Dr. Chung’s 90s

Chapter 86 Repair of lip defects

Xin Peiming's eyes flashed slightly, he rubbed his fingers and leaned forward slightly unconsciously.

"What is the success rate of Dr. Zhong's surgery? What I want is not to look like a normal person, but to recover as before!"

His words made the atmosphere tense, and there was an inexplicable feeling of tension.

Zhong Yu, however, looked calm and unfazed at all. She chuckled and said:
"If Mr. Xin has any doubts about me, you can hire another expert. There is no shortage of skilled plastic surgeons in Hong Kong. Why don't you go to them?"

Xin Peiming looked at her with intense eyes, Zhong Yu looked back with a smile, and the two competed silently.

Xin Peiming smiled, relaxed his body, regained his momentum, and became kind again. He said lazily:
"Doctor Zhong, don't mind. There are too many quacks nowadays. I live on my face and can't tolerate any loss, so I speak more radically. Wei Zi and I are good friends. She believes in you, and I naturally believe in you too. of."

Zhong Yu raised his eyebrows slightly and replied with a smile:
"Wei Zi is willing to bring you here. She must have told you something about herself. I don't care if you question me. Anyway, I don't rely on you to improve my performance. Wei Zi doesn't mind."

Both of them were not easy to mess with. Wei Zi had no intention of intervening. When she was named, she shrugged indifferently and said:
"The two bosses can discuss it among themselves and just treat me as if I don't exist."

Xin Peiming put on his mask and said seriously: "Doctor Zhong, I'm prone to getting into trouble if I don't show up for a long time. I would like to trouble you to arrange the surgery as soon as possible."

Wei Zi also helped: "Senior brother will join the crew for a film in the first half of next year, and will have to take makeup photos later. If we break the contract, we will have to pay a lot of liquidated damages. I can only leave it to you."

Zhong Yu motioned her to calm down, and she looked through her notepad to see the upcoming surgery schedule.

She has left the general minor surgeries to Guo Pengfei and Cai Yizhong, and Director Tang has also taken over a few. Currently, she is still free.

"Okay, you go through the hospitalization procedures first, and then go for routine examinations. If there are no problems, I will arrange the surgery as soon as possible."

Wei Zi happily rushed over to hug her, "I knew you were the best!"

Zhong Yu deliberately messed up her hair and said angrily:
"Just don't burden me next time. Which hotel are you staying in?"

Wei Zi is now living a prosperous life and is much more cheerful.

She always regarded Zhong Yu as her benefactor and was close to her from the bottom of her heart.

"I'm staying at the Vienna Hotel near the hospital. Can we have a meal together when we have time?"

Zhong Yu also wanted to reminisce with her, so he nodded and said:
"I have nothing to do tonight. I will design a surgical plan for Mr. Xin in the afternoon and ask the operating room to prepare materials and medicines before leaving."

Wei Zi muttered: "Then I will go through the formalities and check-ups with my senior brother first. When you are done, call me in the ward and we will go together."

Zhong Yu agreed, but Xin Peiming was in a low mood and did not speak.

After they left, Zhong Yu continued to be busy.

After all, Xin Peiming is a well-known star. He went through the admission procedures, and Director Tang also received the news.

He came to Zhong Yu specifically to inquire about the situation. As soon as he entered the office, he got straight to the point:
"Xin Peiming's surgery is a hot potato. What surgical plan do you plan to use?"

The two have a good relationship, but Tang Jiaren is worried that if she doesn't handle it well and gets involved in a lawsuit, she will be in trouble.

Zhong Yu didn't feel any pressure.

"For the repair of lip tissue defects that cannot be directly sutured due to any reason, the ideal repair method should not only restore the unique red and white lip structure of the lip, but also restore its unique anatomical and physiological functions."

How could Director Tang not know this?

"None of the adjacent or distal flap methods that can be used can be achieved, and it will affect the surgical effect. The only way to meet these requirements is to repair it with the lip tissue itself. What method are you planning to use?"

Zhong Yu rationally analyzed: “The commonly used method is the cross-labial flap method, but the operation needs to be performed in two steps, with an interval of at least 3 weeks. Within 3 weeks, the patient cannot open his mouth, which makes life extremely inconvenient, takes a long time, and costs a lot.

Although the lip defect repair operation can be completed in one operation using free lip composite tissue transplantation, the transplanted tissue itself has no blood supply and is not easy to survive. The amount of transplanted tissue is small, which limits its application.

Recently, it has been reported that the labial flap cross-transfer with bilateral labial arteries as pedicles can be used to repair the contralateral lip defect. Although the operation is completed in one step, it requires dissection of blood vessels, which is complicated and traumatic. "

Tang Jiaren frowned even more tightly.

"Every surgical method has drawbacks, and Xin Peiming is a public figure. This is too difficult for you."

Director Tang sincerely considers Zhong Yu and is afraid that her career will suffer a waterloo.

How could Zhong Yu not understand his good intentions? He smiled and comforted:
"Don't worry, Director Tang. I already have a better surgical plan here. I plan to design a labial flap advancement with the labial artery as the nutrient vascular pedicle to repair moderate to severe lip defects. It uses the lip tissue itself to repair it, which can not only completely restore its unique The morphological structure and anatomical and physiological functions of the labial tissue, the extensibility of the labial tissue, the constancy of the labial artery, and the abundant communication branches between the upper and lower labial arteries and between the labial arteries on both sides have made it difficult to complete satisfactory repair of serious cases in the past. Ideal repair of lip defects becomes a reality.”

Tang Jiaren simulated the surgical scene in his mind according to Zhong Yu's method, and then asked excitedly:
"How did you come up with the idea? Please tell me more specifically."

Zhong Yu chuckled and said: "Because of the rich communication branches between the upper and lower lips and the labial arteries on both sides, the lip on the defect side can extend around the corner of the mouth to the opposite lip, forming a complex including the opposite lip. Labialis.

Therefore, the lip tissue can be used to its maximum potential.This surgical method is not difficult to operate and easy to master. There is no need to dissect blood vessels or special equipment during the operation, and the success rate of the operation is high. "

Tang Jiaren asked: "What about simple red lip defects or simultaneous red and white lip defects that cannot be sutured directly and range from 1/2 to 3/5 of one lip due to various reasons?"

Zhong Yuzi said: "All can be repaired with this method. If one lip extends through the corner of the mouth to the opposite lip, the corner of the mouth may become rounded and blunt after the operation. A canthoplasty can be performed after 3 months."

Tang Jiaren pondered for a long time, and Zhong Yu did not disturb him.

After Tang Jiaren cleared his mind, he sighed:
"I really benefited a lot from today. I will observe you while you are undergoing surgery, and I can also be your assistant."

Zhong Yu said humorously: "There will be competition for the position of my assistant. You can discuss it with them yourself."

Tang Jiaren burst out laughing. He had also heard about the affairs in the department. He also knew about the secret rivalry between Cai Yizhong and Guo Pengfei.

Since this matter would help promote the growth of young people, he didn't get involved.

"Then I won't argue with them. I'll just watch and observe. You go about your business first while I go to check the ward."

At this point, Zhong Yu had nothing to do, so he simply went to find Wei Zi.

In order to ensure Xin Peiming's privacy, a single ward was specially arranged for him. When she passed by, Wei Zi was catching up on her sleep.

When Zhong Yu knocked on the door, Xin Peiming was reading a book. Wei Zi was awakened, raised his head in confusion and asked:
"Ayu, are you busy?"

Zhong Yu smiled and nodded, "If you're too tired, we can make an appointment tomorrow."

Wei Zi waved her hand, she pulled her hair and bent down to put on her shoes neatly.

"Let's leave now. Senior brother, you need to rest first. I will bring you food back later."

Xin Peiming closed the book and said warmly: "Be safe, don't drink, and come back early." Wei Zi seemed to be used to his concern and didn't think there was anything wrong.

Zhong Yu was a little confused about the relationship between the two. When she came out of the ward, she asked curiously:
"Are you and Mr. Xin a couple?"

Wei Zi quickly shook her head and denied: "Where are you thinking? We are just brothers and sisters, the same agency, the same agent. When I entered the industry, he always took good care of me. Of course I should also be good to him. ”

Zhong Yu understood and said quietly:
"When I checked Mr. Xin's wounds, I found that someone had cut off his upper lip with a sharp blade. I don't know what happened specifically, but you should pay attention to your personal safety if you get close to him."

Wei Zi's face was ugly, obviously she knew the truth of the matter.

"Thank you, A'yu, for reminding me. I already know that. I can't be blamed for what happened to my senior brother. Can this surgery really make him recover as before?"

Zhong Yu smiled and said, "Don't worry, I will make him return to normal."

With her words, Wei Zi no longer worried, and the two chatted while walking.

Zhong Yu took her on a detour from the obstetrics and gynecology department. As soon as she reached the end of the obstetrics clinic, she heard a man shouting:
"My wife and I both have type B blood. It is impossible for us to give birth to a child with type A blood. You must have made a mistake."

The obstetrics nurse yelled grumpily:
"Isn't it your child you are holding in your arms? How could you make a mistake? Don't cause trouble for us."

The nurse's attitude made Zhong Yu very dissatisfied. She quickly stepped forward and said:
"What happened? There are many pregnant women here who are expecting to give birth. If you have any questions, please communicate with us."

The nurse saw Zhong Yu's expression change, and she preemptively said:
"Dr. Zhong, this man is deliberately looking for trouble. Two children came out of the delivery room just now, a boy and a girl. He is a daughter. How could he make a mistake?"

The man was unconvinced and said: "But this blood type is wrong. My wife and I both have type B blood. How can we give birth to a child with type A blood? This is unscientific."

The nurse said angrily: "Maybe this child is not yours at all? You have to ask your lover about this."

The man said righteously: "You are slanderous. I believe that my lover will never betray me. I ask your hospital to re-test the blood."

Zhong Yu hurriedly said: "Comrade, don't worry, we can recheck the child's blood type. Mistakes happen in the rush."

After she said this, she saw Dr. Shao from the obstetrics department hurried over. She nodded with Zhong Yu, and then said apologetically:
"I'm really sorry. The checklist for the two children was wrong. It was a mistake by our medical staff and a misunderstanding."

The man quickly took the checklist she handed over and looked at it. After seeing it clearly, he pushed up the glasses on the bridge of his nose and breathed a sigh of relief:
"I just said you made a mistake. This little nurse is really outrageous. You made a mistake and your attitude is so arrogant. I'm going to file a complaint against you!"

Doctor Shao quickly smoothed things over, "Our nurse is too young and has never dealt with this kind of thing. Please forgive me..."

Zhong Yu saw that there was an attending physician to handle the matter, so she didn't have to do anything for her, so she pulled Wei Zi away.

Wei Zizheng was watching it with gusto. Good guy, a small mistake almost caused a family ethics drama.

"Does your hospital have so many stories every day?"

Zhong Yu couldn't laugh or cry:
"This is just an accident, okay. The hospital definitely doesn't have as many stories as your entertainment industry."

Wei Zi was startled, but did not deny her statement.

Although the two haven't seen each other for a long time, Wei Zi still has the same enthusiasm for her.

She cannot talk about her past with new friends, and occasionally she will look back on the sad days of the past.

Until today, only she can understand all the feelings, and Zhong Yu, as a witness of her transformation, can let her speak freely.

During this meal, she was mostly talking and Zhong Yu was listening, and it didn't end until after eight o'clock.

Wei Zi returned to the ward still unfinished, so she pulled Xin Peiming and talked about it until midnight, leaving him without a good rest.

The next day Zhong Yu was in good condition. Before Xin Peiming entered the operating room, he specifically asked her if she wanted to postpone the operation.

Zhong Yu was a little puzzled, and she said seriously: "The operating room has already made arrangements, and the operation cannot be postponed without reason."

Seeing her energetic appearance, Xin Peiming said nothing. He yawned and said vaguely:
"Then proceed as planned."

When the group entered the operating room, Tang Jiaren had been waiting for a long time.

Guo Pengfei did not come to work today, so Cai Yizhong and Tang Jiaren were naturally his assistants.

Director Tang did not compete with the young man and directly gave up the position of Yishu to Cai Yizhong.

Zhong Yu changed into surgical clothes and made preoperative preparations such as sterilization and disinfection before starting the operation.

Xin Peiming's upper lip was a lip defect caused by trauma. He only needed to remove the scar tissue at the edge of the defect. After the removal, a rectangular full-thickness lip defect was formed on the lip, and the labial arteries on both sides were ligated and long lines were left.

Zhong Yu made a composite lip design. She drew lines horizontally on both sides of the defect at the same height as the bottom of the defect.

The incision design line of the lip flap on the larger side of the defect extends to the corner of the mouth and then to the contralateral lip, forming a composite lip flap including part of the contralateral lip.

She also sutured a No. 1 line on each side of the defect's labial flaps for traction, used a No. 1 sharp blade to incise the lip tissue along the design line to form a labial flap, and paid attention to bringing the labial artery into the labial flap.

After cutting one side of the lip, use the same method to cut the other side.

At this time, find the upper and lower labial branches of the facial artery on the outside of the corner of the mouth, and ligate and cut the facial artery at the upper and lower ends of the branches to increase the movement range of the labial flap.

She pushed the freed labial flaps on both sides toward each other horizontally toward the defect area. She first sutured the orbicularis oris muscle at the joint of the two labial flaps to restore its continuity, and then sutured the remaining wounds in order of mucosa, muscle layer, and skin.

After Zhong Yu was sutured, Director Tang took a closer look.

Zhong Yu made room for him and explained warmly:
“Because the labial incision is at the lip arch, the postoperative incision scar will not be obvious.”

Tang Jiaren breathed a sigh of relief and said: "That's good, otherwise I would have to worry about the aesthetic effect after surgery."

Cai Yizhong answered nonchalantly:
"If he is not satisfied with the surgery performed by Dr. Zhong, then he will not be able to find a satisfactory doctor."

Zhong Yu was not carried away by the praise. She looked at Cai Yizhong calmly and said:
"Don't talk big words. The strongest will have its own master. Just because you haven't seen it doesn't mean it doesn't exist. I'm still young and I still have a long way to go."

Cai Yizhong was a little frightened by her look. He also knew that he had made a mistake and apologized quickly.

"Dr. Zhong, I'm sorry! I said the wrong thing."

Zhong Yu turned around carelessly. She had no intention of arguing with him, she just didn't like being praised.


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