Best Dental Clinic in Chennai : Best Dental Implant Center in India
FOLLOW US
  • HOME
  • Surgery of The week
  • Clinical Updates
  • Archives
  • Latest News
  • VIDEOS
  • CONTACT US

Complete facial rehabilitation after road traffic accident

30/3/2016

Comments

 
A 35 year old lady reported to my hospital with the complaints of facial disharmony due to road traffic accident happened 1 year back. She said first aid and fractured facial bone correction done in different hospital at her home town. But the outcome of the surgery was not satisfactory. She wanted to correct her face without much scars on her face.

After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji planned to correct her face in a single surgery without any scars on her face. Intraorally, maxilla was advanced by Le Fort I osteotomy and mandibular bone plate was removed.  Using bicoronal flap the frontal bone correction was done and orbitoparietal portion of skull and glabella depression was augmented using costochondral rib graft. Depressed dorsum of the nose was also augmented using costochondral rib graft. Superior orbital rim was also augmented using rib graft. Thus entire facial rehabilitation was done without any visible scars on the face. Patient and her family were very happy to see her facial transformation. 
Preoperative 3DCT scan showing panfacial fracture
Complete midface deficiency due to trauma
Frontal bossing and depressed glabella
Profile view showing depressed dorsum of nose and retruded maxilla
Defective nose with depressed glabella and frontal bossing
Incorrect bite due to fractured maxilla and mandible
Costochondral rib graft harvested to correct the facial bone defects
Intraorally Lefort I maxillary advancement done
Bicoronal flap raised and frontal bone elevated
Isolated frontal bone
Dr. S. M. Balaji operating on the patient
Frontal bone was trimmed to correct the bossing
Prepared Frontal bone
Approximated frontal bone and augmented supraorbital rim and glabella using rib graft and rhBMP2 protein
Immediate postoperative view showing enhanced facial appearance without any visible surgical marks on the face
Postoperative frontal view showing enhanced forehead and eye socket with corrected nose shape without any scars on the face
Postoperative profile view showing augmented root and base of nose with pristine tip without any scars on the face
Comments

Augmentation rhinoplasty for saddle-shaped nose

19/3/2016

Comments

 
Surgical correction of nose deformities also known as the “Nose Job” requires expertise and experience.  The surgeons estimate the type of defect - either excess or deficit of the height, deviations, depressions, slants and abnormally angled noses. The patient’s expectation of his/her nose is understood after careful examination.
Shown is a case with of a deficiency of the bridge portion of nose with bulky tip. Note the midlevel of the nasal bone, where there is a deficiency creating a huge impact on the patient’s facial profile. This gives the nose a saddle-shape. Maxillofacial Surgeon     Dr. S.M. Balaji planned a closed rhinoplasty technique wherein the surgical approach is through the nose to prevent unsightly scars.Appropriate measurement of nose was made and the amount of augmentation needed was noted. Autologous graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. Bulky tip of the nose was also corrected intranasally by removing excessively curved lower lateral nasal septal cartilage. The patient was very happy with the surgery outcome and her enhanced appearance.
Preoperative facial view showing depressed dorsum of nose with bulky tip
Profile view showing saddle nose appearance
Bulky tip of the nose with depressed dorsum of nose
Immediate postoperative view showing augmented dorsum without any visible surgical marks on the face
Augmented dorsum of nose
Corrected tip of the nose without any visible surgical marks on the face
Comments

Thick facial scar adhered to underlying bone corrected for enhanced appearance

15/3/2016

Comments

 
This is a case of huge dermal scar revision. Due to road traffic accident the patient had a skin abrasion 5 months back. He was very unhappy due to a depression in the lower jaw and upper neck region on the left side with absence of hair growth in the affected region, and a thick scar that was adherent to the underlying bone, which was affecting his appearance. He wished to have the complete scar revision to enhance his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully removed the thick scar tissue which was strongly adherent to the underlying bone. The depression was reconstructed by the mobilization of platysma and skin by following double layer closure. The patient was happy that his appearance was greatly improved.  
Preoperative view showing thick scar adherent to the underlying bone
Intraoperative view after complete removal of scar tissue and platysma flap mobilized and raised
Platysma flap used to cover the bone and reconstruct the depression
Immediately after double layer closure
Postoperative view immediately after suture removal following seven days of surgery
Comments

Successful removal of huge dentigerous cyst in lower jaw along with the impacted canine tooth and reconstruction 

4/3/2016

Comments

 
A 27 year-old man came to our hospital with a complaint of swelling with pain in his lower jaw. A digital X-ray took revealed a large cystic lesion extending from premolar to premolar of the mandible with complete erosion of the labial plate and impacted canine tooth.
​
 Histopathological examination of the specimen showed it to be a dentigerous cyst. Maxillofacial surgeon Dr. S.M. Balaji expertly removed the entire cystic lesion along with the lining with affected tooth in toto. Defective portion of the lower jaw was reconstructed using costochondral rib graft and bone protein rhBMP2. Following surgery the wound healed well and the patient was happy to be cured of his ailment.
Huge osteolytic lesion involving the lower anterior region of jaw with impacted canine tooth
Preoperative intraoral view
Costochondral rib graft obtained to correct the defective portion of the lower jaw
Intraoperative view showing complete removal of cyst along with the impacted canine tooth
Defective portion of the lower jaw was reconstructed using costochondral rib graft
Immediately after suturing
Comments

    Categories

    All
    Abbe Flap Technique
    Advanced Transport Distraction Osteogenesis
    Advancement Genioplasty
    Alveolar Cleft Repair
    Alveolar Distraction
    Ameloblastoma
    Augmentation Genioplasty
    Augmentation Rhinoplasty
    Bat Ear Correction
    Bilateral Cleft Lip Palate
    Blepharoplasty
    Bone Defect Reconstruction
    Bone Grafting
    Bone Morphogenetic Protein(BMP)
    Broad Flattened Nose Correction
    Bulky Nose Correction
    Chin Correction
    Chin Correction Surgery
    Cleft Lip & Palate Surgery
    Cleft Nose
    Cleft Palate Repair
    Cleft Rhinoplasty
    Complete Facial Rehabilitation
    Complex Facial Fractures
    Condylar Fracture Surgery
    Correction Of Hypoplastic Ramus
    Corrective Jaw Surgery
    Cosmetic Cleft Nose Correction
    Cosmetic Nose Correction
    Cosmetic Rhinoplasty
    Cosmetic Surgery
    Craniofacial Deformities
    Craniofacial Reconstruction
    Craniofacial Surgery
    Cyst Removal
    Dental Implant
    Deviated Nose Correction
    Diplopia
    Distraction Osteogenesis
    Ear Correction
    Ear Defect
    Ear Reconstructive Surgery
    Epiphora
    Extruding Infected MEDPOR
    Eyebrow Correction
    Face Enhancement
    Face Reconstruction
    Facial Asymmetry Correction
    Facial Bone Fracture
    Facial Burn Injury
    Facial Palsy Surgery
    Fibrous Dysplasia
    Flat Nose Correction
    Forehead Bone Fracture
    Forehead Deformity
    Forehead Flap
    Frontal Bossing Correction
    Gummy Smile
    Hemifacial Microsomia
    Implant
    Incomplete Cleft Lip
    Isolated Cleft Palate Repair
    Jaw Correction Surgery
    Jaw Cyst
    Jaw Deformity
    Jaw Joint Ankylosis
    Jaw Reconstructive Surgery
    Jaw Surgery
    Lip Defect Correction
    Lip Revision
    Locked Jaw
    Lower Jaw Fracture
    Low Lying Upper Eyelid Correction
    Macrostomia Correction
    Mandible Correction
    Mandible Reconstruction
    Maxillomandibular Distraction
    Maxilofacial Surgery
    Micrognathic Mandible Correction
    Microtia
    Nasal Glial Heterotopia
    Naso-orbito-ethmoidal Fracture
    Nose And Lip Correction
    Nose Asymmetry Correction
    Nose Correction
    Nose Job
    Nose Reconstructive Surgery
    Oral Submucous Fibrosis
    Oral Tumor Removal
    Orbital Correction
    Orehead Defect
    Orthognathic Surgery
    Parrot-beak Nose
    Parry Romberg Syndrome
    Pharyngoplasty
    Plastic Surgery
    Primary Cleft Lip Repair
    Profile EnhancemeP
    Reduction Glossectomy
    Reduction Rhinoplasty
    Removal Of Capillary Hemangioma
    RhBMP 2
    RhBMP-2
    Rhinoplasty
    Road Accident Trauma
    Road Accident - Trauma
    Scar Revision
    Secondary Cleft Palate
    Sinus Lift
    Smile Makeover
    Speech Correction
    Square-face Correction
    Surgery Without Scar
    Tessier Nose Defect
    Tissue Expansion
    TMJ Ankylosis
    Tongue Correction
    Tongue Surgery
    Trauma
    Trauma Treatment
    Triangular Shaped Forehead
    Tumor Resection
    Unilateral Cleft Lip
    Unilateral Cleft Lip And Palate
    Unilateral Cleft Lip Repair
    Velopharyngeal Incompetence

    Archives

    January 2018
    November 2017
    October 2017
    September 2017
    June 2017
    May 2017
    April 2017
    March 2017
    January 2017
    December 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013

    RSS Feed

Copyright © 2016 Balaji Dental & Craniofacial Hospital | All rights reserved | Powered by BALAJI DENTAL HOSPITAL