Fish bubble eyes, collapsed nose bridge, short chin, wrinkled skin... As the saying goes, nine of the ten newborn babies are ugly, and many people joke that "children are too ugly to throw away, and there may be surprises in raising one."
But sometimes, some babies' special faces are not because they do not grow, but because they suffer from some kind of disease, which is serious or even life-threatening.
A baby with a short jaw, almost out of breath
Ann anterior side
Piro sequence signs? Mr. Ling's family was confused about the disease.
Zhao Xiong, deputy director of the Burn Plastic Surgery Department of Zhejiang University Children's Hospital, introduced that piro sequence sign is a congenital comprehensive disease, with an incidence rate of about 1/10,000, and it is difficult to find in obstetric examination. Common clinical symptoms are small mandibular deformity, tongue fall, and lead to upper respiratory tract obstruction, swallowing and eating difficulties, some children will also be accompanied by umbilical bulge, cleft palate, different degrees of laryngeal cartilage dysplasia, bone, auricular deformities and congenital heart disease and other diseases.
Due to Piro's serial signs, An An was born with a short chin, could not eat normally, and the airway was also very narrow, so he usually gasped for breath, had difficulty eating, and suddenly could not breathe.
If the child is not treated in time after birth, it will lead to the gradual aggravation of the above respiratory obstruction symptoms. Respiratory impairment can lead to a series of problems such as hypoxia, cardiopulmonary arrest, pulmonary hypertension, growth arrest, and backward development of the nervous system, with a mortality rate of up to 10%.
The four-month-old baby had plastic surgery
An extender is buried on each side of the mandible
In order to solve An'an's most urgent breathing difficulties, after a multidisciplinary joint consultation of the burn plastic surgery department, intensive care unit, anesthesiology department, respiratory department and other multidisciplinary joint diagnosis of Zhejiang University Children's Hospital, Zhao Xiong's deputy chief physician team decided to perform mandibular extension surgery for An An first.
"It is necessary to cut open the sides of An An's mandible and bury one extender, and by turning the extender every day, the mandible can also be lengthened, mainly to solve her upper respiratory tract obstruction, while improving the condition of small mandibular deformity, so that she can breathe freely." Zhao Xiong said.
Babies whose mandibles are very small and brittle, surrounded by nerves, blood vessels and parotid glands, how to see the mandible and bury it into the extender while avoiding damage to the nerves, blood vessels and parotid glands is the key to surgery. This is undoubtedly an extremely difficult and risky operation.
After a series of detailed preparations such as preoperative three-dimensional CT measurement of mandibular angle, length, tooth-germ distance positioning, etc., the operation begins. Under the shadowless lamp, Deputy Chief Physician Zhao Xiong was concentrating on the operation, and the consequences were unimaginable.
Three hours later, with the tacit cooperation of the burn plastic surgeon team and the anesthesiology team, the operation was successfully completed.
After a week of rapid prolongation, the symptoms of An An airway obstruction were completely relieved, and her small face would no longer be red and she could breathe freely and freely.
Ann postoperative lateral
Deputy Chief Physician Zhao Xiong rounds (data map)
Source: Qianjiang Evening News Hourly News Reporter Zhang Bingqing Correspondent Zhu Yaoling
Duty Editor: Ni Wangzhen