Dr. Chung’s 90s

Chapter 83 Congenital transverse facial cleft

Cai Yizhong was a little stunned. He didn't expect Zhong Yu to leave like this.

He reflected on his behavior just now and found that he might have used too much force.

Cai Yizhong is a person who is good at introspection. If it doesn't work this time, he will continue next time.

He believed that there was always a way to get close to her. If Guo Pengfei could gain her favor and trust, what couldn't he do?

But Zhong Yu was far away from the office, so he laughed helplessly.

She is not stupid. It is obvious that Cai Yizhong and Guo Pengfei are trying to drag her into trouble.

What does their discord have to do with her?Not to mention that she would be transferred soon, but even if she didn't leave, they would never use her as a gunman.

She went to sit at the nurse's station for a while. Nothing happened in the first half of the night, so she could go home from get off work.

As before, Zhong Yu took a taxi directly back from work. When he got out of the car and walked home, he faintly heard the cry of a child.

The crying sound didn't seem to come from inside the house. Zhong Yu searched for the sound nervously.

The closer she got to the garbage dump, the louder she cried. Zhong Yu pursed his lips tightly and looked ugly. Thinking of some possibility, he couldn't help but speed up his pace.

Under the dim light of the street lamp, I could see a baby crying hoarsely wrapped in a floral bag.

His hands and feet were freed from their restraints and exposed to the cold air. They were turning purple from the cold. It was as if he knew he had been abandoned. He cried heartbreakingly.

Zhong Yu couldn't bear to see it, and quickly took the child into his arms and covered it.

The quilt was not thick enough, and the child's clothes were thin.

I don't know what kind of parents would be so cruel. If she hadn't found this child, I'm afraid he would have frozen to death here.

Zhong Yu carried the child and walked under the streetlight, and then he saw the little face clearly. He was actually born with a congenital transverse facial cleft (macrostomia or macrostomia).

This is a rare maxillofacial deformity caused by the incomplete fusion of the maxillary and mandibular processes during embryonic development.

Clinical manifestations include unilateral transverse cleft and bilateral transverse cleft. This child has a unilateral transverse cleft, accompanied by ear deformity on the affected side. The length of the cleft is [-] to [-] mm. It looks a bit scary at night.

Zhong Yu couldn't explain what she felt in her heart. She hugged her child tightly and walked home, just wanting to give him warmth as soon as possible.

The temperature outside was extremely low at night, and the child didn't know how long he had been frozen. He probably felt the warmth when he was held in someone's arms, and he stopped crying.

His little mouth opened and closed and rubbed against Zhong Yu's chest, and he made humming sounds from time to time, which sounded very distressing.

Zhong Yu arrived at the door of her house panting heavily, and she hurriedly took the key to open the door.

The lights in the house were brightly lit at this moment, and Zhou Qin and Song Congchun had returned.

As soon as the door opened, they were shocked to see Zhong Yu holding a child. Zhou Qin frowned and asked:
"Whose child is this? Why did you bring it home?"

She curiously stepped forward to take the child, but Zhong Yu ducked back and explained softly:
"Mom, don't worry yet. This child was born with a transverse facial cleft and looks a little scary."

Zhou Qin's expression became solemn. She slowly opened the small bag and was looked at. Even though she was mentally prepared, she was still shocked when she saw the child at first sight.

She asked hesitantly: "Is this child a patient of yours? Why did you bring him home?"

Zhong Yu smiled bitterly and shook his head, saying seriously:
"This is not my patient. I just picked it up next to the garbage dump near our house."

Zhou Qin's face changed when she heard this, and she said angrily:
"This is not an era when we don't have enough to eat. Leaving it outside to freeze in such a cold weather is simply killing people. This child has such beautiful eyes. The parents of this child simply have no conscience."

Song Congchun also curiously came over to take a look. When he saw the child's face, he exaggeratedly said:
"Why does this look like the slit-mouthed ghost in a horror movie?"

Zhou Qin slapped him and said angrily:
"What nonsense are you talking about? Our baby's face can be cured, right? Oh, don't cry~"

The little guy grumbled for a long time without getting any food into his mouth, and cried out in frustration.

Although Zhong Yu had performed operations on babies, she had no experience in taking care of children. She said anxiously:
"Mom, what's wrong with him? Look quickly."

Zhou Qin said calmly:
"Don't worry, I'll see if he peed. There is a clean white cotton cloth in the drawer next to the bed in my room. Let's use it as a diaper for this poor little guy."

Zhong Yu quickly went to get it. Zhou Qin skillfully unwrapped the quilt and took a look, smiling and saying:
"Oh~ He's still a little brother. Look, this diaper is so wet that he can squeeze out a bucket of water."

Song Congchun gnawed on an apple and stood watching. He suddenly realized that compared with what happened to this child, the bad things his father had done were nothing. This child would have difficulty even surviving, even if his face was cured in the future. , that is also the one that no one loves or cares about.

He looked at the child with extremely sympathetic eyes and said pitifully:
"Since this child was picked up, shouldn't we call the police first?"

Zhong Yuzheng came out with the cotton cloth. She rubbed it as she walked and said softly:
"We really should call the police. It's not convenient for our family to adopt this child."

Zhou Qin took the cotton cloth from her hand, folded it carefully, and skillfully changed his diaper. She said in a gentle voice:
"Our family can afford to raise him, but I don't have time to take care of him. I can't just leave him in the store every day."

Zhong Yu waved his hand, "Don't think about this now, just call the police first."

Song Congchun volunteered and raised his hand, "I'll call the police. You two can take care of the little one."

After he finished speaking, he directly picked up the phone and pressed the phone number skillfully.

He knew the police station numbers in their jurisdiction by heart, just in case he would need them.

Zhong Yu didn't worry that he couldn't explain things clearly. After all, he was still a junior high school student and one of the top academics. If he couldn't do such a small thing well, it would be too useless.

Zhou Qin put the dirty diaper into the basin, picked up the child and patted it gently to comfort him, but he only stayed quiet for a minute before he started crying again.

Zhong Yu looked at him with a headache and said helplessly: "Mom, what's wrong with him?"

Zhou Qin put her finger to the little guy's mouth. The little guy opened his mouth like a bird and came to suck it. Zhou Qin quickly retracted his finger and said with a smile: "This little guy is hungry and wants to drink milk."

Zhong Yu held his forehead and deeply understood what it meant to raise a child.

"Where can I find milk powder for him in the middle of the night?"

Zhou Qin didn't take it seriously, "It's okay. I think this child needs to be six or seven months old before he can take complementary food. We still have malted milk at home. Give him that."

The malted milk essence was bought for Song Congchun to eat. He didn't like to eat it and it was almost expired when it was left at home.

Zhong Yu hurried to get it. This child also had a temper. He couldn't get the food into his mouth for a long time, and he was out of breath from crying.

Zhong Yu, who was busy in the kitchen, was so confused by his crying that he stretched his neck and shouted:
"Mom, please comfort him quickly."

Zhou Qin knew that her daughter had no experience in raising children, so she said in a dumbfounded voice:
"This child cries and laughs whenever he wants. How can he listen to me? This child knows how to recognize people, and he probably still recognizes life. Don't worry, there is no child who doesn't cry."

The child was crying loudly here, and someone knocked on the door again. Song Congchun thought it was the police from the police station, so he immediately went to open the door. When he opened the door, he saw Aunt Fang wearing a cotton-padded jacket.

She asked unhappily: "Why is your family so noisy in the middle of the night? Why are there still children crying?"

Zhou Qin leaned out with the child in her arms and said, "Sister-in-law Fang, our Ayu picked up a child on the way home from get off work and is crying from hunger."

Aunt Fang was startled when she heard this, "Who is so wicked, abandoning a child in the middle of winter?"

As she spoke, she strode in. When she suddenly saw the child's abnormally big mouth, she was so frightened that her face turned pale. She instinctively covered her eyes and shouted:
"Ouch~ Why is this child so scary? You didn't tell me earlier."

Zhou Qin is used to it now and doesn’t find it scary at all. She smiled and said:
"Don't make such a fuss. The child is sick. What is his name?" Zhou Qin asked her daughter for help. Zhong Yu said calmly: "This is called congenital transverse facial cleft, which is a rare maxillofacial deformity."

Aunt Fang leaned forward hesitantly and asked:
"It's really not a monster? It looks so scary. No wonder the family threw them away. Are they boys or girls?"

Zhou Qin sighed: "He is still a boy, what a sin!"

Zhong Yu tasted some malted milk, and it was just right in her mouth. She held the bowl and sent it over carefully.

Aunt Fang took the bowl naturally, she smiled and said:
"Your mother, please hold me and feed me. You have never given birth to a child, so you don't know how to take care of him."

Zhong Yu was not polite to her either. Although Aunt Fang still had some mental disorders, she was also sympathetic.

She patiently fed him small spoonfuls by small spoonfuls. The little guy was probably really hungry, and he ate one bite after another. The force with which he held the spoon in his mouth made Aunt Fang laugh.

"What a greedy little cat. I don't know if I will be lucky enough to eat malted milk in the future."

Zhou Qin gently wiped his mouth with a cotton cloth and said softly:
"How can he not be able to eat? He can be picked up by our Ayu and why can't he be cured? His luck lies ahead."

Zhong Yu touched the little guy's sweaty soft fur and said with a smile:
"The operation is not difficult. I will treat him and ensure that he grows up to be a handsome boy."

It was probably his greatest luck to meet Zhong Yu.

The little guy filled his stomach, changed a clean diaper, rubbed his eyes and yawned before going to sleep.

Zhou Qin was coaxing him to sleep while chatting with Aunt Fang. After a while, the police came to the door.

Zhong Yu told them in detail how he picked up the child. Seeing such a child with a congenital malformation, the police officers at the police station also sympathized with him.

Abandoning children is not uncommon in this day and age, and without surveillance it would be impossible to find anyone. But most of the people who abandon children are usually girls, and there are very few families who abandon boys.

Officer Zhao looked at the sleeping child and said with some embarrassment:
"We don't even have a female police officer at the police station. If we leave this child to some of our elders, they won't be able to take care of it. Even if he is sent to a welfare home, it will take a few days. The relevant procedures must be completed first, right?"

Zhou Qin looked at the little guy sleeping soundly in her arms and said with some reluctance:
"Then let our family take care of her for the time being. Xiaolu can see it alone in my store. If it doesn't work, just take her to the store."

Aunt Fang also hurriedly said: "I will also help, the little guy is so pitiful."

Zhong Yu looked at Officer Zhao and said: "Then let us stay at home for the time being. I am a plastic surgeon at Nanshan Hospital. I can perform corrective surgery on his face and cure his face. Maybe I can find him a doctor without going through the orphanage." Great adoption home.”

Aunt Fang agreed, "A'yu is right. There should be people in our area who want to adopt him. It's better to wait. Life in an orphanage will not be so happy."

Although Officer Zhao is a grown man, he is also a father and understands how pitiful children without parental protection are.

He solemnly said: "Then let me first thank Dr. Zhong for saving this child's life!"

After saying that, he saluted Zhong Yu, who quickly backed away.

He said that the grace of saving his life was not an exaggeration. Zhong Yu picked him up from the garbage dump, prevented him from freezing to death, and healed his face to give him a new life. This was a great kindness.

Zhong Yu didn't think she was anything special. She was just doing her duty as a doctor. On the contrary, it was even more rare for her mother to take care of him with such compassion.

The next day Zhong Yu arranged for the child to be admitted to the hospital for treatment. The child was still young and if he was cured by surgery as soon as possible, he would be able to recover better.

If he delays for a few more years, when he becomes sensible, he will feel inferior because of this face.

Zhou Qin also went to the hospital to take care of the child's food and daily life, and Officer Zhao signed on behalf of the family.

Because he wanted to find an adoptive family for him as soon as possible, Zhong Yu arranged the surgery for him as quickly as possible.

I don't know what tricks Cai Yizhong used this time, but he actually helped Zhong Yu. The most amazing thing was that Guo Pengfei didn't cause trouble, but when he entered the operating room, his expression looked a little aggrieved.

Zhong Yu put on the mask expressionlessly. She didn't ask or say much. Anyway, no matter who was the first aid, it would not affect the progress of the operation.

When everything was ready, she first placed some points on the child's face.

Combined with the distance from the unaffected side of the mouth to the center of the right Cu-pid's arch and the horizontal intersection point of the affected side's pupil center vertical line and the corner of the mouth, determine the position of the affected side of the mouth at the junction of the upper and lower lip red skin of the affected side of the canthus of the mouth, and determine the fixed point ratio of the affected side of the corner of the mouth. The healthy side is [-]~[-]mm shorter.

Then she designed the incision. She designed red lip corner flaps on the upper and lower lips, and then designed two dual triangular flaps on the upper and lower lips with an included angle of [-]° based on the length from the corner of the mouth to the end point of the cleft.

Zhong Yu then opened the flap and asked Wei Fan to inject local anesthetic, then raise the V-flap on the upper and lower red lips and suture the new corner of the mouth.

Then make an incision at the junction of the skin and the red lip at the upper and lower edges of the fissure, cut to the subcutaneous and muscle layers, and raise the "Z"-shaped skin flap and mucosal flap to correct the excess skin and mucosa.

Then she dissected the orbicularis oris muscle. She cut the orbicularis oris muscle transversely by [-] to [-] mm, then cut off the connections between the superior orbicularis oris muscle and the zygomaticus muscle, and the inferior orbicularis oris muscle and the smile muscle respectively, and released the muscles from the lip muscle ring. bundle.

Finally, for suturing, she used [-]-[-] absorbable suture to suture the mucosal layer on the oral side in a straight line.

Place the upper labial muscle bundle in front of the lower labial muscle bundle at an angle of [-]°, use [-]-[-] absorbable sutures to overlap and restore the sphincter ring structure, and then suture the zygomaticus and laughing muscles to the orbicularis oris muscle respectively to reach the muscles. Reconstruction effect.

She then cross-sutured the dual triangular flaps of the skin with [-]-[-] absorbable sutures, and finally made a fusiform incision along the appendix to remove the appendix.

None of Zhong Yu's moves are redundant. She is confident, strong and able.

Cai Yizhong's teacher had also performed corrective surgery for a unilateral transverse fissure. In comparison, his teacher's treatment method pales in comparison.

This realization set off a storm in his heart. After the operation, as soon as the patient was pushed out of the operating room, he couldn't wait to ask:
"Dr. Zhong, I don't quite understand the surgical method you just performed. Can you explain it in detail?"

If he said anything else, Guo Pengfei would definitely confront him, but he didn't know much about this surgery, so he also looked at Zhong Yu.

Zhong Yu took off the mask, relaxed her body slightly and leaned forward. She spoke clearly:
“Just now I used the dual triangular flap combined with the orbicularis oris muscle anatomical reduction method. Each structure on the body surface does not exist in isolation but is a changing whole.

The purpose of surgical correction of transverse facial cleft is to accurately locate the position of the corners of the mouth, reconstruct the orbicularis oris muscle ring, maximize the concealment of skin sutures, avoid displacement of the corners of the mouth caused by scar shrinkage, and obtain a good overall aesthetic effect on the cheek. "

The two listened attentively and stared at Zhong Yu with good eyes.

She continued calmly: "The effect of orbicularis oris muscle reconstruction has a great influence on the static and dynamic shape of the oral angle after surgery. Poor jointing of the upper and lower muscle bundles of the orbicularis oris oris muscle will cause "goldfish mouth."

The dual triangular flaps designed at the corners of the mouth play a very significant role in forming the natural shape of the corners of the mouth.The dual triangular flaps designed at the corners of the mouth can use the tension of the skin to reposition the traction direction of the skin tissue and avoid linear scar contracture from pulling the corners of the mouth outward. "

Cai Yizhong frowned in deep thought, and he pointed directly to the point, "Is there a mystery behind the stitching just now?"

A flash of appreciation flashed in Zhong Yu's eyes. Regardless of other things, this young man's professional quality is not low.

She nodded with a smile, "The Z-shaped flap is inserted from the upper lip to the lower lip, and the suture is placed on the lower lip. This keeps the scar away from the center of the maxillofacial area and avoids the formation of scars at the corners of the mouth.

In addition, when suturing, the Z-shaped flap is sutured in an S-shape so that the edge of the flap is located in the labial-buccal groove, so that the S-shaped scar on the cheek is in the same direction as the skin lines, avoiding sharp angles at the corners of the mouth, and obtaining a smooth and natural mouth corner shape and good facial contours. Visual effect. "

Cai Yizhong suddenly realized that Guo Pengfei also benefited a lot.

After Zhong Yu finished speaking, it was up to them to digest and absorb it slowly. She went to wash her hands first and gave another warning before leaving.

"The long-term postoperative effect of dual triangular flap combined with anatomical reduction of the orbicularis oris muscle to correct unilateral transverse cleft deformity is good, but you should pay attention to the details during the operation, so as to make the corners of the mouth more rounded and natural and increase the aesthetic effect."

The two of them nodded in agreement and respectfully watched Zhong Yu leave.

Cai Yizhong no longer has any contempt for her, and has put away all his previous petty thoughts. When dealing with people of extraordinary strength, he can only respect the virtuous and courteous!

The number of words in this chapter is a bit too long. Last month, the final result was 11th on the new book list. I am very grateful to the princes and princesses for their subscription and monthly support. I will continue to work hard! ! !

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