Blog Archives

Infected mobile mandibular bone plate placed elsewhere was removed and successfully reconstructed using costochondral rib graft

14/10/2016

A 36 year old woman reported to our hospital with the complaint of missing teeth along with the bone in the front region of lower jaw. She added that the anterior mandibular segment was removed due to ameloblastoma and reconstruction plate was fixed few years back elsewhere and she was not able to chew foods and speak well due to missing teeth along with the bone. She wanted permanent reconstruction of her mandible and fixed teeth.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji planned to reconstruct her mandibular defect using costochondral rib graft following which dental implants will be fixed into the newly formed bone. Intraorally, the infected mobile mandibular reconstruction plate and screws placed elsewhere were removed and reconstructed using costochondral rib graft along with the titanium mandibular reconstruction plate. Incision was closed in layers. Patient feels very happy to have complete reconstruction in a single surgery. Following new bone formation fixed dental implant replacement will be done for her missing teeth.

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Primary cleft lip repair for 3 months old baby girl

8/10/2016

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A 3-month-old baby girl born with unilateral cleft lip & palate defect was brought to our hospital by her parents for the surgical correction of her cleft lip defect.
Maxillofacial Surgeon Dr. S. M. Balaji performed the primary cleft lip repair surgery using the modified Millard’s technique. The parents were very happy that their baby’s cleft lip defect was corrected with hardly any scars and the child’s appearance greatly improved. The baby and her family went back to their hometown and they are to return later for further cleft management.

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

Immediately after suturing using modified Millard's technique

Postoperative view immediately after suture removal following seven days after surgery

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Successful removal of huge infected dentigerous cyst involving complete left side of lower jaw in a young boy

7/10/2016

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A 14-year-old boy was brought to our hospital with his parents from Bangladesh with a complaint of swelling with pain in his lower jaw. A digital X-ray took revealed a large cystic lesion involving entire left side of mandible with impacted wisdom tooth.
Histopathological examination of the specimen showed it to be a chronic infected dentigerous cyst. Maxillofacial surgeon Dr. S.M. Balaji surgically removed the entire cystic lesion along with the lining with affected tooth in toto. And the secondary mandibular defect was reconstructed simultaneously using costochondral rib graft. Following surgery the wound healed well and the patient was happy to be cured of his ailment.

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Successful correction of bulky nose without any scars

7/10/2016

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24 year old women reported to our hospital with the complaints of broad flattened nose which gave her an aged appearance. She felt that her nose profile doesn’t suit her face and she was psychologically disturbed due to her appearance.

Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected her nose by closed reduction rhinoplasty technique. During procedure, caudal portion of lower lateral nasal septal cartilage was removed. Bridge of the nose was made narrow by lateral osteotomy technique. Results are immediate. Patient was happy to have reduced shape and size of the nose giving pristine appearance without any surgical marks on her face.

Frontal view showing broad flat nose

Broad nasal bridge with bulky dorsum of the nose

Bulky tip of the nose was corrected by removing the excessively curved lower lateral nasal septal cartilage

Following lateral osteotomy prominent nasal bridge was seen

Immediate postoperative view showing pristine nose without any visible surgical marks on the face

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Successful surgical removal and reconstruction of huge ameloblastoma of mandible without any scars on the face

6/10/2016

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A 32 year old woman reported to our hospital with the complaint of swelling with pain in the front region of lower jaw. She added that the pain was only for last 3 months and the swelling was gradually increasing to the present size for a period of 6 months.

After thorough clinical, radiological and histopathological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as ameloblastoma involving the entire anterior segment of mandible. Surgery was planned to remove the lesion and reconstruct the affected jaw portion using costochondral rib graft in a single stage. Intraorally, complete removal of the lesion along with the involved teeth with sufficient clearance of the bone was given. Costochondral rib graft was fixed to reconstruct the mandibular defect. Incision was closed in layers. Patient feels very happy to have both removal and reconstruction in a single surgery.