like this.
"I really don't understand what young people think nowadays. I remember that you and Dr. Cheng Yuan from the People's Hospital are classmates. Are they cousins?"
Ji Xueli was just chatting with her. He didn't think Cheng Yuan or Cheng Ye would pose a threat to him.
After Zhong Yu chose the dishes he wanted to eat, he said with a smile: "Why are you asking so many questions? Could it be that you have a sense of crisis?"
Ji Xueli first called the waiter to order, and after the people left, he said easily:
"Dr. Zhong is too good and there are too many people coveting him. I know that only by knowing oneself and the enemy can one win every battle."
Zhong Yu joked: "When did Dean Ji become so unsure of himself?"
Ji Xueli was serious.
"My partner is too good, and I am under a lot of pressure. This has nothing to do with confidence."
Zhong Yu took a sip of lemonade, and his voice was neither fast nor slow.
"If being with me doesn't make you better, then there is no need to continue this relationship."
Ji Xueli's breath froze and he couldn't help but feel a little flustered. He didn't expect Zhong Yu to say such heartless words.
He explained with a complicated expression, "I was just joking. Do I have so no weight in your heart? Can you give up so easily?"
Seeing that he wanted to talk about a deeper topic, Zhong Yu couldn't help but said seriously:
"The meaning of what I said just now is not that I don't care about you, but that people keep moving forward. The current state of mind cannot represent the future. Maybe a few years later, you will have no feelings for me. In a relationship without love Suffering not only fails to make you better, but makes you look hateful, which is unnecessary."
Ji Xueli relaxed a little because of her explanation, and he smiled bitterly:
"I thought I would remain calm and rational after encountering feelings. Now it seems that I have overestimated myself. I am convinced that I will not be willing to let go of your hand whether it is now or in the future."
Zhong Yu saw sincerity in his eyes. She believed what he said at this moment and couldn't help but reach out to touch his cheek and said with a smile:
"I'm a very lazy person. I just want to live my life comfortably and don't want to change easily. If you behave well, you will have a promising future!"
Her seemingly joking words of encouragement were like a shot in the arm for Ji Xueli, making him relax his brows again.
Zhong Yu seems gentle and non-aggressive, but in fact she is very strong. Whether at work or in relationships, she has the say .
Although neither of them is interested in Western food, they still find it acceptable to have a meal once in a while.
It was already past nine o'clock at night when she got home. Ji Xueli sent her home in a measured manner and left.
The people living around the family building are all colleagues from the hospital. They are in an honest relationship and don't want to leave anything to gossip about. In this regard, Ji Xueli is more thoughtful than Zhong Yu.
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. He didn't notice that Ji Xueli had quite a taste for life.
Before arriving, she also brought braised beef and pickles made by her mother and planned to put them in the refrigerator to chill. As soon as she opened the refrigerator door, she smiled.
Ji Xueli stuffed it full of fruits and milk. She subconsciously looked at the wine cabinet, and sure enough, there was bread on it.
She has to give Dean Ji full marks for this operation. Having a boyfriend who can take care of others like this makes her feel full of experience.
She was in a good mood and picked up the phone to dial. Zhou Qin on the other end of the phone had already gone home. She answered the phone quickly and felt at ease knowing that Zhong Yu had arrived safely.
That night, Zhong Yu was in a good mood and had a good sleep. The next day, he had breakfast at home before reporting to the hospital in a hurry.
Now that she is a regular employee of the Military Region General Hospital, she has to go through the formalities before arriving at the hospital, so there is no need to worry.
When she arrived at the Military Region General Hospital, she first went to the dean's office. Dean Luo was very happy to see her and said enthusiastically:
"It can be said that I have brought you back. The upper arm separation and replantation surgery you performed on No. 10 was so perfect that everyone was amazed. If we have related symptoms in the future, we will not sigh with regret."
Zhong Yu said modestly: "The success of the operation was due to the timely delivery and the fact that the patient's condition was not too bad. He was relatively lucky."
Dean Luo agreed very much with her words. If No. 10 was not lucky enough to meet her, I wonder what situation he would have fallen into.
Just as Ji Xueli expected, Zhong Yu's outstanding performance in the past was obvious to everyone, and the icing on the cake of case No. 10 made her famous in the Military General Hospital.
Whether it is because of Dean Luo's view of the development prospects of plastic surgery or her high recognition of Zhong Yu's personal professionalism, she is undoubtedly the most suitable person to lead the plastic surgery department.
After the two exchanged pleasantries, Dean Luo said seriously:
"The previous academic exchange meeting was just to find excellent plastic surgeons. This department has not been established for a long time, and no one who can take the lead has appeared. You have just filled this gap. Now that you have transferred your working relationship, it is time for you to Take responsibility.”
Zhong Yu looked calm. Although she had not stayed in the Military General Hospital for a long time, she had already figured out the general situation inside. It was expected that her position would change after she came here.
"Thank you, Dean, for your trust. As long as you don't think I'm too young and dare to entrust me with important responsibilities, then of course I'll be more respectful than obey."
Dean Luo laughed heartily and said with emotion: "It's good to be young. You are more energetic and have more capital to strive for success. From today on, I will officially appoint you as the chief physician of the plastic surgery department. Director Zhong must play a leading role!" "
Zhong Yu solemnly agreed and did not refuse. She was just an ordinary person, and she would be happy for a promotion and a salary increase.
When he came out of Dean Luo's office, he didn't meet Ji Xueli. Now that he has a different position, he must be busy as well.
The previous office was no longer suitable for her to use. The Human Resources Department arranged a new office for her because there were not many doctors in the department, otherwise they would not have the conditions to open a separate office for her.
Zhong Yu planned to go to the office to put away his things first, and then go to say hello to his colleagues.
Unexpectedly, as soon as she showed up, Chu Jianwen came over happily with Zheng Jun and Zhou Zehuan. Chu Jianwen hugged her and said with a big smile: "Warmly welcome our Director Zhong back~"
She deliberately said the word "Director Zhong" very hard. Zhong Yu was a little surprised and said:
"The dean just mentioned this to me, why do you all know about it?"
Zheng Jun explained with a smile, "The dean discussed this matter at a meeting earlier. You were elected unanimously. The dean made an announcement yesterday. I guess you were the last one to know."
Zhong Yu laughed dumbly, "No wonder you are all waiting here. Go back to the office first."
Chu Jianwen held her hand and the two of them walked and chatted. Zhong Yu, the director of the department, was convinced. She didn't need to worry about the people under her control being disobedient. She crushed everyone with her absolute strength so that there was no chance for them to question.
Zhong Yu considered that Wang Qiang and his wife might bring their children to see a doctor, so he 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 their child and waiting for who knows how long.
Zhong Yu and the others were very happy to see Zhong Yu. Zhong Yu took their family of three into the clinic in a friendly manner, directly issued a check list for them, and asked them to take their children for a systematic check-up first. After getting the examination results, Zhong Yu looked at them carefully and then told them for sure that they could now be treated with mandibular distraction osteogenesis.
Xu Jing was so excited that Wang Qiang was also choked up. This operation was Zhong Yu's first operation after officially joining the company.
Although she could understand the couple's urgency, she couldn't do it for the child right away.
They still had to wait for the medicine and related materials to be prepared in the operating room. The couple had been suffering for so long, and they didn't care to wait one more day. They had to go through the admission surgery for their child first and make pre-operative preparations.
As soon as Zhong Yu got to work, he saw several patients in succession. He never stopped from the moment he sat in the consulting room, and he couldn't care about other things at all.
After finishing her busy work, she took the time to rearrange the department staff's roster. She didn't make any big changes, she just added her name so that others could have more time to rest.
Before getting off work, Ji Xueli called her specifically to tell her that he had surgery that night and could not have dinner with her.
Zhong Yu spends most of his time alone and doesn't think that being in a relationship means staying together every day, so he can just work without worrying about himself.
Unexpectedly, as soon as she walked out of the hospital gate, she met an unexpected person.
Cheng Yuan saw her smile calmly, walked up to her and said naturally:
"I heard that you have been transferred from work, so I came here to see how you are doing."
After all, they were old classmates. She was alone in Guangzhou and had no relatives to take care of her, so he finally convinced himself to come and visit her.
Zhong Yu seemed to have forgotten the past, and she said calmly:
"I was just transferred here and am now the director of plastic surgery. Everything is fine so far."
Cheng Yuan felt that the distance between him and her was getting farther and farther, but he had to remain calm in his heart but on his face.
"Then I congratulate you on your promotion and salary increase. I wonder if I can treat you to a meal to celebrate?"
Zhong Yu was a little hesitant. She now had a romantic partner and should keep an appropriate distance from other men.
This is to give her partner a basic sense of security and to avoid unnecessary misunderstandings.
She smiled apologetically, "I made an appointment with my partner to have dinner together in the evening. He has surgery and will have to get off work a little later. I will go shopping first to buy some things for my family."
The smile on Cheng Yuan's face was almost unbearable. The reason why he came here was because Cheng Ye called him last night.
When he said on the phone that Zhong Yu had a partner, he couldn't believe it. When he heard that the person was Ji Xueli, he felt a sense of fate that it was indeed the case.
Cheng Ye scolded him for being useless, and he couldn't even refute him. His coming here was tantamount to asking for abuse.
He said in a hard 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 notice his sadness, and just smiled lightly and said:
"I don't take what happened last night to heart. If you don't mention it, I will forget it. I have found a partner, so you have to hurry up."
Cheng Yuan smiled, pretending to be relaxed and said: "My mother always tells me about this, and I plan to listen to her and go on a blind date."
Zhong Yu nodded and said sincerely: "Dating on a blind date is not necessarily a bad thing. They are all people who know everything and can save a lot of trouble."
Cheng Yuan felt a little tight in his chest, and he didn't know what kind of expression he should use to face her.
Zhong Yu raised his hand and looked at his watch, and said apologetically:
"I can't talk to you any more here. I have to leave first. If you need anything, call me."
Cheng Yuan did not try to persuade her to stay, and watched her leave, realizing very clearly that he would never have any chance in this life.
Zhong Yu didn't take Cheng Yuan seriously, nor would she be affected by him in any way. She didn't even feel guilty.
The next day they came to work still in excellent condition. When they learned that there was an operation to be performed, Zheng Jun and Zhou Ze looked eager to try it.
After they carried the baby to the operating room, everyone was ready.
The surgery was performed under general anesthesia with endotracheal intubation.
Due to the small size of the mandible in pediatric patients, in order to preserve the integrity of their dentition, an extraoral submandibular approach was used to complete the osteotomy and install a retractor in all cases.
The extender rotating rod is passed through the skin and placed outside the mouth. The osteotomy method and different retractors are determined according to different types of deformity.
The method of osteotomy, retractor placement and traction used by Zhong Yu is to make an incision parallel to the mandibular border about 1cm below the lower border of the mandible on both sides and about 4cm long.
After separation to the periosteum of the mandibular margin, she paid great attention to protecting the marginal mandibular branch of the facial nerve.
The periosteum was incised horizontally with skillful movements, and subperiosteal dissection was performed to expose the mandibular body and the anterior part of the ramus.
Then, use a fine-crack drill to vertically cut the buccal cortex of the mandible before the junction of the mandibular body and the ramus, and then use an osteotome to wedge into the osteotomy line near the mandibular edge and pry it to completely separate the mandibular bone.
Make a 2cm long incision 03cm in front of this incision, and bluntly separate it until it is connected to the prepared wound cavity.
The extender is then inserted, and the rotating rod extends from the small incision at the front so that the fixing plate of the extender rides across the osteotomy line before and after.
After Zhong Yu carefully adjusted the direction, he fixed it on the mandible with screws.
The fixation screws are selected based on the hardness of the bone and the thickness of the mandible. Usually, 5mm screws are used to fix a single layer of bone cortex. In some cases, longer screws are used to fix the bone through the medial and lateral cortex, and finally the incision is sutured in layers.
The operation lasted six hours and everything went well. Zhong Yu took off the mask and told Zheng Jun:
"Starting from tomorrow, you rotate the extension rod once every morning and evening, and traction at a speed of 1mm per day. After continuous traction for 15 to 10 days, keep the extender in the body for a period of time to allow the regenerated bone to further harden."
Zheng Jun nodded solemnly in agreement, and then pushed the child out.
When the operating room door opened, Xu Jing rushed forward immediately.
Xu Jing's legs felt a little weak when she suddenly moved because of the nervousness and the long wait. If Wang Qiang hadn't supported her in time, she might have fallen to the ground.
Seeing Zhong Yu, Xu Jing asked nervously:
"How is Dr. Zhong's child? Was the operation successful?"
Poor parents in the world, the ones who are most worried about their children's safety are always the parents.
Zhong Yu said with relief: "The operation was successful. Once the wound has healed, he will be just like a normal child."
Xu Jing smiled and nodded, tears of excitement sliding down her face. The dark cloud above her head was finally dispelled at this moment.
The couple kept thanking Zhong Yu. If it weren't for the comfort of other medical staff, Zhong Yu would have been a little overwhelmed.
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