Revitalizing Facial Asymmetry: Jaw Joint Surgery and Scar Revision
Jaw Joint Surgery and Scar Revision for Facial Asymmetry Correction A 7-year-old girl from Hubbali, Karnataka, India had grade III hemifacial microsomia and macrostomia when she was born, which made it hard for her left lower jaw to grow. Important parts like the ramus, condyle, and temporomandibular joint (TMJ) didn’t grow properly because of the condition. The Result: An uneven face and problems with function This disease made the face look uneven and made it hard to eat and talk. The way she looked made her feel bad about her self-esteem. Several surgeries, including ones to fix macrostomia, were done to fix these problems. Problems that cause depression The surgery to fix her macrostomia worked, but it left a big scar on the left side of her face near the mouth commissure. This physical memory made me feel sad and brought down my self-esteem. How to Understand Keloid Scars and TMJ Disorders Keloid scars are known for getting bigger over time, which means they need to be removed using certain methods. It’s important to remember that TMJ disorders can have a big effect on face symmetry, which is a very noticeable part of how someone looks. Scars of different kinds can show up on the face. Techniques for Removing Scars on the Face In facial scar revision surgery, plastic surgeons use modern techniques, such as tissue expansion of the surrounding skin, to get great long-term effects. The Choice: Surgery on the jaw joint and correction of facial imbalance In order to deal with these problems, the patient’s parents set out to find the best medical centre for fixing the patient’s uneven face and fixing the scars. For the repair of the TMJ, surgery on the jaw joint was also needed. The Choice: A Top Centre for Fixing Facial Asymmetry The family found our hospital, which is a well-known centre for facial plastic surgery, after doing a lot of study and talking to doctors and nurses. We are experts at treating face burns, getting rid of facial scars, and performing specialised jaw reconstruction surgery. Rib bone grafts are the gold standard. Rib bone grafts are used at our hospital because they are thought to be the best type of bone graft. With this method, you don’t have to worry about the ugly scars that come with grafts taken from long bones. A centre for craniofacial surgery that has won awards We are happy to be the regional branch of the World Craniofacial Foundation (WorldCF), which is based in the United States and is a superspecialty centre for craniofacial surgery. People from all over the world come to our centre to get better. Cutting-edge skills and technology To get the best results, we use both cutting-edge technology and the newest surgery methods. Sonic welds cut down on the number of second surgeries that need to be done. Our cutting-edge operating rooms are equipped with the newest technologies. How to Get Through the COVID Pandemic During the COVID-19 pandemic, which caused a global health disaster, our hospital quickly changed to follow WHO and CDC guidelines. Getting the COVID safe approval was a big step towards making people more aware. How to Succeed: Surgery to Remove the Scars from Macrostomia A bone and a costal rib graft, complete with an entire perichondrium, were used in a very well planned treatment. The perichondrium was very important in rebuilding the jaw joint that wasn’t there. Surgery on the jaw joint went well, and the scars were healed. The costal rib graft was used to successfully repair the patient’s jaw joint, resulting in a functional TMJ. The bone graft was also used to rebuild the left lower jaw that wasn’t growing properly. Carefully done scar correction surgery made sure that few scars would form. Fixing the Asymmetry of the Face After the surgery, there were big changes in the unevenness of the face. Surgery on the jaw joint fixed the problem so that the lower jaw could move properly again, and surgery to fix scars made the face look better. A Better Tomorrow This all-around method rebuilt the anatomy of a left temporomandibular joint. Bone grafts helped restore face balance, which will allow the patient’s jaw to grow normally as they continue to grow. In conclusion, surgery on the jaw joint and revision of scars have not only fixed uneven face features but also made it possible for better function and appearance. Getting the right care and treatment is the first step towards a better future. Video
5 Beautiful Changes: Augmentation Rhinoplasty for Binder’s Syndrome
Frequency of Occurrence of Nasal Deformities Nasal deformities are prevalent, often encompassing a range of issues, including flat and broad nose deformities. When it comes to addressing these concerns, plastic surgery of the nose, or nose correction surgery, is the primary solution. Utilizing Cartilaginous Grafts for Nose Bridge Augmentation For individuals with flat nose deformities, nose bridge augmentation offers an effective remedy. This involves using costal cartilaginous grafts to enhance the nose bridge, resulting in a remarkable improvement in overall facial aesthetics. Plastic Surgery of the Nose for Enhanced Form and Function Rhinoplasty, a plastic surgery procedure focusing on nasal modification, can significantly impact both form and function. It’s important to entrust this technique-sensitive surgery to an experienced surgeon. Patients who undergo plastic surgery for their noses often experience a boost in self-esteem due to improved aesthetics. The Documented History of Rhinoplasty Since Antiquity The roots of rhinoplasty extend back to ancient times, with India’s own Sushruta earning recognition as the pioneer of plastic surgery. Thousands of years ago, he successfully performed plastic surgery on the nose, a testament to the enduring nature of this practice. Evolution of Modern Rhinoplasty for the Modern Age Modern rhinoplasty has evolved to meet the growing demand for nose correction surgery. This not only enhances facial aesthetics but can also improve breathing function, refining the definition of one’s facial features. A Shift from Exclusive to Inclusive: Plastic Surgery for All Generations In the past, rhinoplasty was primarily reserved for the rich and famous due to its prohibitive cost. However, recent economic liberalization has changed the landscape. With increased disposable income, more people are conscious of their facial appearance, leading to a surge in cosmetic procedures. Rhinoplasty has become one of the most sought-after procedures among younger professionals. Specialized Plastic Surgery by Oral and Maxillofacial Surgeons Oral and maxillofacial surgeons, experts in facial surgery, including cosmetic procedures, possess in-depth knowledge of facial musculature and bone structure. They play a vital role in correcting nasal deformities, which can result from various conditions, including syndromic abnormalities like cleft lip and palate deformities. Rhinoplasty Unveiled: Types and Common Reasons Rhinoplasty, often referred to as a “nose job,” comes in different forms, including open and closed rhinoplasty. Deviated nasal septums, a common issue, necessitate nose surgery, involving modifications to nasal bone and cartilage. Patients are advised against blowing their noses for several weeks following the procedure, which is typically performed under general anesthesia. Leading the Way in Facial Deformity Correction Our hospital specializes in the correction of facial deformities and is renowned worldwide for its expertise in treating nasal deformities. For over 30 years, we have provided comprehensive surgical care for various facial deformities, including ear reconstruction for microtia patients, jaw correction surgery, total facial makeovers, and facial feminization surgery. Internationally Acclaimed Excellence in Surgical Care Our hospital has earned international recognition for its commitment to correcting cleft-related facial deformities. Patients from around the world travel to India to avail our services, with the Word Craniofacial Foundation (WorldCF) and the International Cleft Lip and Palate Foundation (ICPF) acknowledging our contributions. Transforming Lives: A Rare Case of Binder’s Syndrome One compelling example is a young girl born with Binder’s syndrome, a rare congenital disorder affecting the nose and jaw structures. After initially seeking treatment at a local hospital, she was referred to our institution. The treatment plan, including the use of costal cartilaginous grafts, was thoroughly explained and received the patient’s consent. Harvesting and Crafting for Nasal Reconstruction The procedure involved harvesting costal cartilage grafts from the patient, maintaining thoracic cavity patency. These grafts were skillfully shaped and crafted to achieve the desired dimensions. Enhanced Nasal Form and Function Post-Rhinoplasty The results were nothing short of remarkable – the patient experienced a dramatic improvement in her appearance and significant enhancement in her breathing after the augmentation rhinoplasty.
5 Heartwarming Stories of Orbital Reconstruction Surgery in India.
Orbital reconstruction surgery in India Because of a failed surgery in the past, this young man came to our hospital with ptosis, sunken eyes, and serious orbital dystopia. We fixed the problems by taking out the extra tumour, changing the supraorbital area, and moving the medial canthal ligament using the scar that was already there. We raised the floor of the orbit by making a cut under the ciliary, and an Endotine device raised his left eyebrow. He thanks Dr. SM Balaji for giving him his life back with tears in his eyes because of how much he had changed. Discover the story of a young man who had a tough trip from being told he had a supraorbital tumour to having surgery in India to fix his eyes. Unfortunately, his first surgery caused problems that were not expected, such as ptosis, sunken eye deformity, and serious orbital dystopia. We’ll learn about how Dr. SM Balaji and his team saved this young man’s life through cutting-edge surgery in this amazing story. Orbital reconstruction surgery in India is a procedure that aims to restore the normal shape and function of the eye socket after an injury or a tumor removal. Here are some points to know about this surgery: It involves repairing or replacing the bones, muscles, and ligaments Fixing Mistakes Made in the Past: It was in his city that the young man had surgery for a supraorbital tumour. Sadly, the process took bone from the wrong places, which caused a lot of problems with how the body looks and works. He came to our hospital for help because he was determined to get his quality of life back. A skilled team of doctors was ready to do a second surgery. Using the scar that is already there: One of the best things about the second surgery was that the first scar was used. This made it possible for the surgeons to get to the hurt area without having to make any more cuts. By reducing the number of new marks, the patient would look much better overall. Precise methods of surgery: First, the surgeons carefully reshaped the supraorbital area while removing the extra tumour. A Y-plate canthopexy surgery was done to fix the displacement of the medial canthal ligament. With this method, the ligament is moved around to get it back into the right place and working properly. How to Fix Sunken Eye Deformity: Fixing the abnormality of the sunken eyes was one of the hardest parts of the surgery. This was done by making a cut under the ciliary to raise the floor of the orbit. This new method made it possible to fix the patients’ sunken look all over, which made their facial symmetry much better. Improving the Position of the Brows: The journey of surgery didn’t end there. The levator muscle was hung from an Endotine implant to lift the patient’s left eyebrow and make the face look more balanced. This method supported the eyebrow for a long time and gave it a natural lift. Return of Life: In India, the young man had surgery to rebuild his orbit, which made his face look completely normal again. After Dr. SM Balaji gave him his life back, he was so thankful that he cried tears of joy. In the field of orbital reconstruction, this success story shows how advanced surgical methods can change things. In conclusion: It has become possible for people in India to change their lives with orbital repair surgery, like the young man in this story. With the help of Dr. SM Balaji and his team’s skill, this patient was able to get over the problems caused by a previous surgery and improve his confidence and the way his face looks. This case shows how important it is to get specialised care and how amazing it is that modern surgical methods can save lives. Video
Upper and Lower Jaw Advancement with Special Surgery for Sleep Apnea and Snoring
Mechanism and Causes for Obstructive Sleep Apnea Obstructive sleep apnea is the condition where breathing is interrupted during sleep. This is caused by insufficient space for the tongue in a retruded lower jaw. The tongue falls back into the throat during sleep and obstructs the airway. This results in a pause in breathing followed by a brief awakening with a popping sound. The resultant hypoxemia causes frequent arousals throughout the night. These episodes of periodic wakefulness stimulate the sympathetic nervous system. This results in vasoconstriction and reduced peripheral blood flow. There is an associated increase in heart rate and blood pressure due to this. This is an extremely disruptive condition that leads to snoring and interrupted sleep. The person feels sleep deprived even after a full eight hours of sleep. It is usually the person’s sleeping partner who first notices this condition. There is also excessive daytime somnolence due to the poor quality of sleep caused by sleep apnea. Restless legs syndrome can also be a result of obstructive sleep apnea. Wearing oral appliances during sleep can help with obstructive sleep apnea. This helps maintain constant positive airway pressure. Risk factors for complications are minimal through these appliances can be cumbersome. Sleep labs conduct studies to diagnose sleep disorders. There is often blockage of the upper airway in sleep disorders. Management of obstructive sleep apnea can both be done through medical and surgical means. Both are equally effective at correcting sleep-disordered breathing. These disorders can also cause loud snoring. Prolonged sleep disorders can lead to high blood pressure and heart disease. This increases your risk for life-threatening events. Oxygen level drops drastically in obstructive sleep apnea. Tongue and soft palate fall back obstructing the throat and breathing. The patient needs to stay overnight during a sleep study. Need to Undergo Sleep Study for Confirmation of Obstructive Sleep Apnea A sleep study, which is known as polysomnography in medical parlance, is a test to diagnose sleep apnea. This is conducted in a sleep lab. The patient is hooked up to several monitors during sleep. These record the brain waves, level of blood oxygen, eye movements, heart rate, breathing and movement of extremities. Patient Referred to our Hospital Following Sleep Study The patient is a 21-year-old male from Secunderabad in Telangana, India. He stated that he has been plagued with disturbed sleep since he can remember. There were frequent episodes of interrupted sleep throughout the night. These episodes were accompanied by an audible popping sound. He was also a heavy snorer. There was excessive daytime somnolence despite a full night’s sleep. He also complained of always feeling tired. His parents had consulted a doctor in their hometown who had referred them for a sleep study. The results of the study came back indicative of obstructive sleep apnea. They were referred to our hospital for management since they requested the best surgical care. Specialty Center for Jaw Correction Surgery We have been performing jaw correction surgery for over 30 years now. Mandibular advancement with a bilateral sagittal split osteotomy (BSSO) is a specialty surgery performed at our center. Patients regularly undergo BSSO for asymmetry correction of the mandible. We use advanced digital facial biometric studies to ensure the best cosmetic and functional results. Initial Consultation at our Hospital for Management of Sleep Apnea Dr. SM Balaji, a Sleep Apnea specialist, examined the patient and ordered imaging studies. He analyzed the results of the sleep study in detail. The patient had a retruded mandible. A treatment plan was formulated and presented to the patient and his parents. They were in full agreement with the treatment plan and consented to surgery. Genial Tubercle Advancement and BSSO Advancement of Lower Jaw Genial tubercles are bony protuberances that are situated on the lingual side of the anterior mandible. They are located bilaterally in the region of the lingual foramen. Two muscles are attached to the genial tubercle. These muscles play a very important role in the mechanism of sleep apnea. They are the geniohyoid and genioglossus with the former pulling the hyoid bone forwards and upward. The genioglossus helps protrude the tongue and pull it to the opposite side. In a retruded mandible, the pull from these muscles is not sufficient to keep the tongue from falling backward during sleep. Surgical forward positioning of the genial tubercle will help address this issue. The tongue also does not have sufficient space in a retruded mandible. Successful Completion of BSSO and Genial Tubercle Advancement The genial tubercle was advanced and stabilized anteriorly using plates and screws. This was followed by BSSO with the advancement of the mandible by 12 mm. The inferior alveolar nerve was mobilized with the proximal segment. Care was taken to ensure that there was no injury to the nerve throughout the surgery. A Le Fort I maxillary osteotomy was next performed to ensure correction occlusion with the mandible. Occlusion was checked before stabilization with plates and screws. This also resulted in a dramatic improvement of the patient’s facial esthetics. Resolution of Sleep Apnea with Normal Postsurgical Sleep Study The patient subsequently underwent a sleep study in his hometown. All parameters were normal in this sleep study. His obstructive sleep apnea symptoms had completely resolved. He had also stopped snoring during sleep. Oxygen saturation levels were normal. His parents reported that he slept fitfully throughout the night. The patient also reported that he felt refreshed upon waking up. Daytime somnolence had also completely resolved. Complete Patient Satisfaction with Treatment at our Hospital The patient and his parents were delighted with the results of the surgery. His parents stated that he seemed like a new person with a lot of energy and focus. He too stated that there was a greatly improved overall quality of life. They expressed their gratitude to the hospital staff for the care and attention rendered during their hospital stay. Surgery Video https://youtu.be/-XZey1RzC8o
Open Rhinoplasty with reconstruction of philtrum
[et_pb_section fb_built=”1″ _builder_version=”4.11.2″ _module_preset=”default”][et_pb_row _builder_version=”4.11.2″ _module_preset=”default”][et_pb_column _builder_version=”4.11.2″ _module_preset=”default” type=”4_4″][et_pb_text _builder_version=”4.11.2″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″] Patient born with bilateral cleft lip and palate deformity The patient is a 7-1/2-year-old girl from Sadurangapattinam in Tamil Nadu, India. She was born with a bilateral cleft lip and palate defect. It was very severe. Her parents were extremely distressed upon seeing the degree of her facial deformity. They were reassured at the hospital that this could be surgically managed. The incidence of cleft deformities among newborns is higher in the Sadras region than the national average. Many infants born with this deformity have been successfully rehabilitated in our hospital. Some of the patients who were operated on over 20 years ago are now happily married with children of their own. The patient and her parents were referred to our hospital for surgical management of her cleft defects. It was explained to them that the road to total cleft rehabilitation was a long one. They stated a complete understanding of this. Plastic surgeons also perform this procedure in western countries. She first underwent bilateral cleft lip repair at the age of 3 months. This was followed by cleft palate repair at 11 months of age. The premaxillary setback with bone grafts to the region of the cleft alveolus was also performed for the patient. Continuation of the rehabilitation process at our hospital for the patient Orthodontic consultation was also initiated for the patient. Our hospital is a super-specialty center for cleft orthodontics in India. She will need extensive orthodontic intervention in later years. Her teeth are malaligned due to her cleft deformity. She also has a few congenitally missing teeth. The remaining teeth will need to be brought into perfect alignment. Dental implant surgery would ensure the replacement of her missing teeth. This final step would complete her rehabilitation. Soft tissue molding would also be perfect following this step. She still had nasal deformities that needed to be corrected. There was a collapsed columella. This caused extreme flattening of her nose. She also had a very blunt nasal tip. Some patients also have asymmetry of the alar bases. There was also stunting of the prolabium with a resultant short upper lip. The patient was instructed to present for correction of these deformities. Surgical planning for correction of her collapsed columella and stunted prolabium Dr. SM Balaji, cleft nose correction surgeon, examined the patient and obtained pertinent studies. The patient would require an open rhinoplasty with the reconstruction of philtrum. It was decided to reconstruct her collapsed columella with a flap dissected from the prolabium. The resultant prolabium defect would be reconstructed using a lower lip Abbe flap. It was explained to the patient that she would not be able to open her mouth for two weeks following surgery. This period would enable revascularization of the Abbe flap from the upper lip tissue. They were in agreement with the treatment plan and consented to surgery. Cosmetic and functional rehabilitation of her cleft related deformities Under general anesthesia, markings were made on the prolabium. This was followed by a dissection of the prolabium and the columella. The lower lateral cartilages were identified, dissected and separated. Medial crura were sutured together as well as to the nasal septum. This would ensure a sharp alar dome. Prolabium was then utilized to reconstruct and lengthen the columella. A full-thickness Abbe flap was then raised from the lower lip to reconstruct the prolabium. Extreme care was taken to ensure patency of the inferior labial artery in the flap tissue. The flap was then sutured to the region of the upper lip defect. Blood supply would be from the inferior labial artery until the establishment of supply from the upper lip. The inferior labial artery is a branch of the facial artery. This arises near the angle of the mouth, at the region of the edge of the lower lip Separation of the lower lip flap from the upper lip with good flap vascularity Abbe flap was separated after a period of two weeks. There was good perfusion of blood within the upper lip flap. She now had a sharp nose with a long columella. Her nose now had a straight profile. The upper lip also had adequate length due to the lengthened prolabium. This provided increased lip tissue for her to appose her lips together. Visible scar tissue was also negligible following the surgery. She expressed her satisfaction with the cosmetic results from the surgery. Her parents too were very happy with the results of the surgery. Surgery Video [/et_pb_text][et_pb_video _builder_version=”4.11.2″ _module_preset=”default” src=”https://youtu.be/r2i1N4jvqVI” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]
Jaw Reduction Surgery with Wisdom Tooth Surgery
[et_pb_section fb_built=”1″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”] Patient with a Hereditary Tendency for a Large Lower Jaw Running Through his Family The patient is a 24-year-old male from Ludhiana in Punjab, India. He has always had a large lower jaw. This caused an unattractive facial structure. The scientific term for this is mandibular prognathism. Many members of his family also have a large lower jaw. Functional and Esthetic Difficulties Caused by Mandibular Prognathism This has caused him to have problems with eating and speech. He has also felt very self-conscious because of the cosmetic compromise from the large jaw. Desiring to get this corrected, he and his parents made inquiries with many surgeons including dentists and oral surgeons. They had been referred to our hospital for surgical correction. Certain syndromes have been associated with a large lower jaw. Acromegaly, which is a condition caused by excess growth hormone in adults results in mandibular prognathism. A percentage of these patients also have gum disease due to chronic mouth breathing. Specialty Procedures performed in our hospital A common term for a very large lower jaw is lantern jaw. The chin is extremely prominent and forwardly positioned. Mastication and speech are rendered very difficult in these cases. Patients undergoing facial feminization also undergo jaw reduction procedures. Our hospital is a specialty center for jaw reconstruction surgery. Le Fort I surgery is performed for retrusion or advancement of the upper jaw. Distraction osteogenesis is also used for the advancement of the retruded maxillaLower Jaw Protrusion – Bilateral Sagittal Split Osteotomy Reduction and retrognathic mandible. Jaw reduction surgery is routinely performed in our hospital. All these surgeries are performed under general anesthesia in our state of art operating theatres. Initial Consultation and Examination at our Hospital Dr. SM Balaji, Specialist in Jaw Surgery, examined the patient. A detailed history was also obtained. He then ordered imaging studies including a 3D CT scan. These are mandatory for patients undergoing jaw surgery. This showed that the patient had a skeletal overbite of 12 mm. There was also a horizontally impacted right third molar. He had bilateral impacted wisdom teeth. These were also indicated for removal. Treatment Planning Explained in Detail to Patient and his Parents Treatment planning was modified as the patient wanted to undergo both procedures at the same time. The mandibular setback is usually performed six months after wisdom tooth extraction, but an exception was allowed in this patient. The patient will first undergo presurgical fixed orthodontics to decompensate the arch. This would be followed by surgery and postsurgical orthodontics. The last stage of orthodontics would be fine-tuning his dental occlusion. They then consented to surgery. Wisdom Tooth Surgery Followed by Mandibular Setback Under general anesthesia, both impacted third molars were extracted. Sectioning of the left third molar was performed to enable easy wisdom tooth extraction. Attention was turned to the bilateral sagittal split osteotomy (BSSO) following wisdom teeth extraction. The bilateral sagittal split osteotomy would enable backward positioning of the lower jaw to achieve good alignment with the upper jaw. Preservation of Inferior Alveolar Nerve throughout Surgery Bilateral sagittal split osteotomies were made. The inferior alveolar nerve was mobilized with the proximal segment. This allowed for mobilization of the distal segment. A slice of bone 14 mm was removed from the site of the osteotomy. The mandible was then set back and occlusion was checked. Stabilization of the mandibular segments was performed with plates and screws. Care was taken to ensure that the inferior alveolar nerve remained safe throughout the procedure. Complete Patient Satisfaction with Results of Surgery There was a tremendous immediate improvement in facial esthetics. The patient and his family were very happy with the results of the surgery. They expressed their satisfaction before their final discharge from the hospital. Surgery Video [/et_pb_text][et_pb_video src=”https://youtu.be/_s2w-r7gBNs” _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]
Lower Incisor Over Show Recorrection Genioplasty
[et_pb_section fb_built=”1″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”] A patient opts for surgical creation of a more prominent chin The patient is a 45-year-old male from Bhopal in Madhya Pradesh, India. Ever since he was a young man, he had always felt that he had a very small chin. He had always been dissatisfied with the shape of his chin. His desire was to have a prominent chin, which he felt would be more masculine looking. Around a year ago, he finally decided to undergo chin enhancement surgery. He, therefore, got in touch with a facial cosmetic surgeon. Without any presurgical planning, the surgery had been performed on the very same day. Dissatisfaction with the results of the surgery A genioplasty had been performed with osteotomy of the chin. To his dismay, the patient realized that he could not close his lips fully. There was an unsightly excessive lower incisor overshow. He could not appose his lips. Feeling distressed by this, he realized that his surgery needed to be redone. He began an exhaustive search for the best surgical facility to address his issue. His search repeatedly led him to our hospital. Our hospital is a specialty surgical center for cosmetic resurgery. Many patients with botched cosmetic surgery elsewhere have undergone surgery with us with the optimal restoration of esthetics. Cosmetic lip surgery and redo rhinoplasty (revision rhinoplasty or nose job) are specialty procedures performed at our hospital. Facelift surgery is routinely performed in our hospital. Facial plastic surgery procedures have helped many people lead fulfilling lives. Facial implants are used for correcting bony defects by plastic surgeons. Chin implant surgery is performed for enhancing retruded chins. This results in optimal chin augmentation. Our hospital follows all the protocols laid down by the American Society of Plastic Surgeons. Head and neck surgery had rigorous guidelines that need to be followed for optimal results. Treatment planning explained to the patient in detail Dr SM Balaji, facial cosmetic surgery specialist, examined the patient and obtained imaging studies including a 3D CT scan. This revealed an enormous gap between the osteotomized chin and the mandible. It was explained to the patient that this gap needed to be closed as there was no new bone formation. Care was taken to explain to him that the best course of treatment would be to reverse the previous surgery. The patient contemplated the findings presented to him and consented to surgery. Successful reversal of his previous advancement genioplasty surgery Under general anesthesia, a vestibular incision was made in the anterior mandibular region. The previous chin surgery with the titanium plates was exposed. There was extensive granulation tissue formation at the site of the bony gap in the chin. The granulation tissue was carefully debrided. The titanium plates and screws holding the chin were removed and the chin was placed back into its original position. There was a good approximation of the osteotomized segment with the mandible. The incision was then closed and the patient was taken to the recovery room. Patient happy with regaining previous facial dimensions after reversal of chin surgery The patient’s chin had been placed back in its original position. Overshow of lower incisors was completely eliminated. He was extremely happy with the results of the surgery and thanked the surgical team before being discharged from the hospital. Surgery Video [/et_pb_text][et_pb_video _builder_version=”4.11.2″ _module_preset=”default” src=”https://youtu.be/lUHZKc96zRw” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]
Dental Implant after Jaw Resection and Reconstruction
[et_pb_section fb_built=”1″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”] Common Jaw Pathologies that require Resection and Reconstruction Cysts and tumors of the jaws are amongst the most common jaw pathologies. Treatment of these conditions includes jaw resection and reconstruction. The most common cysts of the jaws include dentigerous cysts and odontogenic keratocysts. Dentigerous cysts are always associated with an impacted tooth. Importance of Jaws towards Overall Human Health The importance of the jaws towards maintaining optimal physical and mental health cannot be understated. Proper mastication of food is very important in obtaining the nutrition that the body needs to maintain good health. Jaws also play an important role facilitating overall human health. Effects of Jaw Pathology on Speech and Facial Esthetics The effects of jaw pathology on speech and facial esthetics can result in a compromise in the overall quality of life. Speech therapy is often required after radical resection of jaws and jaw reconstruction surgery. Maxillofacial surgeons receive specialized training for jaw cyst surgery. Importance of Jaw Reconstruction Surgery for Returning to Normal Life Patients who have undergone resection of extensive jaw pathologies are often left with residual facial deformities. Patients thus affected require jaw reconstruction surgery for returning to normal life. Cystic conditions like dentigerous cysts and odontogenic keratocysts often cause the destruction of the jawbone. Mastery over jaw reconstruction surgery takes many years to attain and is technique sensitive. Preferred Sites for Harvesting Bone Grafts for Jaw Reconstruction Surgery Bone grafts for jaw reconstruction surgery are harvested from three preferred sites. The preferred sites for harvesting bone grafts among different surgeons include the long bones of the legs, hips and ribs. Harvesting sufficient bone from the hips leads to a deformity in the region. An unsightly scar is usually the result of harvesting sufficient quantities of bone from the tibia. Ideal Site for Harvesting Bone for Jaw Reconstruction Surgery The ideal site for harvesting bone for jaw reconstruction surgery is from the rib region. There is complete regeneration of the bone when the periosteal continuity is not compromised following surgery. Scarring is also minimal as multiple grafts can be harvested through a single incision. Leading Center for Jaw Reconstruction Surgery and Facial Plastic Surgery Our hospital is a leading center for jaw reconstruction surgery following resection of jaw pathologies. Results from facial plastic surgery have won us many international accolades. We have over 30 years of experience in successfully reconstructing a wide variety of jaw defects. Types of jaw surgery performed here include orthognathic surgery and surgery for receded lower jaws. Other procedures performed include removal of odontogenic cysts and mandibular osteotomy. Corrective jaw surgery is performed through intraoral small incisions. We also address radicular cysts, nevoid basal cell carcinoma syndrome, giant cell lesions and fibrous dysplasia. Patient Referred to our Hospital for Management of the Jaw Pathology The patient is an 18-year-old female from Cuttack in Odisha, India. She had developed pain and swelling in the right side of her mandible approximately one year ago. The swelling was gradually progressive and greatly alarmed them. They presented at a local hospital where imaging studies demonstrated a radiolucent lesion enclosing an impacted third molar. The lesion extended from the body into the ramus of the mandible. A diagnosis of dentigerous cyst was made. She had subsequently undergone enucleation of the cyst. The teeth associated with the cyst were also extracted. Jaw reconstruction had however not been performed. The patient and her parents were very unsatisfied with the treatment. Unfortunately, the swelling and pain returned approximately four months ago. They had visited another local hospital where imaging studies had been obtained. Diagnosed with a recurrent dentigerous cyst, they were referred to our hospital for management of her recurrent dentigerous cyst. Initial Presentation at our Hospital for Redo Dentigerous Cyst Surgery The patient and her parents made their initial presentation at our hospital for her redo dentigerous cyst surgery. Our hospital exclusively uses bone grafts harvested from the ribs. We have successfully performed redo dentigerous cyst surgery for many patients with failed iliac and femoral grafts. Jaw Reconstruction Surgery followed by Dental Implant Surgery Treatment planning was explained to the patient and her parents. They consented to the redo dentigerous cyst surgery. She first underwent the redo dentigerous cyst surgery. This was followed by jaw reconstruction surgery using titanium reconstruction plate and rib grafts. A second procedure was performed four months later. This was dental implant surgery in the reconstructed jaw bone. The time period was to allow for consolidation of the bone grafts with surrounding alveolar bone. The patient and her parents were very happy with the results of the surgery. Patient Instructed to Return in Four Months for Ceramic Crowns The patient and her parents were instructed to return in four months for ceramic crowns. This interim period would allow for complete osseointegration of the dental implants to the surrounding bone. The patient and her patents expressed understanding of the instructions. They were very happy with the level of care given to them at our hospital. Surgery Video [/et_pb_text][et_pb_video src=”https://youtu.be/YnoaY5QJuIs” _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]
Infected dentigerous cyst – Resection and reconstruction
[et_pb_section fb_built=”1″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”] Jaw Reconstruction Surgery for Infected Dentigerous Cyst The lower half of the face comprises the upper jaw and the lower jaw. They aid in speech, eating, and communication. The jaws comprise bones, mucous membranes, nerves, arteries, veins, glands, and other specialized cells. They can be affected by pathological entities such as infected dentigerous cysts and odontogenic keratocysts. Jaw reconstruction surgery is the preferred treatment for jaws with residual deformities from pathologies. Loss of bone from the jaws can result from a variety of conditions. They can be from trauma, cysts and cancers. Jaw reconstruction surgery enables restoration of both function and esthetics for the affected jaws. Various Cystic Lesions of the Jaws including Infected Dentigerous Cyst The dentigerous cyst is the most common odontogenic cyst of the jaws. It is always associated with an impacted tooth. An infected dentigerous cyst is manifested by pain and swelling of the affected region of the jaw. Complete enucleation of the cyst followed by jaw reconstruction surgery is the treatment of choice for this pathology. Dentigerous cysts are most commonly associated with impacted mandibular third molars. The next most common site of occurrence is with impacted mandibular canines. They can however occur with any impacted tooth. There have been instances where dentigerous cysts have occurred in association with odontomes. What are Odontogenic Cysts and how do they arise? Odontogenic cysts are cysts that arise in the jaw from cells that aid in tooth development. They comprise a sac with a distinct membranous lining. They may contain air, liquids or solids. Infected dentigerous cysts have an impacted tooth within them. The most common odontogenic cysts are radicular cysts. These are followed by dentigerous cysts. Infected dentigerous cysts are often painful and are accompanied by swelling. The next most common cysts are odontogenic keratocysts followed by periodontal cysts. They all commonly result in the destruction of the jaw bone. Jaw Reconstruction Surgery and Facial Plastic Surgery Jaw reconstruction surgery is the treatment of choice for the rehabilitation of these patients. This is followed by dental implant surgery to aid in the restoration of function. Jaw reconstruction is a form of facial plastic surgery. Facial plastic surgery involves the restoration of facial deformities. Experienced surgeons provide the best results for facial plastic surgery. Patients can have jaw deformities due to a variety of reasons. They can be congenital as in cleft palate deformity or can arise due to road accidents. They can also arise due to conditions such as hemifacial microsomia. Jaw reconstruction surgery can be performed through processes such as distraction osteogenesis or usage of bone grafts. Dental implant surgery is the final step in the rehabilitation of patients who undergo jaw reconstruction surgery. This form of facial plastic surgery not only restores function but also facial esthetics. Dental implant surgery is followed by the fixation of esthetic ceramic crowns to complete the rehabilitation process. Premier Center for Facial Plastic Surgery in India Our hospital is a renowned center for facial plastic surgery. We have been rehabilitating patients with facial deformities for over 30 years now. Located centrally in Chennai, which is the capital city of Tamil Nadu, India, we offer excellent results from facial reconstruction surgery. The patient develops Swelling in Anterior Lower Jaw Region The patient is a 28-year-old female from Gudur in Telangana, India. She noticed a swelling with pain in the anterior lower jaw at the region of the incisors and canine. As this was progressively increasing, she visited a dental clinic for consultation. Imaging studies were obtained and revealed a retained deciduous canine and an impacted permanent canine. There was also radiolucency around the crown of the impacted canine. Suspecting this to be a dentigerous cyst, the patient was referred to our hospital for management. She was diagnosed with an infected dentigerous cyst associated with the impacted canine. Initial Visit at our Hospital for Management of her Infected Dentigerous Cyst Dr. SM Balaji, Jaw Reconstruction Surgeon, examined the patient and ordered imaging studies and biopsies. This returned with the diagnosis of an infected dentigerous cyst. Treatment planning was explained to include harvesting of bone grafts and dental implant surgery. The patient expressed understanding and consented to surgery. Rib bone grafts were first harvested from the patient. This was followed by enucleation of the dentigerous cyst along with the impacted canine tooth. Teeth overlying the dentigerous cyst were also extracted. The resultant bony defect was reconstructed using rib graft and titanium screws. Instructions to Return in Four Months for Dental Implant Surgery Instructions were given to the patient to return in four months. This would allow for the complete consolidation of the bone grafts with the surrounding alveolar bone. She returned in four months as instructed for dental implant surgery. Dental implants were placed in her reconstructed jaw as per protocol. She was then instructed to return in four months’ time for ceramic crowns. This would allow for osseointegration of the dental implants to the surrounding bone. The patient and her family were extremely happy with the level of care at our hospital. She expressed understanding of the instructions and will return in four months for her ceramic crowns. Surgery Video [/et_pb_text][et_pb_video src=”https://youtu.be/YyDgMatxeNw” _builder_version=”4.11.2″ _module_preset=”default” global_colors_info=”{}”][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]
The Best Steroids for Weight Loss
Among those who decided to gain muscle mass, it is believed that so-called anabolic steroids can help achieve quick and high results. Of course, these drugs contribute to the achievement of a certain effect, but before you start taking them, you need to know and understand what they actually are, all their pros and cons. Photos before and after steroids for weight loss of girls and men can be viewed in the article. For reference https://italiafarmaci.com/ you can find a wide range of steroids for any purpose and course. What are steroids and what are they for? At their core, steroids are preparations based on the male hormone testosterone, which is actively involved in the synthesis and production of proteins necessary to “build” muscle mass. It is a mistake to assume that steroids are used only in bodu Since their artificial synthesis in the early 30s of the secolo The effects of steroid drugs are divided into androgenic and anabolic. These effects differ from each other in the specific manifestations that are achieved with their use, namely: With the increase in the effects of androgenic steroids, sexual function is improved, there is intense hair growth according to the male principle (that is, on the chest, legs, face), an increase in body weight can be observed due to water retention in the body. In addition, it is the androgenic component of steroids that can provoke side effects from taking medications (for example, hypertension, irritability). The anabolic effect is to increase muscle mass, increase endurance, produce less fat, strengthen bone tissues. The ratio of anabolic to androgenic in each individual steroid drug is determined by the so-called anabolic index. Triiodothyronine Triioditronine is a hormone synthesized by the thyroid gland. But it is worth noting that the thyroid gland secretes this hormone in small amounts, it is achieved mainly due to the iodation of thyroina This slimming steroid for men and women, as well as tiroina This hormone is responsible for regulating the supply of oxygen to tissue cells, thereby increasing the overall level of metabolism. In small doses, triioditronine, supplying cells with oxygen, causes their active growth and repair. In large doses, this hormone greatly increases the overall level of metabolism, as a result of which the breakdown of cells begins, with the release of a large amount of energy. This feature of the hormone is used quite often in the world of sports: large doses of triioditronine cause breakdown of adipose tissue, which leads to weight loss. In medicine, this hormone is often used only in small doses to activate the restoration of damaged tissues, as a rule nervous. Among other things, this steroid hormone has an effect on the absorption of vitamins A and B12, and also participates in the elimination of cholesterol from the body. “Clenbuterol” “Clenbuterol” (Clenbuterol) – a product that is used in medicine for the healing of bronchial asthma. In recent years, the drug has found wide use in bodebuilding and fitness, due to its ability to burn fat, so it is often used by athletes to lose weight and dry. Tablets of the best steroid for weight loss contain tiroina “Clenbuterol” is not related to heavy anabolic steroids and belongs to a group of adrenomimetics that show a related physiological influence.