Bilateral Ear Reconstruction – Microtia – 1st Stage
Microtia deformity of the external ears Microtia is a congenital condition in which there in poor development of the ears. Correction involves staged reconstruction of the ear using autogenous costal cartilages. A template is utilized to create the form of the proposed external ear. Three surgeries complete reconstruction of the microtia affected ear. Patient presents to our hospital for specialized microtia surgery This is a young 13-year-old boy from Tirupati, Telangana with microtia. His parents brought him to our hospital for bilateral microtia repair. Dr SM Balaji, microtia repair specialist, explained the surgery to them. They agreed to proceed with surgery. Microtia surgery of bilateral ears performed for young boy from Tirupati After general anesthesia, rib grafts were first harvested. Grafts obtained were from the fourth, fifth and sixth ribs. A Valsalva maneuver was then performed. This was to rule out accidental perforation into the thoracic cavity. Using a metal template, the sixth rib graft was first carved and sculpted to form the external ear framework. This was done for both the right and the left sides. The other graft pieces were then fixed and secured with nonresorbable sutures. Care was taken to maintain symmetry between the frameworks of both ears. The skin of the right ear was first incised and underlying tissues dissected to create a pocket. The framework of ribs was then tunneled into the pocket. Skin was then sutured and surgical drain placed at the site. This step will help adapt the skin to the cartilage framework. The left ear was then addressed. Second stage repair will be after about 3 months. This will be for elevation of the framework inserted in the first stage.
Nose Defect – Augmentation with Rib Cartilage graft
A patient presents for broad nose correction This young man from Arani in Tamil Nadu never liked his nose. He had already undergone rhinoplasty elsewhere. They had used cartilage graft from the ear. Following surgery, he still felt that his nose was very broad and flat. He desired corrective surgery and presented to our hospital for management. Patient consents to surgery after treatment plan explained Dr SM Balaji, rhinoplasty specialist examined the patient. He explained the treatment plan in detail to the patient. This involved harvesting a rib graft. The patient consented to surgery. Harvesting of rib grafts for nasal bridge augmentation Under general anesthesia, a rib graft was first harvested from the patient. A Valsalva maneuver was then performed to confirm patency of the thoracic cavity. The incision was then closed in layers. Correction of saddle nose deformity through rhinoplasty Attention was then turned to the saddle nose deformity. A transcartilaginous incision was first made. Tunneling was then done to the bridge of the nose. The rib graft was then inserted to augment the bridge of the nose. Attention was next turned to the broad ala. An elliptical incision was then placed in the right alar crease. Excess tissue was next excised from this region and the incision sutured. The patient expressed complete satisfaction at the results of the surgery.
Azerbaijan Society of Oral and Maxillofacial Surgeons Presentation Ceremony
Dr SM Balaji invited to attend the presentation ceremony of the Azerbaijan Society of Oral and Maxillofacial Surgeons (AzSOMS) Dr. SM Balaji was invited to the presentation ceremony of the AzSOMS. This was held at the Oral and Maxillofacial Surgical Clinic of the Azerbaijan Medical University in Baku. Prof. Chingiz Rahimov, President, AzSOMS, had extended this invitation to Dr. SM Balaji. This was in recognition of his services and contributions towards craniomaxillofacial surgery. Dr SM Balaji introduces the International Cleft Lip and Palate Foundation to the audience As the authorized representative of the International Cleft Lip and Palate Foundation (ICPF), Dr. SM Balaji introduced the ICPF to the audience. He spoke about his passion towards the rehabilitation of children born with cleft lip and palate. Dr. SM Balaji also spoke about his extensive involvement with the International Cleft Lip and Palate Foundation. He described how the organization has touched the lives of patients with cleft lip and palate through its humanitarian surgical missions to poor nations. Dr. SM Balaji’s keynote speech on the Management of Craniofacial Clefts Dr. SM Balaji delivered the keynote speech on the topic of the Management of Craniofacial Clefts. He described key cases from his over 30 years of experience performing craniofacial surgeries. His keynote speech documented innovations made by him that led to significant improvement in the quality of life of the patients. The interactive Q&A session at the end of his keynote speech was very lively. Audience members asked him many questions on the management of craniofacial clefts. Prof SM Balaji answered all the questions with a depth that only comes from experience. Dr SM Balaji urged the residents of Oral and Maxillofacial Surgery to take up a career in treating craniofacial clefts. He said that the satisfaction of rehabilitating a child afflicted with such severe deformities is second to none. Dr. SM Balaji’s meeting with the Rector, His Excellency Dr. Garay Chingiz Garaybayli Dr SM Balaji then met with the Rector of Azerbaycan Tibb Universiteti, His Excellency Dr Garay Chingiz Garaybayli. He spent time with the Rector discussing issues pertaining to craniofacial surgical care. The Rector evinced a deep interest in Dr. SM Balaji’s opinions on the subject. Dr. SM Balaji presented the Rector with a copy of his “Clinical Craniomaxillofacial Surgery” book at the end of the meeting.
Dr SM Balaji moderates an advanced scientific plenary session on the topic of pain control
Dr SM Balaji chosen to moderate session on pain control in light of his known expertise Dr SM Balaji chaired and moderated an advanced scientific plenary session the second plenary session that he moderated was on Local Anesthetics and Analgesic Drugs in Dentistry by Dr Monica Daublaender of the Johannes Gutenberg University of Mainz, Germany. This highly academic session delved into the details of pain control and the audience was completely engrossed by the presentation. Dr SM Balaji offers valuable insights on the topic in light of his 30 years surgical experience The scientific session was greatly enhanced by Dr SM Balaji’s insightful inputs into the topic and he offered some excellent practical tips that would provide optimal pain control for the patient. This is a topic that is of extreme practical value to all dentists and the question and answer session at the end of the session featured a lot of questions from the audience and the presenter and the moderator added great value to the discussions because of their experience as clinicians. Dr SM Balaji presented Dr. Monica Daublaender with a Certificate of Excellence at the end of her excellent scientific plenary session at the FDI Annual World Dental Conference in Buenos Aires.
Dr SM Balaji chairs and moderates the Advanced Implantology Scientific Session at the World Annual Dental Conference in Buenos Aires, Argentina
Advanced Scientific Plenary session at the FDI World Annual Dental Conference The scientific sessions at the FDI Conference were full of vigor and energy. They were full of new ideas and innovations. There were many plenary lectures held at this year’s conference in Buenos Aires. The topics were varied and covered all aspects of the vision that FDI has for the future of the field of dentistry. Dr SM Balaji selected to moderate the Advanced Implantology Scientific session In light of his excellence in the field of implantology, Dr SM Balaji was chosen to moderate this advanced implantology session. His proven track record of excellent long term results with implants added value to the the proceedings. The discussions proved to be very educational for the audience. Dr SM Balaji moderating a plenary session at the FDI World Dental Conference in Buenos Aires Dr Shankar Iyer presents an excellent Advanced Scientific Plenary Session The presentation on the topic of advanced implantology was by Dr. Shankar Iyer. He is Past President of American Academy of Implant Dentistry. Currently , he is Associate Professor, Rutgers University, USA. He delved deep into the topic of implantology dealing with the management of difficult cases. Dr SM Balaji enlivened the sessions with his inputs with deep insight into the field of advanced implantology. The question and answer session with the audience at the end of the plenary session was particularly lively. The camaraderie between Dr SM Balaji and Dr Shankar Iyer was evident as they share the same alma mater. Dr SM Balaji presented the certificate of excellence to Dr Shankar Iyer for his excellent presentation.
Dr SM Balaji, member, Education Committee at the FDI World Dental Conference, Buenos Aires, Argentina, presenting winners at the poster presentation competition
The poster presentation contest at the Fédération Dentaire Internationale (FDI) Annual World Dental Congress in Buenos Aires was a robust one with participants from every corner of the globe. The categories for posters at the competition was vast and the quality high. In light of his known expertise in the various fields of dentistry and his penchant for esthetic design, Dr SM Balaji, member, Education Committee FDI World Dental Conference, Buenos Aires, Argentina was requested to hand over Certificates of Excellence to winners of various categories.
FDI Annual World Dental Congress Education Committee Meeting
Dr. SM Balaji attends the FDI Annual World Dental Congress in Buenos Aires Dr SM Balaji attended the Fédération Dentaire Internationale (FDI) Annual World Dental Congress in Buenos Aires as a member of the Education Committee of the FDI. This year’s Annual World Dental Congress was a grand success. It was inaugurated by the President of the FDI, Dr Gerhard Konrad Seeberger at a grand inauguration ceremony. Dr SM Balaji participates in many forums at this year’s congress in Buenos Aires The venue of this year’s meeting was the La Rural Convention Centre in Buenos Aires, Argentina. All the issues pertaining to the improvement of dentistry including clinical dentistry throughout the world were discussed in detail at the conference. The consensus was reached on many issues and the members discussed how to implement these decisions in their respective countries.
Fédération Dentaire Internationale (FDI) Education Committee meeting at Buenos Aires
Dr SM Balaji attends the Education Committee meeting as a member Dr SM Balaji attended the Federation Dentaire Internationale (FDI) Annual World Dental Congress in Buenos Aires. He is a member of the Education Committee of the FDI. The Education Committee of the FDI holds its annual meeting at the annual congress. Results obtained from the implementation of schemes are discussed here. They also endorse new measures to improve the quality of dentistry for the next fiscal year. The venue of this year’s meeting was the La Rural Convention Centre in Buenos Aires, Argentina. Committee formulates resolutions to be implemented over the coming year The Education Committee meeting was chaired by Dr Jurgen Fedderwitz of Germany and Dr Hande Sar Sancakli of Turkey. Also in attendance at the Education Committee meeting along with Dr SM Balaji were Dr William Cheung of Hong Kong, Dr Hiroyuki Hirano of Japan, Dr Marzena Dominiak of Poland, Dr Mounir Doumit of Lebanon, Dr Yolande Koffe Gnagne of Ivory Coast, Dr Simon Ho Kam Yuen of Hong Kong, Dr Edward Allan Kalyesubula of Uganda, Dr Mauricio Montero of Costa Rica and Dr Li-Jian Jin of Hong Kong. The FDI was well represented by Isabelle Bourzeix and Steeve Girod. American Dental Association (ADA) was well represented by Ken McDougall and Catherine Mills. Many important issues that needed implementation worldwide were discussed here.
International Release of the 3rd Edition of Prof SM Balaji’s Textbook of Oral and Maxillofacial Surgery in Munich, Germany
Prof Dr SM Balaji’s best selling “Textbook of Oral and Maxillofacial Surgery” is now in its third edition. It is very popular around the world with both undergraduate and postgraduate students. This is a widely recommended book around the world. It is the textbook of choice for undergraduate and postgraduate students. Practicing oral surgeons also use it as a reference book. This textbook now has many new features added to it. There are now detailed videographic explanations of the contents of chapters. Many new photographs, tables and graphs have been added to the textbook. This will aid in easy understanding of complex concepts explained in the textbook. Prof Dr Klaus Dietrich Wolff, President, European Association of Craniomaxillofacial Surgery (EACMFS) and Professor and Head of Craniofacial surgery, Munich University, Germany releasing the Textbook of Oral and Maxillofacial Surgery, 3rd Edition. Also seen are Dr George Rallis, Head, Department of Oral and Maxillofacial Surgery, General Hospital, Athens, Prof Dr Manlio Galie, Education and Training Officer, EACMFS and Director and Chief, Department of Craniomaxillofacial Surgery, St Anna Hospital and University, Ferrara, Italy, Prof SM Balaji and Prof Adi Rachmiel, Director, Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel. Prof SM Balaji presenting Prof Dr Klaus Dietrich Wolff with a copy of the Textbook of Oral and Maxillofacial Surgery at the inauguration ceremony. The international release of the 3rd edition of this premier textbook was organized in the Holiday Inn, Munich, Germany. The world’s elite Cranio-Maxillofacial surgeons were invited for the book release. Prof Dr Klaus Dietrich Wolff, President, European Association of Craniomaxillofacial Surgery (EACMFS) and Professor and Head of Craniofacial surgery, Munich University, Germany released the textbook. Also present at the function were Prof Dr Manlio Galie, Education and Training Officer, EACMFS and Clinical Professor, St Anna University Hospital, Ferrara, Prof Adi Rachmiel, Director, Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel, Prof Chingiz Rahimov, President, Azerbaijanian Oral and Maxillofacial Surgeons Society (AzOMS), Dr Fares Kablan, Department of Oral and Maxillofacial Surgery, Galilee Medical Center, Nahariya, Israel, Dr Ori Blanc, Department of Oral and Maxillofacial Surgery, TLV Medical Center, Haifa, Israel, Prof HA Gitt, Secretary-General, International College for Maxillofacial Surgery, Germany, Prof Domenico Scopelliti, Vice President, Operation Smile Italia Onlus Foundation and Dr George Rallis, Head, Department of Oral and Maxillofacial Surgery, General Hospital, Athens, Greece amongst others.
Unilateral Cleft Lip & Palate Rhinoplasty Surgery
Patient presents to our hospital for nose asymmetry correction The patient is a young man who had undergone cleft surgery in our hospital as an infant. He now presents for correction of nasal asymmetry and scar revision surgery. Treatment planning explained in detail to the patient Dr SM Balaji examined the patient and explained the treatment planning to him. He explained that harvesting a rib graft was necessary for this surgery. The patient consented to this and agreed to the surgery. Successful rhinoplasty and cleft lip scar revision surgery Under general anesthesia, a rib graft was first harvested from the patient. A Valsalva maneuver was then performed and demonstrated a patent thoracic cavity. The incision was then closed in layers. Attention was next turned to the rhinoplasty surgery. Intranasal incisions ensured absence of visible scar formation. Medial osteotomy of the nasal bone was then done. The spreader graft was then placed. Following this, the rib graft was then shaped and tunneled to the bridge of the nose. This established symmetry of the nose. Attention was next turned to the scar from the previous cleft lip surgery. The scar was then incised and skin edges sutured using fine sutures. The patient expressed his satisfaction at the results before final discharge. Surgery Video