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 55 year old patient reported to our hospital with a large, bony swelling in the anterior portion of the lower jaw (mandible). He had said that the swelling had gradually increased in size over the past 1 year and there was spontaneous loss of few lower teeth over the last 6 months. He also reported of altered sensation in the lower lip for past 3 weeks which was his main concern.
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 A 3D CT scan was taken to gauge the extent of the lesion. A biopsy was done which showed the lesion to be a multiple cystic ameloblastoma (tumor) of the lower jaw. Maxillofacial Surgeon Dr. S. M. Balaji removed the entire bony tumor along with the involved bone and reconstructed the defective portion of mandible using the native bone itself without any bone graft by following advanced transport guided distraction osteogenesis technique.

The entire affected portion of the lower jaw was ressected with 1.5 cm marginal clearance followed by reconstruction using titanium plate guided bilateral tripod multi docking complex univector Herford plate guided mandibular transport distractor.

After 5 days of latency period, the distractors were activated at a rate of 0.5mm twice per day (on both sides) until the transport discs had reached the canine region on both sides (amount of distraction on the right side was 46mm and on the left 43.2mm). Following consolidation period of 3 months and radiological evidence of corticalization, the distractors were removed. And complete dental implant rehabilitation done for lower arch in the newly formed healthy bone. Cosmetically well blended fixed ceramic prosthesis given.

A 40 year old man reported to our hospital with the complaints of huge swelling in the left side of face. He gave the history of previous surgery done elsewhere, were they have removed a tumor extra orally but it got recurred. He also explained about the nature of swelling as he had noticed the swelling 2 years back. But the swelling was small at that time, later it started to grow slowly and extended to the present size now. Initially he had tenderness in the cheek region, but later there was no pain.

After thorough clinical and radiological examinations, it was diagnosed as recurrent Neurofibroma. Maxillofacial surgeon Dr. S. M. Balaji skillfully planned to remove the tumour completely as well as to reconstruct his face. Through the previously operated nasolabial scar, the tumor was exposed by raising the infra orbital skin. Tumor was separated from the maxilla and zygomatic bone and removed completely. Tumor was adherent to the previously operated site which was also detached and removed completely.

The ectropion (turning out of the lower eyelid) in the left eye was repaired with lateral canthotomy incision and orbital septal return flap technique. The inferior tarsal plate was sutured with supra orbital periosteum. Excess skin in the nasolabial area was excised and wound closed in layers.