Dr. Chung’s 90s
Chapter 174 Repairing the median cleft of the upper lip and cleft columella
Coming out of Mr. Ye's ward, Ye Min said in a leisurely manner:
"Do you know why my dad gets so excited when he mentions Aunt Zhang?"
Zhong Yu shook his head honestly to show that he didn't know the inside story. She didn't know much about Zhang Xueqian or Ye Jizu's temperament.
Ye Min smiled and said: "Aunt Zhang often comes to our house because she has a close relationship with my mother. You also know her character. She speaks without any scruples. She always mocks my dad for not making as much money as her. , sometimes when she has completed a big project, she even comes home to show off, so much so that my dad has a stress reaction and wants to compete when she mentions it.”
Zhong Yu was speechless after hearing this, but since she was the beneficiary, it was hard for her to make sarcastic remarks.
"I can't tell that these two people still have such a childish side."
Ye Min has passed the age of longing for father's love, she said nonchalantly:
"My father's ability is limited, but because he is my grandfather's only son, he is not short of money. You can take whatever he gives you without any psychological burden."
Zhong Yu nodded, walked to the elevator entrance and Ye Min stopped, she said sincerely:
"It's thanks to Dean Zhong that I have this opportunity to turn around. In the future, whenever you can use me, I will do it without any hesitation."
Zhong Yu was not complacent after hearing this. She just did her duty. Ye Min had already paid a medical fee that was many times more than the market price, which was enough to pay off.
She said calmly: "Ms. Ye, you're welcome. You don't have to worry too much about paying the consultation fee."
Ye Min looked at her with admiration in her eyes, and she said slyly:
"Can't you tell, Dean Zhong, that I want to be friends with you? You are so capable and well-connected, so I have earned a lot of money by being friends with you."
Zhong Yu laughed, "I thought we had been friends for a long time."
Ye Min couldn't help but laugh, "Then don't call me Miss Ye, just call me Minmin!"
Zhong Yu nodded and said: "Then you can call me A Yu, we are about a few years apart."
Ye Min pressed the elevator button and reminded before leaving: "If you meet clients in our circle in the future, you might as well report the consultation fee. For some people, the higher the price, the more in line with their status."
Zhong Yucuo was so stunned that she didn't know what to say until the elevator door closed.
She didn't like to think deeply about one thing. She turned her head and looked out the window, and there happened to be raindrops rolling down on the glass. It was getting late...
She hadn't gone over to take a look at Cheng Lei, and she didn't have time to stand here. She turned around and walked in faster.
Compared with the unspeakable pain he suffered from the disease before, Cheng Lei is not in so much pain now even though it is inconvenient to speak. Coupled with the meticulous care of the medical staff after surgery, his originally thin cheeks have gradually become plumper and his complexion has become fuller. They are all quite rosy.
Seeing Zhong Yu, he smiled and nodded in greeting. Zhong Yu asked politely: "How have you been these past two days?"
Cheng Lei picked up the pen and paper on the bedside table and quickly wrote on it:
"Everything is fine, except that I'm a little greedy after eating liquid food..."
There was a rare sense of humor on his face. Unlike when he first came to the hospital, he seemed to have the motivation to live again. Zhong Yu said with a smile:
"Just bear with it a little longer, and you'll be able to eat soon. I'll check it for you."
Wearing a mask, she came closer and examined him carefully. After the examination, she straightened up and said:
"The reconstructed tongue body and floor of the mouth are in good shape and soft in texture. You can be discharged from the hospital after the wound has completely healed."
Cheng Lei's eyes were bright and his face was filled with joy. He wrote on the paper: "Thank you, Dean Zhong..."
Zhong Yu waved her hand carelessly. She saw there was a book beside Cheng Lei's bed and whispered:
"You still need to get more rest. Reading for too long will make you nervous."
Cheng Lei nodded to express her understanding. As soon as she came out of the ward, she saw a nurse entertaining a fashionable and elegant young lady.
The small fragrance suit she was wearing looked expensive, and the bag she was carrying was also a famous brand. In addition to her, she was accompanied by two nannies, one of whom was holding a baby.
When she saw Zhong Yu coming out, she walked up to her without waiting for the nurse to introduce her, and asked in a cold and condescending voice:
"Hello, Dean Zhong! I also attended the Ye family's birthday party last night. Do you have any impressions?"
Zhong Yu didn't pay attention to the guests at all, so how could he have an impression of her? She smiled apologetically and said calmly:
"I am careless and greedy. I was so focused on the dazzling buffet that I did not notice such a beautiful and outstanding lady like you."
Mulan smiled, she looked cold and difficult to get along with, but her character was nothing to criticize.
"I didn't catch Dean Zhong's attention because I wasn't eye-catching enough."
Zhong Yu knew from her tone that she was not picky, and said with a smile:
"The most influential supermodels in Hong Kong are not eye-catching, so someone like me is simply not eye-catching."
Mulan was a little surprised and blurted out: "Dean Zhong actually knows me?"
Zhong Yu invited her to the office and said: "My mother runs a clothing store. In order to improve her aesthetics in matching clothes, I specially asked my friends to buy a lot of fashion magazines for her to read. There are many flat photos of Miss Mu in them. , I’ve read the profile so I know something about you.”
Mulan looked a little nostalgic in her eyes, her cold temperament became weaker, and she said sadly:
"I haven't worked for two or three years. I lost too much time getting married, pregnant and having children. Even now, my figure has not recovered satisfactorily. There are too many young models being replaced too fast. Even if I come back now, I'm afraid I won't have a place. "
Zhong Yu can understand her situation very well. For working women, it takes time to adapt to leaving all work and returning to family.
Zhong Yu is not a psychological counselor and cannot give correct guidance and explanation. Mulan may not be willing to dwell on this topic all the time. She asked softly: "So you came here today to help me get back in shape?"
Mulan shook her head, her brows furrowed and she said with worry:
"I'm not here for myself, I want you to see my daughter. She was born with something abnormal..."
The nanny holding the child cleverly brought the child to Zhong Yu. Zhong Yu immediately stood up and looked closer.
The fair and tender baby girl has a cleft in the middle of her upper lip, from the red lip to the middle of the upper lip, located in the philtrum groove of the upper lip, about 06cm wide. The tip of the nose is low and flat, widened, the columella is cracked, shortened and wide, about 06cm wide, in the middle The site is sunken, with a crypt the size of a rice grain at its base, and the nostrils on both sides are symmetrical and oblate.
Zhong Yu raised his head and said seriously to Mulan: "Your child has a cleft in the middle of the upper lip and a cleft in the columella of the nose."
After hearing Zhong Yu accurately tell the name of the child's illness, Mulan felt relieved and said helplessly:
"My daughter is now eleven months old. She has had a cleft in the middle of her upper lip since she was born. This will not only affect her appearance, but also have a certain psychological impact. I have taken her to many hospitals, and they all said that she Now that he is too young, the risk of surgery is too high. I have also gone to hospitals abroad. They cannot guarantee that the child will not leave scars on his face. Children grow and develop quickly and their skin is delicate. I think it is most appropriate to do surgery at this time. Maybe it will be cured when the wound heals. I can't see it anymore." She understood it right. Zhong Yu asked, "Did you take any medicine when you were pregnant?"
Mulan felt a little guilty and said: "I didn't know that I took some hormone drugs in the early stages of pregnancy. It was so long ago that I can't remember the specific dosage. Is my daughter like this because of the medicine I took?"
Zhong Yu said truthfully: "The occurrence of cleft lip involves genetics, maternal nutrition, infection, mental state, drugs during pregnancy and many other aspects. Adrenocortical hormones increase the possibility of pregnant women giving birth to children with cleft lip and palate. Hormone drugs may be related to median cleft lip." It is related to the occurrence, but it is not absolute, and you don’t have to have too much psychological burden on it.”
Zhong Yu's words could not eliminate Mulan's guilt. Ever since her daughter was born, she had not blamed herself for a day, and her mother-in-law also used this matter to attack her.
"Dean Zhong, so far I have never met a more powerful plastic surgeon than you. My daughter was born in a family like ours. Even if she does nothing for the rest of her life, she will not have to worry about food and drink, but I expect more from her. Therefore, she should have a brighter future, can you help me?"
Zhong Yu could understand her heart as a mother, and she said in a gentle tone:
"Cleft lip and palate is a common congenital malformation. Among cleft lip and palate, unilateral cleft lip is the most common, followed by bilateral cleft lip, and median cleft lip is rare. I can operate on your daughter, but the probability of success is only 7. It’s a sure thing, you decide for yourself whether you want to take the risk or not.”
Mulan bit her lip lightly and said with some hesitation:
"I know you have never had a failed operation, can't you guarantee that my daughter will be cured 100%?"
Zhong Yu shook her head and chuckled. Even if she was very confident in her heart, she would not boast easily. Any emergency could happen during the operation. To a certain extent, it was like fighting death, so how could she protect her family members? Easily guaranteed.
Mulan did not struggle for too long. Ye Min had the courage to undergo repair surgery. Why couldn't her daughter take the risk? Now that she is cured, when she grows up and becomes sensible, she will no longer feel inferior and timid about it. She is decisive road:
"Dean Zhong, let's go through the hospitalization procedures today. Can you arrange the surgery as soon as possible?"
Zhong Yu was a little surprised, "Miss Mu, don't you need to discuss it with your family?"
Mulan was extremely indifferent and said: "To my husband's family, the son is valuable and the daughter is a loser. They don't care about my daughter. I can make my own decision. Don't worry, I can still afford the surgery."
Zhong Yu said with a smile: "I'm not worried about the cost of the operation. After all, Miss Mu's show is enough. As long as you are willing to take the risk, I will accept the treatment."
The reason why Mulan was willing to take the risk was that Zhong Yu never showed a troubled expression on her face from beginning to end, and she quickly went through the hospitalization procedures for her daughter.
Zhong Yu immediately arranged for her to undergo routine examinations. After preparing the preoperative materials, she immediately performed the surgery.
This time, Guo Pengfei was appointed as the first assistant. He is now more active than Cai Yizhong in his work. He would come to the hospital to show his face even if he is on vacation. Even the nurses in the hospital said that he was taking charge of the hospital. Zhong Yu took his performance seriously. Seeing it in his eyes, he was willing to give him a chance.
Chu Jianwen carried the child to the operating room. The little boy was sleeping soundly. Although his face had imperfect facial features, he was extremely beautiful.
Chu Jianwen lowered his voice and said: "This little guy is the eldest daughter of the Zhou family. She is the Zhou family who is engaged in jewelry business. She was born with a golden key. Unfortunately, the family favors sons over daughters. I hope she won't become the second Ye Min."
Zhong Yu put on the mask expressionlessly and said:
"She is already happier than most children. At least she has a mother who loves her wholeheartedly and thinks about her. The future will not be too bad. You should get anesthesia as soon as possible."
Although Chu Jianwen likes to gossip a little, he is also very serious about his work. After giving the child general anesthesia, he performed the operation under intubation.
Zhong Yu designed multiple Z-shaped incisions on her upper lip, and planned to remove tissue about 03cm wide in the middle. The nose was made with incisions on both sides of the columella depression, and the lower end was connected to the upper lip incision.
Zhong Yu is always extremely gentle when performing surgery on young children. She first incises the skin, muscle layer and mucous membrane of the upper lip, removes excess tissue, and slightly separates it on both sides.
During the operation, it was found that the child's orbicularis oris muscle was ruptured and lost its ring structure. The broken ends on both sides terminated under the base of the columella. The wide deformity of the nasal tip and columella was due to this abnormal tension.
Zhong Yu freed the broken end of the orbicularis oris muscle. She first sutured the mucosal layer, then lifted up the excess skin and subcutaneous tissue on the philtrum of the upper lip, repaired the orbicularis oris muscle with 5-0 absorbable sutures, and translocated the triangular flaps on both sides of the incision. Sew, paying attention to align the red lip edge.
The red lip is repaired with Z-plasty. An incision is made on the inner edge of the columella depression, and the excess tissue of the upper lip is lifted toward the tip of the nose to separate the medial crura of the alar cartilage on both sides.
She saw that the two medial crura were obviously separated and the connective tissue between the crura proliferated. After removing the excess connective tissue, the domes of the medial crura on both sides were pulled together and sutured. The excess part of the columella and the crypt were removed, and then the skin was sutured.
Use a lip bow to reduce tension after surgery and keep the wound clean.
After coming out of the operating room, Guo Pengfei didn't understand why a Z-shaped incision was used in the middle of the upper lip. Zhong Yu explained carefully:
“This will help maintain the normal philtrum and philtrum ridge structures and make the incision scar less obvious.
Bilateral columella concave edge incisions can not only correct the wide deformity of the columella and nasal tip, but also make the incision scars more concealed. "
To put it simply, the Z-shaped incision is practical and beautiful. Guo Pengfei is very satisfied with what he has gained.
The child was young and there were no complications after the operation. Mulan also took good care of her. The wound healed very quickly and the sutures could be removed in about a week.
When Zhong Yu removed the sutures from the child's face, Mulan looked at her pink and lovely daughter and burst into tears with excitement. She choked and said:
"Nuan Nuan looks just like I imagined. Dean Zhong, thank you so much!"
The child stayed in the hospital for more than a week from hospitalization to surgery, and no other relatives showed up. This time her busy father came. He didn't seem to expect that his daughter would be so beautiful and cute after the surgery to repair her face. Overflowing with fatherly love, he rarely took the initiative to hold the child in his arms and tease him.
Mulan was obviously a little surprised. There was something flashing in his eyes that people couldn't explore. Mr. Zhou looked at the child's slightly red wound and asked casually: "This red spot will be completely eliminated after a while." Bar?"
Zhong Yu said calmly: "Don't worry, Mr. Zhou. In a few months at most, there will be no traces at all. After Nuannuan recovers, you won't see any difference."
Mr. Zhou nodded with satisfaction, "Although the consultation fee of one million is a bit expensive, it is worth it. Thank you, Director Zhong, for your hard work!"
Zhong Yu's smile faltered. She didn't know what was going on. It seemed that these rich people had agreed to spend one million as medical fees regardless of the size of the operation. She didn't even need to ask her. Anyway, she didn't. They can't suffer any loss, as long as they are happy.
Of course, when ordinary patients come for consultation, Zhong Yu will still try his best to receive treatment and charge fair and reasonable fees.
Sometimes when the patient's family is poor, she will waive part of the fee as appropriate. She does things that are worthy of her conscience.
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