After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected his buckled ala of cleft nose defect by removing the deviated nasal septal cartilage intranasally and secondary cleft lip repair done to align the vermillion of upper lip perfectly. Results are immediate and nose symmetry achieved. Patient was very happy to have both lip and nose correction at the same surgery without any surgical marks.
A 20 year old boy came to our hospital seeking cosmetic correction of his cleft nose and lip defect which was previously operated elsewhere. He was very particular to have both nose and lip correction done at the same time to improve his appearance. After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected his buckled ala of cleft nose defect by removing the deviated nasal septal cartilage intranasally and secondary cleft lip repair done to align the vermillion of upper lip perfectly. Results are immediate and nose symmetry achieved. Patient was very happy to have both lip and nose correction at the same surgery without any surgical marks.
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A 22-year-old boy came to our hospital for expert correction of his protruding upper jaw. The boy was about to begin his career and he was very self-conscious about his appearance.
Clinical and radiological investigation showed his upper jaw or Maxilla was disproportionately larger as compared to the lower jaw and his upper teeth were severely protruding. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the corrective jaw surgery or orthognathic surgery with Le Fort I osteotomy. The upper jaw was set back, reshaped & realigned to his perfect facial harmony. The entire procedure was done from inside the mouth so there were no scars. Immediately following surgery the boy’s appearance was greatly enhanced and his more attractive profile boosted his confidence. A 20 year old boy came to our hospital with the complaint of fractured facial bone on the right side due to vehicular accident. He was complaining of facial asymmetry due to medial displacement of fractured cheek bone.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji diagnosed fractured right body of zygoma with medial displacement. This led to facial asymmetry. To avoid scar formation, intraorally through sulcular incision fractured zygoma was exposed, elevated and fixed using 4 hole titanium bone plate. This improved his appearance dramatically. Patient was very happy to have fractured facial bone fixation without any surgical marks. A 20 year old boy reported to our hospital with the complaints of swelling in right side lower half of the face. He also said that this swelling was there for a very long period with occasional numbness in the right side. After thorough clinical, radiological and histopathological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as odontogenic keratocyst (OKC) involving right body and ramus of the mandible. He planned to remove the entire lytic lesion and reconstruction of the affected portion of the mandible in the same surgery. Costochondral graft was harvested from the ribs to reconstruct the mandible. Through intraoral approach, after raising gingivomucoperiosteal flap extending distally, the entire lesion along with the affected portion of mandible was removed in toto. Harvested rib graft was used to reconstruct the defective region of mandible. Patient is very happy to have both removal of lesion and reconstruction of the affected portion of mandible in the same surgery. A 2-month-old baby boy born with unilateral cleft lip and palate was brought to our hospital by his 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. The baby’s appearance was remarkably improved and was able to feed well. His parents were very happy to have the cleft lip surgically treated without any scar. After few months cleft palate repair will be done. An 18 year old boy came to our hospital with the complaint of fractured facial bone on the right side due to road traffic accident. He had difficulty in opening his mouth wide and was complaining of facial asymmetry due to backward displacement of fractured facial bone.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji diagnosed fractured right body of zygoma with posterior displacement. This led to difficulty in mouth opening due to hindered movement of coronoid process. To avoid scar formation, intraorally through sulcular incision fractured zygoma was exposed, elevated and fixed using 4 hole titanium bone plate. This improved his mouth opening dramatically. Patient was very happy to have fractured facial bone fixation without any surgical marks. A 55 year old woman reported to our hospital seeking for cosmetic nose correction. She was very particular to reduce the size of the nostrils which gave her an asymmetric appearance on her facial profile view. Maxillofacial Surgeon Dr. S. M. Balaji successfully planned to correct the nose shape by following closed reduction rhinoplasty technique. Excessive caudal portion of nasal septal cartilage was removed intranasally to avoid scar formation. Results are immediate. Patient was happy to have corrected nose profile and nose tip without any visible scarring. A 3-month-old baby girl born with unilateral cleft lip and palate was brought to our hospital from Dubai 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. A 24 year old girl reported to our hospital seeking cosmetic correction of her nose. She felt the dorsal surface of her nose was flat which gave her an aged look. She wanted to correct her nose profile cosmetically without any scar.
Maxillofacial Surgeon Dr. S. M. Balaji successfully planned to correct her flattened nose by following closed augmentation rhinoplasty. Costochondral rib graft was harvested which was used to augment the dorsum of nose. To prevent scarring, the graft was inserted through intranasal approach. Results are immediate, patient is very happy to have a pristine nose without any surgical marks, which suits her facial profile. A 35 year old lady from Tiruppur came to our hospital with a complaint of deficient bridge portion of nose. The midlevel of the dorsum of the nasal bone, where there was a deficiency created a huge negative impact on the facial profile. This gave her an aged appearance too. 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 costochondral graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. Width of the alar base was corrected by Weir excision. The patient was very happy with the surgery outcome and to have an enhanced appearance. A 2-month-old baby boy born with unilateral cleft lip and palate was brought to our hospital from Dubai by his parents for specialized treatment of the cleft defect.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the primary cleft lip repair using modified Millard’s technique. Right away after surgery the baby’s appearance was remarkably improved and he was able to feed well. His parents were very happy to have the cleft lip surgically treated with negligible scar. After few months cleft palate repair will be done. An 8 year old boy a case of unilateral cleft lip and palate reported to our hospital with the complaints of regurgitation of food to the nose due to cleft defect. Primary cleft lip and palate repair was done elsewhere. This boy is a severe Hemophiliac A factor VIII deficiency patient (< 1%). Hemophilia is a type of genetic disorder where clot forming protein (Factor VIII, IX, XI) levels will be less which leads to continuous bleeding in case of injury, surgery, or unknown internal bleeding in the joints (knee etc.,). Palatal flap done elsewhere had failed due to failed postoperative clot formation which led to secondary cleft palate defect. This affects the feeding and speech dramatically. After thorough clinical, radiological and hematological analysis, Maxillofacial Surgeon Dr. S. M. Balaji planned to close the cleft alveolus defect and secondary cleft palate correction (Re palate) as a single surgery with extraordinary pre and postoperative care. Patient needed 100% f VIII levels for the intimated 72 hours to have good healing results. An 8-year-old boy was brought to our hospital by his parents for surgical correction of his cleft defect. His cleft lip and cleft palate defect was operated by Maxillofacial Surgeon Dr. S.M. Balaji, in his childhood. Dr. Balaji performed the alveolar cleft repair using rhBMP-2 avoiding bone grafting. Miracle protein rhBMP-2 is a bioengineered version of a protein that occurs in the body. When placed in the cleft defect, it stimulates the body’s stem cells to form new bone and thereby healing the bony defect in the teeth bearing region of the upper jaw. By using rhBMP-2, bone graft surgery from the hip or rib is avoided, thereby avoiding an additional surgery & unsightly scars. Successful dynamic sphincter pharyngoplasty for correction of nasal sounding speech in cleft patient4/12/2014 A girl with isolated cleft palate, who had undergone cleft palate surgery elsewhere in her childhood, reported to our hospital seeking to correct her speech defect. Her speech had a nasal twang and the pronunciations of certain words were not clear. Cleft afflicted individuals may have hypernasality or a nasal sounding speech. This condition is called velopharyngeal incompetence or VPI and occurs due to escape of air through the nose while speaking. Maxillofacial Surgeon Dr. S.M. Balaji performed a dynamic sphincter pharyngoplasty for VPI correction. Palatopharyngeus myomucosal flaps were raised from both sides, criss-crossed and rearranged leaving a small opening or “port” for breathing through the nose. Positive suction test following sphincter pharyngoplasty shows new dynamic velopharyngeal sphincter action indicating successful correction of velopharyngeal incompetence. |
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