Successful surgical correction of the upper lip and nose defect using Abbe flap

by smbalaji | Sep 18, 2018 | Surgery, Video

This patient is a 30 year old native of Shimla. He was born with a bilateral cleft lip and palate. The patient has undergone primary cleft lip and palate surgery elsewhere when he was as an infant. He complained about nongrowth of hair in the center of the lip(prolabial region). The patient now has a depressed dorsum of the nose. The nose is at an obtuse angle.

The patient was very specific about his appearance. He said this caused him to lack self confidence

Rhinoplasty nose deformity specialist Dr SM Balaji planned the surgery. He planned to correct both the nose and lip defects using open rhinoplasty and Abbe flap.

The columella of the nose was constructed using prolabium. The raw surface of the upper lip was then corrected by using a switch flap. The base of the flap was then kept attached to the lower lip for retention of blood supply. Once blood supply has been re-established in the upper lip, the flap division was then done. The defective upper lip and nose now had a more natural and esthetic appearance. The patient was very satisfied with the results.

: Pre-operative facial view showing defective lip and nose due to bilateral cleft lip and palate

: Worm’s eye view showing depressed dorsum of nose and illdefined columella

: Intra-operative view showing raised columella of nose

: Immediately after suturing using Abbe flap technique

: Immediately after suture removal showing enhanced appearence of the nose and upper lip

: Before-After Straight view

: Before-After Side view

Primary lip repair for unilateral cleft lip & palate

by smbalaji | Sep 17, 2018 | Surgery, Video

This is a 3-month old baby girl from Jammu. She was born with a unilateral cleft lip & palate. Her parents brought her to our hospital for treatment. An Internet search pointed to our hospital as being the best center for cleft repair.

Maxillofacial Surgeon Dr. SM Balaji examined the patient. He performed the primary cleft lip repair surgery using Modified Millard’s technique. Following surgery, the baby’s appearance became normal. The parents were very happy with the results as she hardly had any post-surgical scars. Cleft palate correction surgery will be at a later date.

: A 3-month-old baby born with unilateral cleft lip and palate

: Primary cleft lip repair done using Modified Millard’s technique

: Immediately after suture removal showing improved appearance

Successful cleft palate repair surgery with release of abnormal muscle attachment

by smbalaji | Aug 27, 2018 | Surgery

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.

: Pre-operative view showing isolated cleft palate

: Post -operative view showing cleft palate closure

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

by smbalaji | Aug 26, 2018 | Surgery

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.

: Bilateral cleft lip and palate defect in 3 months old baby boy

: Primary cleft lip repair using Paul Black’s technique

: Immediately after suture removal, seven days after surgery with greatly improved appearance

Primary lip repair for unilateral cleft lip and palate

by smbalaji | Aug 17, 2018 | Surgery

Baby girl with unilateral cleft lip and palate presents for surgery

This is a 3-month old baby girl from Guwahati born with a unilateral cleft lip and palate. Her parents were very disturbed over this. They decided to search the Internet for the best cleft lip and palate repair surgeon. This brought them straight to our hospital seeking treatment for her cleft deformity. They expressed their anxieties over their daughter’s condition.

Patient examined and surgical plan presented to parents

Cleft lip and palate repair specialist Dr SM Balaji examined the patient. His decision was to perform the modified Millard’s technique. The parents were in complete agreement with his treatment plan.

: Unilateral cleft lip and palate defect in 3 months old baby girl

: Immediately after suturing using modified Millard’s technique

: Post operative view following 8 days after surgery showing negligible scar formation

Successful surgical correction of cleft lip

Surgery for the little girl was a resounding success. Following surgery, she looked like any other baby girl of her age with minimal to no scar. The parents were very pleased with the results.

Cleft palate correction surgery will be at a later date.