Blog Archives

Reduction rhinoplasty for improved facial appearance

28/8/2016

A young man came to our hospital wanting to correct the shape of his broad, bulky nose that gave his face an unattractive appearance.
Maxillofacial Surgeon Dr. S.M. Balaji performed a reduction rhinoplasty. The large bulky nose was reduced by removing excessively curved lower lateral nasal septal cartilages bilaterally and medial osteotomy done to reduce the height of the nose. Thus nose was made more proportionate and sharp with reduction rhinoplasty. Entire surgery was approached through the nose avoiding scar formation. The man was very happy that his appearance improved greatly and his nose defect was corrected without any visible surgical marks on the face.

Preoperative view showing broad nose with bulky tip and ill defined nasal bridge

Columellar view showing bulky dorsum of nose

Intraoperative view showing removal of excessively curved lower lateral nasal septal cartilage

Medial septal cartilage was reduced intransally

Excessive nasal septal and lateral nasal cartilage was removed

Immediate postoperative view showing pristine nose without any visible surgical marks

Columellar view showing corrected dorsum of nose with narrow tip

0 Comments

Cleft rhinoplasty without scars

26/8/2016

0 Comments

25-year-old men reported to our hospital seeking specialized treatment to correct his cleft nose defect. He was previously operated for cleft lip and palate elsewhere. Due to the cleft defect his nose was collapsed on the left side and it affected his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the rhinoplasty or nose correction. A costochondral graft (rib graft) was harvested and used to reconstruct the collapsed nasal framework. The surgery was approached from inside the nose so there was no scar. Secondary lip repair was also done to correct the vermillion defect. Immediately after surgery, the nose appeared sharp and definite giving a more pleasing appearance. The patient was very happy to have his nose defect corrected without any visible surgical marks on the face.

Preoperative facial view showing broad nose with deviated nose tip towards right side due to cleft defect

Columellar view showing depressed nasal tip with ill defined columella and asymmetric nostrils

Costochondral rib graft harvested to reconstruct the shape of the nose

Immediately after suturing showing corrected dorsum of the nose with cleft lip revision

Columellar view showing corrected shape of the nostrils using rib graft intranasally without any visible surgical marks on the face

0 Comments

Successful removal and reconstruction of cystic lesion in lower jaw

20/8/2016

0 Comments

A 28 year-old man came to our hospital with a complaint of pain in his lower jaw. A digital X-ray and 3DCT scan was taken revealed a large cystic lesion extending from canine to canine of the mandible with complete erosion of the labial plate.
Maxillofacial surgeon Dr. S.M. Balaji expertly removed the entire cystic lesion along with the lining with affected teeth in toto. Reconstruction of the bone defect was done using bone graft obtained from the retromolar region. Following surgery the wound healed well and the patient was happy to be cured of his ailment.

Preoperative digital orthopantomogram showing osteolytic cystic lesion involving lower anterior region of mandible

3DCT view showing buccal cortex erosion in lower anterior region of mandible

Intraoperative view showing surgical exposure of cystic lesion

Cystic lesion removed along with the lining and prepared for HPE

Bone defect after removal of the cystic lesion

Bone graft obtained from the impacted teeth region

Removed of affected mandibular anterior teeth and impacted third molars

Bone graft fixed into the defective region of mandible

Immediately after suturing

0 Comments

Resection of huge mandibular tumor and reconstruction using univector intraoral mandibular distraction technique

16/8/2016

0 Comments

This is a case of ameloblastoma involving right side of mandible. Resection and reconstruction of the huge mandibular defect was done without any bone grafting using distraction osteogenesis. Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected using univector intraoral mandibular distraction technique. Simultaneous resection of huge tumor and reconstruction using native bone was done using distraction osteogenesis. By sequential activation of the distractor device, the native bone was made to grow and fill the entire bone defect. Patient feels happy to have both removal and reconstruction of the entire jaw bone defect without any bone graft.