This patient reported to me with the complaint of facial swelling for past 5 months which became noticeable for last 10 days. After thorough clinical, radiological and histopathological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as Odontogenic keratocyst (OKC) involving the entire left body and anterior region of the mandible.
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Surgical treatment was planned to remove the entire cystic lesion and reconstruct the affected jaw portion in a single stage. Costal rib graft was harvested for the reconstruction of the mandible. Through intraoral approach, crevicular incision was placed in the mandibular anterior teeth region extending posterior till mandibular notch, gingivomucoperiosteal flap was raised, cystic lesion was surgically exposed and the affected portion was removed along with the involved teeth in toto and reconstruction was done using long titanium bone plate and costal graft maintaining the contour of the mandible. After successful graft uptake, dental rehabilitation will be done using dental implants in the newly formed bone.

A young man from Singapore reported to me with the complaint of huge swelling in the right side of his face. He added that the size of the swelling was increasing progressively which made his face asymmetrical. He was very cautious about this progressive swelling. Added he had histopathological examination of the intraoral tissue done elsewhere diagnosing as plexiform ameloblastoma.
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After thorough clinical and radiological examination, Maxillofacial Surgeon  Dr. S. M. Balaji planned to remove the lesion and reconstruct the affected jaw portion in a single stage. Intraorally, complete removal of the benign lesion with sufficient clearance of the bone was done following rib graft which was obtained was fixed to it. Patient was happy to have both removal and reconstruction in a single surgery.

​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.  

​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 32 year old woman came to our hospital for expert treatment for her lower jawbone defect. She gave the history of huge odontogenic keratocyst lesion involving left mandibular angle and ramus along with the entire condylar component was removed extraorally and reconstructed using costochondral rib graft elsewhere. But the graft got infected and removed and reconstruction plate was fixed. Later plate was broken and was removed.  Her complaint was jaw deviation towards left side and facial asymmetry. Also she wants to correct her facial appearance without any scars on 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 angle and ramus of mandible with remnants of bone graft. Dr. Balaji successfully reconstructed the huge mandibular defect maintaining the contour using titanium “L” plate and costochondral rib graft and thus missing condylar component was also reconstructed, the surgical site was closed. Patient feels very happy to have entire surgery done inside the mouth and to have complete facial asymmetry correction without any scars on the face.

A 26 year old woman reported to our hospital with the complaint of swelling in the right side of her face. She added that the swelling was increasing in size dramatically and the lower anterior teeth are mobile teeth. She was very cautious about this progressive swelling which made her under huge depression.
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After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed ameloblastoma extending from right side of the body of the mandible till the other side. 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.