Blog - Balaji Dental and Craniofacial Hospital

17Dec

December 17th, 2020 11:31 am December 17, 2020

Marry PoppinsNew services 8 Add a comment

Top 5 tips on how to choose a good dentist

Mass communication has led to modern marketing strategies to continue focusing on brand awareness, large distributions and heavy promotions. The fast-paced environment of digital media presents new methods for promotion to utilize new tools now available through technology. With the rise of technological advances, promotions can be done outside of local contexts and across geographic borders to reach a greater number of potential consumers. The goal of a promotion is then to reach the most people possible in a time efficient and a cost efficient manner. Digital media, which includes Internet, social networking and social media sites, is a modern way for brands to interact with consumers as it releases news, information and advertising from the technological limits of print and broadcast infrastructures. Digital media is currently the most effective way for brands to reach their consumers on a daily basis. Over 2.7 billion people are online globally, which is about 40% of the world’s population. 67% of all Internet users globally use social media. More than 2.7 billion people worldwide are online, which is about 40% of the world’s population. 67% of them use social networks. Mike Rogers However, there are downsides to virtual promotions as servers, systems, and websites may crash, fail, or become overloaded with information. You also can stand risk of losing uploaded information and storage and at a use can also be effected by a number of outside variables. Social media, as a modern marketing tool, offers opportunities to reach larger audiences in an interactive way. These interactions allow for conversation rather than simply educating the customer. Facebook, Snapchat, Instagram, Twitter, Pinterest, Google Plus, Tumblr, as well as alternate audio and media sites like SoundCloud and Mixcloud allow users to interact and promote music online with little to no cost. You can purchase and buy ad space as well as potential customer interactions stores as Likes, Followers, and clicks to your page with the use of third parties. As a participatory media culture, social media platforms or social networking sites are forms of mass communication that, through media technologies, allow large amounts of product and distribution of content to reach the largest audience possible.

23Nov

November 24th, 2024 04:59 pm November 23, 2024

smbalajiOral Cancer 1

Tongue cancer surgery and successful reconstruction at Balaji Dental & Craniofacial Hospital, India.

Oral cancer is a serious health concern affecting thousands of individuals in India each year. Known as the cancer of the mouth, oral cancer typically affects the buccal mucosa or tongue. Oral cancer in India predominantly affects men. Timely diagnosis and specialized treatment, such as tongue cancer surgery, radiation therapy, or chemotherapy, are essential to manage and prevent its spread. At Balaji Dental and Craniofacial Hospital, a leading institution in India for head and neck oncology, advanced oral cancer treatments and reconstructive surgery techniques are providing hope and improved quality of life for patients. Here, we share the story of an elderly patient successfully treated for tongue cancer, highlighting the expertise of Dr. S.M. Balaji and his dedicated team. Understanding Tongue Cancer Tongue cancer is a type of oral cancer that occurs when abnormal cells in the tongue multiply uncontrollably, forming a tumor. It can spread to nearby tissues and, if left untreated, can metastasize to other parts of the body. It develops on the surface of the tongue, often going unnoticed until it reaches an advanced stage. Risk factors for Tongue Cancer Various factors can increase the risk of developing tongue cancer. Smoking cigarettes, cigars, or pipes, along with chewing tobacco products such as betel nuts, quid, zarda, etc., significantly increases the risk. This has also led to increased premalignant cases. Alcohol consumption: Heavy drinking, especially when combined with tobacco use, is a major risk factor. Poor oral hygiene and constant trauma—sharp teeth, ill-fitting dentures, and neglecting regular dental check-ups and proper oral care—can contribute to the development of oral cancer. Human Papillomavirus (HPV) Infection: An increased risk of oral cancers, including tongue cancer, is associated with certain strains of HPV, particularly HPV16. Other viruses like the Herpes simplex virus, HIV, and Epstein-Barr virus can be a contributing factor. Nutritional deficiency: Deficiency of iron, vitamin B12, and selenium can cause cancer. If left undiagnosed and untreated, premalignant conditions such as leukoplakia and erthyloplakia can develop into cancer. Identifying the Signs and Symptoms of Tongue Cancer Early detection is crucial for successful treatment. Be aware of these common symptoms: Persistent sores or ulcers: sores that don’t heal within two weeks. Unusual patches can appear as red and white patches on the tongue or under the tongue. The patient may experience difficulty chewing, swallowing, or speaking, as well as pain or discomfort when eating, drinking, or talking. Not being able to eat spicy food can be a sign. Numbness or tingling: unusual sensations in the mouth or tongue. Lump of thickening of soft tissues of the mouth. Chronic ear pain or persistent cough, even after treatment, can be a warning sign. The patient may have trouble moving their jaw or opening their mouth, experience jaw swelling, or have a hoarse voice. A Success Story from Balaji Dental and Craniofacial Hospital When this elderly patient arrived at Balaji Dental and Craniofacial Hospital, he presented with tongue cancer that had spread to the left border of his tongue and the floor of his mouth. Dr. S.M. Balaji, the hospital’s chief consultant, led a comprehensive diagnostic evaluation to assess the extent of the cancer and determine an effective treatment plan. The evaluation involved a variety of tests, such as CT scans, MRI scans, and biopsy. Based on the findings, Dr. Balaji and his team decided the best treatment option would be to perform a tongue cancer surgery and reconstruct the tongue with a free forearm flap. Tongue cancer seen on left lateral border and floor of the mouth extending upto posterior 13rd of the tongue Picture showing left partial glossectomy to resect the cancerous part of tongue Picture showing resected portion of cancerous tongue Left neck dissection for lymph node removal Harvesting the free radial forearm flap for tongue reconstruction Tongue reconstructed using radial forearm flap Admission and Testing at Balaji Dental and Craniofacial Hospital Our hospital has been at the forefront of the treatment of oral cancer patients. We have been reconstructing patients’ post-cancer treatment for over 30 years now. Scores of such patients have been enabled to lead normal lives after cancer surgery. Leading Center for Oral Cancer Reconstruction Surgery We are a tertiary referral center for many hospitals from across the globe. This forms an integral part of our services to humanity. Many organizations have recognized our commitment to the rehabilitation of oral cancer patients. Our medical and paramedical teams are among the best in the world. Our medical professionals regularly participate in workshops and programs to maintain their skills at the forefront. This has enabled us to provide world-class services on a consistent basis. Treatment Options for Oral Cancer The location, extent, and type of the cancer determine the treatment. Various factors, such as the age of the patient, the type of cancer, and the stage of oral cancer, should be considered before proceeding with the treatment. Treatment options can involve things like surgery, radiation therapy (destruction of cancer cells), chemotherapy (killing cancer cells using chemicals), or a combination of these. We decided to proceed with surgery for this patient, considering his age and medical history. Tongue Cancer Surgery and Neck Dissection In this case, the procedure involved a left partial glossectomy, which entailed removing the left half of the patient’s tongue. A left neck dissection to remove lymph nodes, which is a critical step in cases where tongue cancer has the potential to spread. The pathology lab received lymph node samples for biopsy during the surgery. The “frozen section” biopsy confirmed that the cancer had not spread to the left lymph nodes, allowing the team to proceed with reconstruction. Reconstruction with Forearm Radial Flap A significant component of this successful tongue cancer surgery in India was the reconstruction of the resected portion of the patient’s tongue. For this, Dr. Balaji’s team used a technique involving a “free forearm radial flap.” The team harvested tissue from the patient’s forearm, ensuring an adequate supply and compatibility for successful reconstruction. The team meticulously ensured the new tongue tissue had proper blood...

19Oct

October 19th, 2024 09:07 pm October 19, 2024

smbalajiEvents 87

World Renowned Professor of Oral Diseases – Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital

World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital World Renowned Professor of Oral Diseases- Prof. Stephen Challacombe’s Visit to Balaji Dental & Craniofacial Hospital Prof. Stephen J. Challacombe, a global authority in oral medicine and immunology, recently visited Balaji Dental and Craniofacial Hospital in Chennai, marking a significant moment in the hospital’s history. His visit highlights the ongoing collaboration between world leaders in dental medicine and cutting-edge institutions like Balaji Dental and Craniofacial Hospital. During his visit, Prof. Challacombe attended the hospital’s Evening Review Outpatient session and joined Prof. S. M. Balaji, the Director and Lead Surgeon of Balaji Dental and Craniofacial Hospital, on ward rounds. Prof. Balaji, a pioneer in oral and maxillofacial surgery, took the opportunity to explain the complex challenges faced in reconstructive surgeries for patients with severe oral and facial deformities. This interaction between two leading experts from their respective fields provided deep insights into the evolving landscape of oral and maxillofacial surgery. Prof. Challacombe: A Global Leader in Oral Medicine Currently serving as the Chair of Oral Medicine at King’s College London, Prof. Challacombe has established himself as a towering figure in the field of oromucosal immunology and oral diagnostics. His extensive research in mucosal immunology, particularly in how the immune system responds to diseases within the mouth, has led to significant advancements in oral healthcare worldwide. Prof. Challacombe has received numerous accolades for his contributions, including the prestigious King James IV Professorship from the Royal College of Surgeons of Edinburgh. His groundbreaking work has shaped the field of oral medicine, positioning him as a global authority on complex conditions affecting the mouth, such as oral cancers, autoimmune disorders, and other oral mucosal diseases. Collaboration with Prof. Balaji and Insights on Complex Surgery Prof. Challacombe’s visit was not only a testament to his commitment to advancing oral healthcare but also an opportunity to engage with Prof. Balaji, whose expertise in craniofacial surgery is internationally recognized. Prof. Balaji demonstrated the unique challenges encountered in performing surgical reconstructions for patients with routine and complex oral and maxillofacial deformities. His innovative approach to these cases, often involving intricate surgeries to restore both function and aesthetics, is one of the reasons why Balaji Dental and Craniofacial Hospital is regarded as a center of excellence in the field. This visit further strengthened the collaborative efforts between international experts and local institutions, ensuring that patients in India have access to the best care possible. Leading Experts in Virus Research Join the Discussion Joining Prof. Challacombe during his visit was Dr. N. Kumarasamy, Secretary General of the AIDS Society of India and a notable researcher in the field of HIV-AIDS and virus-related diseases. Dr. Kumarasamy’s presence added another layer of expertise to the visit, as discussions also touched upon the role of oral health in HIV-related infections and the latest research developments in virus-associated oral conditions. Advancing Oral Healthcare through Global Collaboration Prof. Challacombe’s visit highlights the importance of global collaboration in advancing oral healthcare and maxillofacial surgery. By sharing knowledge, discussing challenges, and offering innovative solutions, experts like Prof. Challacombe and Prof. Balaji continue to push the boundaries of what is possible in the field of dentistry and surgery. Balaji Dental and Craniofacial Hospital remains at the forefront of advanced oral care, providing patients with state-of-the-art treatments. Prof. Challacombe’s visit serves as a reminder of the hospital’s dedication to maintaining global standards in dental care.

13Oct

October 13th, 2024 03:44 pm October 13, 2024

smbalajiCleft Lip Surgery 9

Transformative Unilateral Cleft Lip Surgery with Minimal Scarring

A young boy with a mild unilateral cleft lip deformity underwent successful corrective surgery at Dr. S.M. Balaji’s Craniofacial and Dental Hospital. Led by renowned surgeon Dr. S.M. Balaji, the procedure resulted in excellent aesthetic outcomes with minimal scarring. Our Expertise in Cleft Lip Surgery Our hospital is a recognized global leader in cleft lip and palate surgery, attracting patients from around the world seeking expert care. With years of experience and a commitment to excellence, Dr. Balaji and his team have perfected surgical techniques that minimize scarring and maximize functional and aesthetic results. The Surgical Procedure The patient’s surgery involved a meticulous reconstruction of the nasal floor and nasal sill using a C-flap technique. The cleft lip was carefully reapproximated in three layers, ensuring precise alignment of the orbicularis oris muscle, subcutaneous tissue, and skin. Minimal Scarring, Exceptional Results Thanks to Dr. Balaji’s expertise and the minor nature of the cleft, the surgery resulted in a near-perfect cosmetic outcome. The patient’s parents were thrilled with the results, knowing their child would grow up without visible signs of the cleft lip deformity. Choose Dr. S.M. Balaji’s Craniofacial and Dental Hospital For transformative cleft lip surgery with minimal scarring, trust the expertise of Dr. S.M. Balaji and his team. Our hospital offers personalized care, advanced surgical techniques, and a commitment to achieving optimal results. Contact us today to schedule a consultation and learn more about how we can help your child.

17Aug

August 17th, 2024 01:27 pm August 17, 2024

smbalajiClosed Rhinoplasty 2

Closed Rhinoplasty for Crooked Nose Correction

Closed Rhinoplasty for Crooked Nose Correction Surgical History of Rhinoplasty since Historical Times Rhinoplasty is one of the oldest procedures performed in surgery. There is documentation of this surgery being performed early in the history of mankind. Sushruta performed such surgeries regularly in ancient India. Common Occurrence of Nasal Deformity in a Sample Population Nasal deformities are very common. These can arise congenitally, from trauma or from disease processes. Amongst them, crooked nose correction is a regular feature in most rhinoplasty surgical procedures. Nose Correction Surgery for Crooked Nose Correction Crooked nose correction is a technique sensitive surgery. It requires finesse and experience to be performed successfully. A surgeon requires an artistic eye to successfully execute this surgery. Nose Job for Correction of a Variety of Nasal Deformities Nose correction surgery leads to correction of a variety of deformities. These include saddle nose deformity, crooked nose deformity and broad nose deformity. Another common nasal deformity is parrot beak deformity. This is also known as hook nose deformity. The nasal bones are very delicate bones and cartilages. Nasal fractures commonly involve the nasal septum. This causes restriction in the nasal passages. Septal hematomas are a common occurrence in nasal trauma. Plastic surgery is performed to correct nasal deformities. A rhinoplasty surgery is a surgical procedure that involves nose surgery. It can be performed to modify the sides of the nose. Dermal fillers are utilized to fill in soft tissue defects. The area is infiltrated with local anesthesia before administration of general anesthesia. Birth defects are also corrected using rhinoplasty procedures. Direct impact on the nose during a motor vehicle accident can result in a fractured nose. Successful rhinoplasty results in greatly enhanced quality of life. Leading Surgical Center for Closed Rhinoplasty in Southeast Asia Our hospital is a premier center for rhinoplasty surgery in India. Nose correction surgery has seen the rehabilitation of over a 1000 patients. Glowing testimonials provided by patients stands evidence to this. We have always placed patient satisfaction at the top of our priorities. Our level of care is comparable to international surgical centers in the West. Our medical and paramedical teams are amongst the very best in the nation. Commonly Associated Issues seen with Nasal Deformities Breathing problems are commonly seen in patient with nasal deformities. A deviated nasal septum is often the most common cause of snoring. Congenital deviated nasal septum is very common. Prompt diagnosis and treatment will ensure resolution of this condition. Full Resolution of Breathing Problems after Surgery with us We are a widely recognized center for correction of breathing problems. Our hospital is a tertiary referral center for patients with breathing problems. We correct a wide variety of nasal deformities with successful outcomes in our hospital. World Class Surgical Care in a Third World Setting Our hospital has won international recognition around the world for our excellent surgical services. We have also won award at the international level for our services to humanity. Our hospital is a tertiary referral center for complex nasal deformities. Superspecialty Center for Correction of Cleft Rhinoplasty Deformity A cleft lip and palate deformity leads to gross nasal deformities. There is distortion of both hard tissues and soft tissues in these patients. Only very experienced surgeons are able to successfully treat these cases. World Class Surgical Center for the Treatment of Cleft Rhinoplasty We are recognized across the globe for our cleft rhinoplasty services. Such patients are referred from around the globe to our hospital. They undergo successful rehabilitation of their nasal deformities at our hospital. Wide International Recognition for our Surgical Expertise Our hospital is an affiliate of the Japan-based International Cleft Lip and Palate Foundation. This organization recognizes only the finest in the field. We also play a prominent role in the research activities carried out by this organization. Young Woman with Nasal Fracture from Road Traffic Accident This young woman suffered a nasal bone fracture a few months ago. She was involved in a road traffic accident. There was a direct impact to the nose. Her family had however neglected it and had not got this corrected. Crooked Nose Arising from Nasal Bone Fracture She subsequently developed both cosmetic as well as functional compromise. There was breathing difficulty as well as snoring. She was also feeling very uncomfortable from the cosmetic deformity. Requirement for Refracture of Old Nasal Bone Fracture The patient had approached a local surgeon in her hometown. He had recommend that she undergo a nose correction surgery. A nose correction surgery is also known as a nose job. He stated that this needed to be performed by a specialist. Treatment Planning Explained in Detail to Patient She had subsequently been referred to our hospital for treatment. Our hospital is a renowned center for nose correction surgery. We have been performing nose correction surgery for over 30 years now. Many patients travel from afar to undergo nose correction surgery with us. Refracture of Nasal Bone Fracture through Lateral Osteotomies A costal cartilage graft was first harvested from her rib region. This was followed by intranasal incisions. The crooked nose correction was performed by bilateral lateral osteotomies. The lower crus of the lateral cartilage was also excised. Augmentation of Nasal Bridge using Costal Cartilage Graft The costal cartilage graft was tunneled through the incision to augment the nasal bridge. There were no visible scars because all the incisions were made inside the nose. The patient stated that there was complete correction of both function and esthetics.

28Jul

July 28th, 2024 07:07 pm July 28, 2024

smbalajiDistraction Osteogenisis 1

Distraction Osteogenesis for Lower Jaw Asymmetry Correction

Occurrence of Jaw Discrepancies in a Sample Population Lower jaw deformities are the leading cause of facial asymmetry. This can result either from pathological conditions, trauma or idiopathic causes. Trauma to the lower jaw is a common occurrence due to its prominent position. Pathological Conditions requiring Lower Jaw Asymmetry Correction Cysts and tumors of the jaws also leads to asymmetry of the lower jaw. Lower jaw asymmetry correction surgery is the only recourse to this. Such pathological conditions cause bony destruction of the jaw. Bone Grafting Required for Correction of Large Bony Jaw Defects Large bony defects are created by resection or enucleation of the pathological tissues. Such defects are addressed through bone grafting procedures. Bone graft surgery is usually performed at the rib region. These grafts are crafted to perfectly fit into the bony defect. Conditions Requiring Distraction Osteogenesis of the Lower Jaw Idiopathic occurrence of lower jaw asymmetry is also quite common. Another condition that causes facial asymmetry is hemifacial microsomia. Lower jaw asymmetry correction is performed through distraction osteogenesis. Distraction osteogenesis was developed by Prof. Gavril Ilizarov of Russia. This was initially developed for addressing length discrepancy of the long bones. Over time, it has been adapted to help in lengthening of any bone shortening. Initial distraction devices were externally fitted devices. These were cumbersome and did not permit normal movement of the patient. There was severe limitation of activities during the period of distraction. Improvement in Facial Structure through Distraction Osteogenesis Soft tissue drape is changed during distraction osteogenesis and other jaw surgery procedures. Bone grafts to the upper and lower jaw bones also has the same effect. Hemifacial microsomia results in an asymmetric face. Facial symmetry is performed through orthognathic surgery. Craniofacial surgeries correct facial asymmetry and restore facial balance. Correction of facial asymmetries is obtained through effective treatment planning. Such reconstructive surgery is also aided by orthodontic treatment for dental malocclusion. An oral and maxillofacial surgeon corrects the distorted facial structure. Mandibular distraction osteogenesis corrected upper and lower jaw asymmetry. This is a highly specialized procedure and is only performed by a few surgeons in India. Techniques of Jaw Distraction through Distraction Osteogenesis Over time, research led to the development of internal distractor devices. These proved to be ideal for distraction of bones such as the jaw bones. Kawamoto distractors were internal distractors developed for advancement of the midface. Excellent Outcomes for Jaw Distraction Surgery in India Jaw distraction surgery in India is available only in a few superspecialty hospitals. This procedure is technique intensive and requires years of experience. Best results for jaw distraction surgery in India is obtained by experienced surgeons. Balaji Dental and Craniofacial Hospital is a leading center for distraction osteogenesis. Dr. SM Balaji pioneered jaw distraction surgery in India. Upper jaw distraction involves advancement of the midfacial region. We are the leading craniofacial surgery hospital in the Asia Pacific region. Our hospital has also developed several surgical innovations in distraction osteogenesis. These have aided in improving the overall results from distraction osteogenesis. Such innovations have become part of mainstream surgical protocol across the globe today. We are also a leading destination for medical tourism involving distraction osteogenesis. This has become a part of our services towards humanity in treating underprivileged patients. Distraction Osteogenesis of the Lower Jaw for Quality Living Many patients obtain a second lease in life following distraction osteogenesis of the lower jaw. This leads to dramatic improvement in both function and overall facial esthetics. This leads to greatly enhanced overall quality of life. Patient facing Difficulties with Activities of Daily Living This young male was born with an idiopathic lower jaw asymmetry. He also had a relatively smaller lower jaw compared to the upper jaw. This was leading to difficulty with eating and breathing functions. Poor Sleep Quality leading to Daytime Somnolence The patient also had nighttime sleep disturbances. He was also not happy with the esthetic compromise caused by his lower jaw asymmetry. Desiring to undergo correction, his parents had conducted a detailed search. Decision to Approach our Hospital for Lower Jaw Asymmetry Correction They had finally decided to get his condition addressed in our hospital. Treatment planning was performed at our hospital. He had deviation of the lower jaw to the left. It was decided to perform unilateral distraction osteogenesis for lower jaw asymmetry. Distraction Osteogenesis for Lower Jaw Asymmetry Correction Click Here for surgery video

28Jan

January 28th, 2024 12:10 pm January 28, 2024

smbalajiMandibular Osteotomy 1 Add a comment

Mandibular Osteotomy for Long Lower Jaw Correction

Complications Arising in Later Life in Cleft Patients Patients born with a cleft deformity undergo a lengthy rehabilitation process. The cleft deformity can give rise to a myriad of issues for them. All these issues have to be addressed surgically. They however lead a life of complete normalcy after rehabilitation. Problems Arising from Affected Upper Jaw Growth One of the most noticeable complications is regarding upper jaw growth. Upper jaw growth is affected in patients with a cleft palate. The lack in normal upper jaw growth results in a skewed relationship between the jaws. Relative Appearance of Upper Jaw and Lower Jaw in Cleft Patients Development of a hypoplastic upper jaw is very common in patients with a cleft palate. This gives rise to the appearance of a long lower jaw. In reality, the lower jaw could be of normal size in comparison to the hypoplastic upper jaw. Problems Arising from Discrepancies in Relative Jaw Size A long lower jaw in relation to an underdeveloped upper jaw can lead to several problems. Primary among them is the functional aspect. Both speech and the ability to eat is affected. Patients with cleft deformity often undergo extensive speech therapy. Concave Facial Profile Affecting the Confidence of Patients Another aspect of this long lower jaw is the cosmetic issues for the patient. A long lower jaw gives rise to a concave profile. Correction of this can either involve lower jaw reduction or upper jaw advancement. Evolution of Surgical Techniques in the Treatment of Jaw Deformities Cosmetic jaw surgery has evolved over the decades. The facial biometrics are obtained for the patient. A decision is then made to reach the optimal treatment plan for cosmetic jaw surgery. This can either be upper jaw advancement or lower jaw reduction. Orthognathic surgery is otherwise known as corrective jaw surgery. Used in conjunction with orthodontic treatment, it corrects jaw problems involving the upper and lower jaws. This involves the jaw bones, the jaw joint and the upper and lower teeth. The right treatment plan for mandibular prognathism results in long term benefits. This should be performed only after completion of jaw growth. Return to work or school post-surgery is within a few days. A correct bite is established through this surgical procedure. Resolution of obstructive sleep apnea requires lower jaw advancement. The surgical procedure of these surgeries involve intraoral incisions. There is no visible scar tissue from this surgery. Techniques Utilized for Advancement of Hypoplastic Maxilla Upper jaw advancement could be performed through a variety of surgical technique. The most common technique is the Le Fort I advancement. Distraction osteogenesis is utilized when the degree of advancement is very high. Ideal Procedures for Setback of the Prognathic Lower Jaw Lower jaw reduction is most commonly performed through mandibular osteotomy. The bilateral sagittal split osteotomy is the treatment of choice. This surgery is best performed by cosmetic jaw surgeons with the necessary experience. Decades of Excellence in Craniomaxillofacial Surgery Our hospital is a superspecialty craniomaxillofacial surgery center. We perform surgeries ranging from complex impactions to craniofacial surgery. Cosmetic jaw surgery is one of the specialty features at our hospital. Common Causes for Destruction of Jaw Bone Tissue Many disease conditions often result in extensive destruction of jaw bone. These result in large bony defects of the jaws. Trauma is another cause for extensive bony destruction of jaw bone. Cosmetic jaw surgery is used to reconstruct such deformities of the jaw bone. Science behind the Reconstruction of Jaw Bone Defects We primarily use rib bone grafts for cosmetic jaw surgery. Rib bone grafts are ideally suited for reconstruction of the jaws. They can be crafted to the correct shape and size to fit into the bony defect. There is also ready consolidation of the graft with surrounding alveolar bone. Young Woman Develops Hypoplastic Upper Jaw This young woman was born with a unilateral cleft lip and palate defect. She had undergone corrective surgery in her infancy. As seen commonly with cleft patients, she now has a hypoplastic upper jaw. Abnormal Relationship between the Upper and Lower Jaws Her lower jaw is now prognathic in relation to her upper jaw. She also has a missing incisor at the site of the alveolar cleft. The patient was referred to our hospital for management of her multiple problems. Fixed Orthodontic Treatment and Surgical Jaw Correction Treatment planning was explained to her and she provided consent to undergo treatment. Fixed orthodontic treatment was initiated to correct her dental occlusion. She was then scheduled to undergo bilateral sagittal split osteotomy of her lower jaw. Dental Implant Surgery for Missing Upper Incisor Tooth Attention was first turned to her missing upper incisor tooth. A dental implant was placed at the site. Six months would be allowed to elapse for osseointegration of the implant. A shade matched ceramic crown would be fixed upon her return. Careful Nerve Protection throughout Cosmetic Jaw Surgery Bilateral bone cuts were then made in her mandible. Caution was taken to avoid any injury to her inferior alveolar nerve. The mandible was setback by 8 mm bilaterally. This resulted in establishment of normal relationship between her jaws. Normalization of Jaw Form and Function following Surgery The surgical site was then stabilized with titanium plates and screws. Facial esthetics was dramatically improved following the surgery. The patient also reported improved ability with eating and speech. Mandibular Osteotomy for Long Lower Jaw Correction Click Here for surgery video

17Jan

January 17th, 2024 03:18 pm January 17, 2024

smbalajiCleft Lip Surgery 9 Add a comment

Closed Rhinoplasty for Cleft Nasal Deformity Correction

Closed Rhinoplasty for Cleft Nasal Deformity Correction Commonest Congenital Deformities Seen in Newborn Infants The cleft lip and palate defect is the most common congenital deformity of newborns. It occurs in 1 out of every 8000 live births. There is also a regional or racial predilection to this deformity. It is most common among Native Americans and least common in oriental people. Degrees of Severity of the Cleft Lip and Cleft Palate Deformities This deformity can range from the mild to the very severe. The mildest form of this deformity manifests itself as a unilateral notch on the lip. When very severe, it involves bilateral lip and palate with a free floating premaxilla. Ancient Taboos and Superstitions associated with Cleft Deformities Back in the olden days, it was considered to be a curse of the divine. Children born with this deformity were considered to be the spawn of Satan. They were most often abandoned outside the towns and villages and rarely survived. Birth of the Age of Enlightenment through Scientific Advancements It was the dawn of the scientific era that enlightened mankind. Many disease processes were explained and understood by scientific thought. What was thought to be evil soon became normalized through treatment. Evolution of Nose Correction Surgery down the Ages Nose correction surgery was amongst the first cosmetic procedures performed. Sushruta, the father of surgery, has documented cases of nose correction surgery. The techniques involving nose correction surgery are highly advanced at present. Refinement of Surgical Techniques for Increasingly Better Outcomes Surgical techniques have advanced with the passage of time. It has now reached the point that the cosmetic deformity is completely corrected through surgery. Children born with such deformities now get to lead a completely normal life. Cleft nose rhinoplasty can be classified as a nose job performed by plastic surgeons. Plastic surgery is the specialty that deals with manipulation of soft tissue, bone and cartilage for esthetics. Nasal tip augmentation is an integral part of cleft rhinoplasty surgery. The shape of the nose is dramatically improved by rhinoplasty surgeons. Reshaping the nose to obtain a perfect shape of the nose is technique sensitive. Performed under general anesthesia, postop care is essential during the recovery time. Surgical procedures involving nasal surgery is performed by rhinoplasty surgeons. Reshaping the nose and correcting the deviated septum also corrects breathing problems. The patient has to be very careful for a few weeks after surgery. An experienced surgeon often provides the best results from cosmetic rhinoplasty. The form and function of the nose is very important for overall facial esthetics. Ideal Timetable for Performing Surgery for Cleft Correction Certain schedules are advised to obtain the best possible results. Cleft lip surgery is best performed at the age of 1-1/2 months. The ideal time for cleft palate correction is 10 months of age. Cleft alveolus correction is ideally performed at 4-1/2 years old. Impairment of Speech Corrected through Pharyngoplasty Other surgeries include speech correction surgery or pharyngoplasty. This is normally performed at around the age of 10. There is dramatic improvement in the quality of speech following this surgery. Multiple Surgeries for Complete Rehabilitation of Cleft Patient Many other surgeries are often performed before full rehabilitation of the cleft defects. These include rhinoplasty or nose job for nasal correction and upper jaw surgery. Extensive fixed orthodontics is also required in conjunction with the surgeries. The Relative Cost of Nose Job in India in Comparison to the West A closed rhinoplasty is performed for correction of minor nasal deformities. An open rhinoplasty is required for gross deformities. Experienced surgeons can performed closed rhinoplasty even for greater deformities. The cost of a nose job in India is a fraction of what it costs in developed nations. It is the cost of nose job in India that drives Westerners to our nation for rhinoplasty. The quality of treatment is very good through the cost of nose job in India is relatively low. Young Man presents for Correction of Nasal Deformity This young man was born with a unilateral cleft lip and palate deformity. He had undergone surgical correction of his cleft deformities as an infant. His residual nasal deformity has been affecting him for a few years now. Rising Desire to Undergo Nose Correction Surgery He stated that he had faced bullying by peers during his school days. The patient is now in college and is pursuing Aeronautical Engineering. Desiring to undergo corrective surgery, he had approached his parents. Extensive Research leads Patients and Parents to our Hospital They had conducted exhaustive research regarding the best rhinoplasty hospital in India. This had been through both their professional contacts as well as through the Internet. They had finally zeroed in on our hospital for management of his deformity. Dr. SM Balaji of Balaji Dental, Craniofacial Hospital & Research center is a world renowned rhinoplasty and cosmetic surgeon. He has over 30 years of experience in handling complex cases. Treatment Plan Presented and Surgical Consent Obtained His parents had contacted the hospital and fixed an appointment. Initial examination had been conducted and a detailed treatment plan presented. The patient now presents for closed rhinoplasty for correction of his cleft nasal deformity. Nasal Bridge Augmentation through Costal Rib Graft A costal cartilaginous graft was harvested at the commencement of the surgery. Attention was then turned to the nasal deformity. The graft was crafted and tunneled to the bridge of the nose. This resulted in a nasal bridge augmentation with creation of a straight profile. Improved Function and Form following Closed Rhinoplasty The lower cruces of his lateral cartilages were then excised. There was very good correction of his nasal deformity following his surgery. The patient stated that there was improved function and esthetics after the closed rhinoplasty. Surgery Video: Closed Rhinoplasty for Cleft Nasal Deformity Correction Closed Rhinoplasty for Cleft Nasal Deformity Correction Click Here watch the surgery video

9Jan

January 9th, 2024 01:15 pm January 9, 2024

smbalajiOrthognathic Surgery 7 Add a comment

Transforming Smiles: A Journey through Anterior Maxillary Osteotomy

Facial Esthetic Surgery – Anterior Maxillary Osteotomy with Superior Positioning Introduction: In the pursuit of the perfect smile, many individuals face unique challenges that impact not only their oral health but also their self-esteem. This blog delves into the story of a teenaged boy who, conscious of his prominent upper anterior teeth, sought transformative surgery at Balaji Dental and Craniofacial Hospital, recognized as the best oral surgery hospital in India, under the expert care of Dr. SM Balaji, a leading oral surgeon. The Challenge: The young boy’s parents decided to address their son’s concerns by opting for a surgical solution. The prominent upper anterior teeth not only affected his appearance but also hindered his ability to close his lips completely, causing excessive exposure of the front teeth. Understanding the impact on his overall well-being, they chose Balaji Dental and Craniofacial Hospital for its reputation and expertise in oral surgery. Treatment Planning and Consent: Upon consultation, the expert team at the hospital explained the treatment plan to the family, highlighting the proposed anterior maxillary osteotomy with superior positioning. Dr. SM Balaji, known as the best oral surgeon in India, assured the family of a comprehensive approach to address both functional and aesthetic aspects. With a thorough understanding of the procedure, the family consented to the surgery. The Surgical Procedure: The surgical journey involved an anterior maxillary osteotomy with superior positioning of the osteotomized segment of the maxilla. This precise procedure aimed at achieving facial harmony and improving the overall cosmetics of the patient. The surgery was meticulously performed, ensuring the best possible outcome for the young boy. Transformation and Patient Satisfaction: Post-surgery, the results were nothing short of remarkable. The dramatic improvement in facial aesthetics was evident as the patient could now close his lips completely, achieving a natural and aesthetically pleasing appearance. The success of the surgery not only enhanced the boy’s smile but also positively impacted his confidence and overall well-being. Balaji Dental and Craniofacial Hospital: The transformative journey showcased the expertise of Dr. SM Balaji and the exceptional care provided by Balaji Dental and Craniofacial Hospital. The hospital’s commitment to excellence and patient satisfaction reaffirms its position as the best oral surgery hospital in India. Conclusion: The case of anterior maxillary osteotomy stands as a testament to the life-changing impact of oral surgery. The collaboration between skilled professionals and a patient-focused approach at Balaji Dental and Craniofacial Hospital ensures that individuals seeking transformative solutions can confidently take steps toward achieving their dream smiles.

4Jan

January 4th, 2024 11:39 am January 4, 2024

smbalajiJaw Reconstruction Surgery 3 Add a comment

Lower Jaw Reconstruction for Juvenile Ossifying Fibroma

Etiology and Incidence of Juvenile Ossifying Fibroma in Children Juvenile ossifying fibroma is a benign tumor, which demonstrates aggressive expansion. It is quite uncommon and there is aggressive formation of new bone. This results in gross facial deformities of the involved bones, most commonly the jaws. Periodontal Ligaments as the Source for Juvenile Ossifying Fibroma The etiology of this lesion is unknown and it usually arises from the periodontal ligaments. Diagnosis is enabled both through histology and radiographic imaging studies. Imaging studies reveal it to be a radiolucent lesion, which has focal calcifications in the mass. Radiographic and Histologic Composition of the Lesions This lesion comprises of bony tissue, fibrous tissue and a cementum like material. Cementum is the material that lines the surface of the tooth roots. The periodontal ligaments are attached to the cementum and the bone on either end. Involvement of the Mandible as the most Common Site for Lesion The most common site for juvenile ossifying fibroma is the lower jaw. It also occurs in the upper jaw or the maxillary region. Many cases are asymptomatic through some patients have gross disfigurement. Need for Jaw Reconstruction Surgery after Resection of Lesion Some of these lesions are extremely large and require surgery. Surgical resection of these large lesions results in large bony defects. The large bony defects have to be reconstructed using bone grafts and titanium plates. Maxillary osteotomy and mandibular osteotomy are corrective jaw surgery. Performed under general anesthesia by oral and maxillofacial surgeons, they deal with the upper and lower jaw bones. Surgical correction of open bite is obtained through such surgeries. Orthodontic treatment is often performed in conjunction with these surgeries. The jaws and teeth are addressed as a unit during this treatment. This helps to realign the jaw as a whole. The upper teeth and lower teeth alignment is corrected through orthodontic treatment. Tracheostomy tubes are not like ventilators or breathing machines. They are a conduit to enable normal breathing. Certain trauma cases can be life threatening and they are fitted at the front of the neck. They are an integral part of treatment planning for such cases. Little Girl with an Extreme Presentation of Juvenile Ossifying Fibroma This little girl is a case of juvenile ossifying fibroma of both her upper and lower jaws. Her parents had approached many international hospitals for treatment. None of the hospitals were however willing to operate on her. Referral of Complex Pediatric Cases by WorldCF to our Hospital Reaching the end of their tether, they had approached the US-based WorldCF. The World Craniofacial Foundation (WorldCF) is led by Mr. Kenneth Salyer Jr. They have a long standing tie up with Balaji Dental, Craniofacial Hospital & Research Institute. Referral to our Hospital for Jaw Reconstruction Surgery Mr. Salyer had referred her to our hospital for surgery due to our excellent track record. The patient underwent initial diagnostics including imaging studies at our hospital. Confirming the diagnosis of juvenile ossifying fibroma, the treatment plan was formulated. Rare Honor Accorded to only the Finest in the Field Dr. SM Balaji of Balaji Dental, Craniofacial Hospital & Research Institute is a world renowned craniofacial surgeon. He has over 30 years of experience in handling complex cases. Our hospital is the regional affiliate for the WorldCF. A Memorandum of Understanding was signed with Prof. Kenneth E. Salyer. Prof. Salyer is one of the founding fathers of craniofacial surgery. He is also credited with the first successful separation of conjoint twins. Treatment of Complex Syndromic Craniofacial Deformities Many complex surgical cases are referred to us by the WorldCF. Many of these patients had syndromic deformities of the craniofacial complex. These include Crouzon syndrome, Apert syndrome and Treacher-Collins syndrome. Initial Presentation of the Patient at our Hospital Extensive testing was performed on the patient. Detailed examination with pertinent findings was also done. This revealed extreme disfigurement of the upper and lower jaws. The degree of deformity was interfering with her normal activities of daily living. Detailed Diagnostic Studies performed for Best Possible Outcome A 3D CT scan as well as biopsies were also obtained before proceeding with surgery. Detailed planning was performed for the reconstruction of her jaws after resection. Treatment planning was discussed with parents and they consented to surgery. Establishment of Airway through Tracheostomy Airway Tube Bone grafts were first harvested from the patient. These would be utilized for jaw reconstruction. A tracheostomy airway tube was placed following administration of general anesthesia. Once airway was accessed, she underwent segmental resection of her mandible. Insertion of Tracheostomy Airway Tube in Pediatric Patients A tracheostomy airway tube is important for a pediatric patient undergoing major jaw surgery. Child jaw surgery is performed on sized pediatric jaws. A tracheostomy airway tube ensures unimpeded air flow for such patients. Delicate Nature of Jaw Reconstruction Surgery in Small Patients Anesthesiology in child jaw surgery is also best performed by experienced anesthesiologists. All structures are small in pediatric patients and the tissues are also very delicate. Jaw reconstruction surgery also needs a lot of experience for such patients. Jaw Reconstruction Surgery with Child Jaw Surgery The lower jaw defect was reconstructed with the reconstruction plate. This was followed by resection of the lesion from the upper jaw. The bone grafts were then fixed to the reconstruction plate for completion of the lower jaw reconstruction. Successful Recovery from Child Jaw Surgery with Reconstructed Jaw The patient was doing fine and feeding well on the seventh postoperative day after surgery. Her lower facial swelling had also gradually decreased in the postoperative period. Parents were provided detailed instructions on postoperative care for their daughter. Lower Jaw Reconstruction for Juvenile Ossifying Fibroma Click Here to watch the surgery video

3Jan

January 3rd, 2024 03:25 pm January 3, 2024

smbalajiEvents 87 Add a comment

Dr. SM Balaji Honoured by Mrs. Gomathi Radhakrishnan, Interim Chancellor, MAHER

Dr. SM Balaji Honoured by Mrs. Gomathi Radhakrishnan, Interim Chancellor, MAHER following Presidential Address at the MIDAS 2023 at Meenakshi Ammal Dental College Dr. SM Balaji Invited to Inaugurate the MIDAS 2023 Festival at MAHER Prof. Dr. SM Balaji, Chennai based world renowned Craniomaxillofacial Surgeon and esteemed Adjuvant Professor at The Tamil Nadu Dr. MGR Medical University was invited to inaugurate the MIDAS 2023 festival. MIDAS, an acronym for the Madras Indian Dental Association Student program, is a unique event that specifically targets the dental student community. Organized annually, the program focuses on three core aspects – Scientific, Cultural, and Sports. Dr. SM Balaji with other dignitaries at the MIDAS 2023 Festival Dr. SM Balaji with Mrs. Gomathi Radhakrishnan and Mrs. Jayanthi Radhakrishnan at MIDAS 2023 The 2023 edition of MIDAS was conducted recently, beginning with the scientific events hosted at the Meenakshi Ammal Dental College and Hospital, Alapakkam. The MIDAS team, led by President Dr. S. Kishore Kumar and Hon. Secretary Dr. A. P. Maheshwar, extended an invitation to Dr. SM Balaji to inaugurate the event. Dr. SM Balaji at the MIDAS 2023 Festival held at Meenakshi Ammal Dental College Dr. SM Balaji being welcomed at MIDAS 2023 at Meenakshi Ammal Dental College Presidential Address by Dr. SM Balaji at Inauguration of MIDAS 2023 Festival The program commenced with prayers, followed by the inauguration of MIDAS 2023 by Dr. SM Balaji. Subsequently, Dr. SM Balaji delivered the Presidential Address. During his speech, Dr. SM Balaji emphasized the importance of encouraging students to engage in dental research from their student years. He urged the students to contribute to the advancement of Dental Science by addressing India-specific oral health challenges, improving existing treatment protocols, and filling knowledge gaps. Dr. SM Balaji honoured by Mrs. Gomathi Radhakrishnan, Interim Chancellor, Meenakshi Academy of Higher Learning and Research (MAHER) Dr. SM Balaji with the dignitaries at the inauguration of MIDAS 2023 Dr. SM Balaji Highlights Attributes Essential for Enhanced Life Skills Dr. SM Balaji highlighted that engaging in these activities would undoubtedly lead to the development of critical thinking and analytical skills, boost employability and career prospects, and improve clinical skills and patient care. He commended the Madras IDA for its role in building a research-oriented culture, encouraging students, ensuring evidence-based dentistry, and bringing research to students. He also expressed his appreciation for the support provided by the MAHER University. Dr. SM Balaji delivering the presidential address at MIDAS 2023 A view of Dr. SM Balaji during the presidential address at MIDAS 2023 Dr. SM Balaji Honoured by Mrs. Gomathi Srinivasan, Interim Chancellor of MAHER Dr. SM Balaji was honoured by Mrs. Gomathi Radhakrishnan, Interim Chancellor, Meenakshi Academy of Higher Learning and Research (MAHER) following his Presidential address. The occasion was also marked by the presence of Mrs. Jayanthi Radhakrishnan, Pro-Chancellor, MAHER. Following the formal proceedings, Dr. SM Balaji personally interacted with students from various dental institutes, further inspiring the next generation of dental researchers. Dr. SM Balaji stresses a point during his presidential address at MIDAS 2023 Dr. SM Balaji being welcomed at MIDAS 2023 Festival

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Dr. SM Balaji Honoured by Mrs. Gomathi Radhakrishnan, Interim Chancellor, MAHER

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