Balaji Dental and Craniofacial Hospital - Dr. S.M Balaji, Maxillofacial Surgeron, India - Best Dental Clinic in Chennai : Best Dental Implant Center in India

Successful surgical removal and reconstruction of the recurrent ameloblastoma of mandible

28/7/2015

A 29 year old man reported to our hospital with the complaint of swelling in the right side of his face. He added that twice it was removed in his hometown surgically and it was failed and recurrence occurred. He was very cautious about this progressive swelling which made him under huge depression.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as recurrent ameloblastoma involving the right side body of the mandible. Surgery was planned to remove the lesion and reconstruct the affected jaw portion in a single stage. Through gingivomucoperiosteal flap, complete removal of the lesion along with the involved teeth with sufficient clearance of the bone was done under General anesthesia. Costochondral rib graft was harvested and fixed to it. Flap was approximated and sutured. Patient was happy to have both removal and reconstruction in a single surgery.

Preoperative OPG showing lesion in the right of the lower jaw and missing premolar teeth

Costochondral graft harvested to reconstruct the affected portion of lower jaw

Gingivomucoperiosteal flap raised and affected portion of the lower jaw was exposed

Wide excision of the benign lesion was done along with the involved teeth in toto

Complete removal of the affected jaw bone along with the benign lesion and involved teeth

Harvested costochondral graft fixed with the adjacent bone using bone plates

Immediately after suturing

Successful surgical repair of incomplete cleft lip

13/7/2015

A 3 month old baby boy was born with unilateral incomplete cleft lip. His parents brought him to our hospital for surgical management.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the cleft lip repair using modified Millard’s technique. Following suture removal 7 days after surgery, the baby’s appearance was greatly enhanced. The baby’s parents were very happy to have the cleft lip defect corrected with very negligible scar.

Successful removal of huge infected odontogenic keratocyst and reconstruction of lower jaw without any scars

9/7/2015

A 32 year old man from Trichy came to our hospital for expert treatment for his lower jaw defect. He complained of an intermittent pain and swelling in the right side of his lower jaw. The swelling was initially small and gradually increased to its present size for a period of 3 months.
Maxillofacial Surgeon Dr. S.M. Balaji performed the clinical and radiological investigations. OPG and 3D CT scan showed a large radiolucent lesion involving impacted third molar. Almost entire bone in this portion of the lower jaw was lost. A biopsy of the lesion proved to be keratocyst due to impacted third molar.
Dr. Balaji successfully enucleated the cyst removing the cyst lining completely along with the affected teeth. Inferior border of the mandible and condyle preserved for continuity, graft contoured in L shape with titanium screws and inserted into the surgical site. Graft near the body of the mandible fixed with titanium plates & the surgical site was closed.

Preoperative digital orthopantomogram showing huge radiolucent lesion involving the entire ramus of the mandible on the right side

Costochondral rib graft harvested to reconstruct the affected portion of mandible

After complete removal of the cyst harvested rib graft used to reconstruct the defective portion of mandible

Immediately after suturing

Successful primary lip repair for unilateral cleft lip and palate baby girl

9/7/2015

A 3-month-old baby girl born with unilateral cleft lip and palate was brought to our hospital from Trichy by her parents for specialized treatment of the defect.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the primary cleft lip repair using modified Millard’s technique. Results are immediate. The baby’s appearance was remarkably improved and was able to feed well. Her parents were very happy to have the cleft lip surgically treated with negligible scar. After few months cleft palate repair will be done.

Unilateral cleft lip and palate in a 3 months old baby girl

Primary cleft lip closure using modified Millard's technique

Immediately after suture removal following seven days of surgery showing enhanced appearance

Isolated cleft palate repair

7/7/2015

A baby girl born with isolated cleft palate defect was referred to our hospital for surgical correction of the cleft defect.
Maxillofacial Surgeon Dr. S.M. Balaji performed the cleft palate repair using Palatal pushback technique. The palatal flap was raised on both right & left side. The palate muscles were reattached in their normal position & a two layer closure was done to completely reconstruct the floor of the nose and roof of the mouth. The suction test was positive which guarantees good speech.

Positive suction test following successful cleft palate repair

Successful treatment of lower jaw fractures sustained in a road traffic accident

4/7/2015

A young man had met with a motor vehicular accident a few days in which he had sustained injuries to his lower jaw. He had severe jaw pain, his teeth occlusion was completely deranged and he had great difficulty in biting, chewing, swallowing and speaking.
A preoperative 3D CT scan revealed fracture in the right mandibular parasymphysis region and left angle of mandible. Maxillofacial Surgeon Dr. S.M. Balaji successfully fixed and stabilized the fractured segments using bone plates and screws. Accurate occlusion and bite was achieved.

Fractured lower jaw with displacement of the fractured segment leading to inability to bite

Digital orthopantomogram showing left angle and right parasymphysis fracture

3DCT scan view showing fracture involving left angle and right parasymphyseal fracture

Intraoperative view showing fracture stabilization with 4 hole titanium bone plate

Proper bite achieved and right parasymphyseal fracture stabilized with 4 hole bone plate

Cosmetic nose correction for broad flat nose with bulky tip

1/7/2015

A 25 year old male reported to our hospital with the complaint of depressed nasal bridge and broad base of the nose with bulky tip of the nose.
Maxillofacial Surgeon Dr. S.M. Balaji corrected his nose by following Augmentation Rhinoplasty technique. Cartilage graft has been harvested and sculpted for the correction of depressed nasal bridge. The surgery was done within the nose so there are no scars on the face. Asymmetrical alar shape was corrected by adjusting the shape of it using harvested rib cartilage. Results are immediate and he is happy to have a renewed confidence to have a pristine nose with a new, improved look.

Depressed dorsum of nose with bulky nose tip and defective alar shape

Asymmetrical ala shape with depressed appearance of nostrils

Harvested rib graft used to augment the dorsum of the nose

Intranasally the graft was inserted into the dorsum of the nose

Alar shape was reconstructed with the chondral graft harvested from rib

Immediate postoperative view showing augmented dorsum of nose with corrected nasal tip

Corrected alar shape giving pristine appearance without any visible surgical marks on the face

Successful resection of Aneurysmal bone cyst followed by jaw reconstruction

1/7/2015

A 28-year-old female reported to our hospital with a painful, bony swelling lesion in the front teeth region of her lower jaw. She had undergone a biopsy of the lesion elsewhere which proved to be aneurismal bone cyst. A 3D CT scan revealed the exact size and extent of the lesion in the anterior mandibular region. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a complete resection and reconstruction. A radical excision of the lesion was done with complete resection of all tissues lining the cyst and any of its components from the surrounding soft tissues. The involved teeth were also extracted. To reconstruct the residual defect, a graft from iliac crest was harvested using trapdoor technique. The harvested graft was used to reconstruct the residual mandibular defect. The surgical site was sutured. The patient was happy that the lesion was excised and jaw bone was reconstructed successfully.

3D CT scan image showing extent of the aneurysmal bone cyst in mandibular anterior region

Complete excision of cyst lining, affected tissues and removal of involved teeth

Bone grafted from iliac crest using trap door technique

Bone grafted from iliac crest using trap door technique

Harvested graft used to reconstruct the residual bone defect

Surgical site closed