Short lip correction Le Fort I impaction superior positioning surgery
Patient with prognathic maxilla and short upper lip presents for surgery This young man presented with a vertical excess of the prognathic maxilla. It resulted in the shortening of the upper lip with inability to appose the lips. This was causing social problems for the patient. He presented to our hospital for surgical correction of his problem. Treatment planning explained to the patient Dr SM Balaji examined the patient and ordered imaging studies. On cephalometric analysis, it was found that he had 7 mm vertical excess of maxillary bone. He explained the treatment plan to the patient who agreed to it. Successful Le Fort I surgery with optimal results for the patient Under general anesthesia, a Le Fort I maxillary osteotomy was performed initially. The maxilla was then disengaged from the facial bone. A 7 mm strip of maxillary bone was removed in the horizontal plane. The disengaged maxilla was then repositioned superiorly with two X-plates and screws. Occlusion was then checked and found to be perfect. The incision was then closed with sutures. The patient expressed his complete satisfaction at the results of the surgery. Surgery Video
Profile enhancement by correction of upper jaw using AMO
A 25-year-old male from Raipur reported to our hospital wanting to correct his gummy smile. He also stated that his protruding upper jaw affected his appearance. He had low self-esteem and complained of inability to close his mouth. He also wanted to enhance his looks. His parents too were anxious to correct his smile and enhance his facial appearance. Maxillofacial Surgeon Dr. SM. Balaji planned for removal of the maxillary bone. The gummy smile was corrected by Anterior Maxillary Osteotomy. Post surgery his appearance improved greatly and his parents were happy with the immediate results. He was overjoyed with the outcome as he was able to close his mouth without any difficulty.
Successful closure of alveolar cleft defect with bone graft
12 year old with cleft alveolus brought for surgical repair The parents of this 12-year-old boy brought him to our hospital. They are from northern India. He had been born with a cleft lip, palate and alveolus. He had already undergone cleft lip and palate repair elsewhere as an infant. The alveolar cleft was a very large one. This caused the parents to be very concerned about their son’s present condition. They decided to turn to the Internet for a solution. A search for the best cleft aleveolus repair surgeon led them straight to our hospital. Treatment plan presented followed by successful surgery Cleft alveolus repair specialist, Dr SM Balaji decided on the treatment plan. He planned to close the defect with a bone graft. The cleft was first packed with costochondral bone graft and fixed using screws. Successful outcome of the treatment process for the patient After three months, the maxilla will fuse into one single bone. Replacement of missing teeth and orthodontic treatment will then achieve completion of treatment. The parents were very happy with the outcome of the surgery.
Neurofibroma debulking surgery
Neurofibroma explained to be an inherited disorder Neurofibroma is a benign tumor of the nerve sheath. It arises from the peripheral nervous system. An inherited disorder, is very disfiguring and adds bulk to the affected tissues. It always results in asymmetry of the affected region. Young man with neurofibroma presents for surgery This is a young man from Thalassery. He has had this debilitating condition since childhood. His face is only affected on the right side. The right eye had also become blinded by this condition. He has undergone previous surgery elsewhere in the past for the tissue overgrowth. He has become reclusive and withdrawn because of this. The growth has recurred again to the point it interfere with his activities of daily living. His family conducted extensive enquiries with medical professionals for the best cosmetic surgeon. These enquiries led them straight to our hospital for management of his disfigurement. He will need another surgery to correct his lower lip disfigurement. The patient examined and treatment plan explained Dr SM Balaji examined the patient and explained the treatment plan. The patient was in agreement with this. Surgery is done with removal of overgrowth of excess fibrous tissue Under general anesthesia, excess neurofibromatous tissue was first retracted and then excised. The proliferation of this tissue in the lobule of his right external ear was also trimmed. This resulted in the improvement of the patient’s facial contour. After removal of adequate tissue, the incisions were then closed with sutures. The patient expressed satisfaction in the improvement of quality of life before discharge.
Successful cleft palate repair surgery with release of abnormal muscle attachment
Little girl from Cuttack presents for cleft palate surgery This is an 8-month old baby girl from Cuttack. She was born with an isolated cleft palate. Her parents were very disturbed over this. They were very worried about their first born baby girl’s condition. They searched the Internet for the cleft palate repair surgeon. This search led them to our hospital. Patient examined and surgery performed successfully Cleft palate repair specialist, Dr SM Balaji examined the patient. He then planned the surgery. He decided on cleft palate repair using the palatal pushback technique. Palatal flaps were first raised on the right and left sides. The abnormal attachments of the muscles of the palate were then detached. The muscles were next reattached in a normal position like a hammock. The nasal floor and oral parts were then closed in two layers. Positive suction test performed indicating good speech in the future Following surgery, positive suction test indicated successful palate repair surgery. The parents were very happy with the results. They expressed their gratitude before discharge from the hospital.
Bilateral Cleft Lip – Successful Primary Correction
This 3-month old baby boy was born with bilateral cleft lip and palate deformity. His parents who hail from Agartala were very troubled over his condition. Mother had difficulty feeding him and he became underweight. They decided to get the best treatment for their son. An extensive research for the best cleft lip and palate surgeon followed. This led them straight to our hospital for treatment. Cleft lip and palate deformity correction surgeon Dr SM Balaji examined the patient. He explained the treatment plan to the parents. This would be through Paul Black’s cleft repair technique. The parents were in complete agreement with the treatment plan. Following surgery, the baby’s appearance improved very much and he was able to feed well. He soon began gaining weight, much to the mother’s delight. The parents were very pleased with the results as there was minimal to no scar formation. Cleft palate correction will be at a later date.
Successful surgical correction of broad nose and long lower jaw
Patient presents for surgical correction of large nose and inability to close mouth This is a 25-year-old woman from Thrissur. She presented with complaints of a large nose and the inability to close her mouth. She also complained of speech difficulty, which affected her social life. She was also quite dissatisfied with her facial appearance. She researched the Internet for the jaw correction surgeon. Her research led her straight to our hospital. Treatment planning explained to the patient Dr SM Balaji examined the patient. He explained to her that she had a class III skeletal malocclusion and an anterior open bite. Surgery would include correction of both her complaints of malocclusion and broad nose. Successful outcome of surgical correction A bijaw surgery was first done to correct the long lower jaw and the anterior open bite. Attention was next turned to her nose. Lateral nasal cartilages were then removed. This was then followed by a Weir excision to correct her bulky nose. She was very pleased with the outcome of the surgery. She expressed her willingness to increase interaction with people after the surgery.
Successful mandibular reconstruction for a boy with Trabecular juvenile ossifying fibroma
This is a 10-year-old boy from Vadodara. He presented to our hospital with a large swelling on the right side of the face. This was first diagnosed as a ‘cyst’ elsewhere. He had already undergone enucleation of the cyst, but that surgery was unsuccessful. His father stated that the swelling returned with an increase in size and caused a great deal of pain. The parents were very worried about his future due to recurrence. His parents had searched the Internet for the facial deformity correction surgeon. Their search had led them straight to our hospital. Dr SM Balaji examined the patient. Radiographic investigations obtained at our hospital showed a mixed radiolucent and radiopaque lesion. This lesion was extending from the right ramus to the body of the mandible. It had a ground glass appearance. Histopathological examination confirmed it to be trabecular juvenile ossifying fibroma. Treatment planned for the patient included a right hemimandibulectomy. The parents were in complete agreement with the proposed treatment. Resection of fibroma was first done followed by a right hemimandibulectomy. The defect was then reconstructed using a mandibular reconstruction plate and costochondral grafts. This resulted in symmetry of the patient’s face. The parents were very happy with the outcome of the surgery.
Successful OKC resection and jaw reconstruction
This is a 32-year-old man from Palakkad. He complained of severe pain and swelling in his lower jaw. He also complained of difficulty opening his mouth and chewing food. He has been suffering from this condition for about four years now. He searched the Internet for the best jaw correction surgeon. His search led him straight to our hospital. Dr SM Balaji examined the patient. He recommended comprehensive testing for the patient. Clinical, radiological and histopathological examinations were then performed. This led to the diagnosis of an odontogenic keratocyst. There was complete obliteration of the mandibular body. Treatment plan included complete cyst resection and reconstruction of the lower jaw. This would be by utilizing costochondral grafts. The affected area of the lower jaw was then removed. This was along with the involved tooth to ensure zero recurrence. The costochondral rib grafts were then used to reconstruct the lower jaw. Titanium screws and plates helped achieve stable fixation of the grafts . The patient was very happy with the outcome of the surgery. There was no scar as all incisions were intraoral.
Deviated nose correction with cc graft
This is a 30-year-old male from Belagavi. He was involved in a road traffic accident. This resulted in a blocked nose with difficulty breathing. He had undergone a nose block clearance surgery elsewhere by open rhinoplasty. This resulted in him developing a deviated nose. There was also residual scars over the bridge of the nose and the columella. He was very dissatisfied with this and desired corrective surgery. He searched the Internet for the best nose deformity correction surgeon. This led him straight to our hospital. Dr SM Balaji examined the patient. The patient explained his problem. He said he had great difficulty breathing and that he wished for a more prominent nose. He agreed to the proposed treatment plan. Surgical correction would be through the use of a costochondral rib graft. The nasal deviation was first corrected by a right lateral osteotomy. The nasal bridge height was then increased. This was by using the graft harvested from the right inframammary region. A small piece of the tissue was next excised from the right supra-alar crease to lift up the right nostril. The results were immediate and the patient was very satisfied with the results. He expressed his gratitude before discharge from the hospital.