Maxillofacial Surgeon Dr. S. M. Balaji performed the primary cleft lip repair surgery using the Modified Millard’s technique. The baby’s parents were very happy that their baby’s lip defect was corrected with hardly any scars and the child’s appearance greatly improved. The baby and his family went back to his hometown and they are to return later for further cleft management.
A 3-month-old baby boy born with unilateral cleft lip & palate defect was brought to our hospital by his parents for the surgical correction of his lip defect. Maxillofacial Surgeon Dr. S. M. Balaji performed the primary cleft lip repair surgery using the Modified Millard’s technique. The baby’s parents were very happy that their baby’s lip defect was corrected with hardly any scars and the child’s appearance greatly improved. The baby and his family went back to his hometown and they are to return later for further cleft management.
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A 35 year old man came to our hospital for expert treatment for his lower jawbone defect. He had surgical removal of squamous cell carcinoma involving right side buccal mucosa and removal of affected portion of mandible and reconstruction of the soft tissue was done using PMMF (Pectoralis Major Myocutaneous Flap) elsewhere. Had postoperative radiotherapy for following 3 months which lead to severe mouth opening restriction. He also complained of jaw deviation towards left side and facial asymmetry. He was seeking to improve the quality of life by reconstructing the affected side of the face. Maxillofacial Surgeon Dr. S.M. Balaji performed the clinical and radiological investigations. OPG and 3D CT scan showed complete absence of left side body, angle and ramus of mandible including condylar component. Dr. Balaji successfully reconstructed the huge mandibular defect through the previous scar maintaining the contour of mandible using titanium “L” plate and costochondral rib graft and thus missing condylar component was also reconstructed, the surgical site was closed in layers. Patient feels very happy to have complete facial asymmetry correction in a single surgery. Following good bone formation dental implants will be fixed to enhance his chewing ability. A 20-year-old boy came to our hospital seeking to treat the huge discolored swelling in the tongue. He complained of a growth of tissue protruding from the tongue which was initially small and gradually grew to the present size and the overlying skin was fiery red & blistered. This was adversely affecting the speech and swallowing pattern. He wanted a permanent treatment.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the surgical treatment. An angiogram revealed the lesion to be a hemangioma. Dr. Balaji performed a glossectomy along with the hemagioma lesion removal along the borders without affecting the shape of the tongue and taste perception. The patient recovered well and is happy to have an improved appearance and the defect cured. A 28 year old woman reported to our hospital with the complaint of swelling in the right side of her face. She added that there was pain in her lower jaw before later reduced and she had intraoral swelling. After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as 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 submandibular incision, complete removal of the lesion along with the involved tooth with sufficient clearance of the bone under General anesthesia. Costochondral graft which was harvested was fixed to it. Incision was closed in layers. Patient was happy to have both removal and reconstruction in a single surgery. Video showing mental nerve separated and saved |
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