Dr SM Balaji Chairs Keynote Address at 19th National Conference of the FHNO
The 19th National Conference of the Foundation of Head and Neck Oncology (FHNO) was recently held at the Leela Palace in Chennai. It was a part of the International Federation of Head and Neck Oncology Societies’ (IFHNOS) 2019 World Tour.
Health Minister of Maldives inaugurates International Craniofacial Conference
The Craniofacial Research Foundation Academy held its 5th International Craniofacial, Dental and Medical Summit in Paradise Island, Republic of Maldives recently.
Cosmetic Rhinoplasty – Broad Nose Correction
Young patient dissatisfied with the shape of her nose The patient is a 22-year-old female from Ongole in Andhra Pradesh, India. She had always disliked the shape of her nose. Her dissatisfaction with the shape of her nose has increased lately. She had felt that her nose was too broad for her face and had a blunt tip. There was also an element of difficulty breathing due to nasal obstruction. Her friends too had recommended that she get it corrected through a nose job. Desire for cosmetic nose surgery She had presented with her parents at a local cosmetic surgery hospital. The surgeon had examined her and performed detailed biometric analyses. It was explained to them that this could not be performed as an outpatient procedure. He had then referred her to our hospital for correction due to the complexity of the correction. Our hospital is a premier center for cosmetic rhinoplasty in India. Rhinoplasty procedures performed at our hospital Every variety of nasal deformity correction is performed here. Saddle nose correction, hooked nose correction, nasal hump reduction and crooked nose correction are a few examples. Many celebrities have undergone nasal correction at our hospital. Some of them have even seen their career graph rise steeply as a result of the improved esthetics. Broad classification of nasal deformities The shape of the nose varies widely due to differences in the nasal bone shapes and formation of the bridge of the nose. Deviation of the nasal septum is present in most deformities of the nose. Eden Warwick first classified the nose in 1848. Nasal deformities can be broadly classified as broad, narrow, crooked, saddle nose, hook nose, parrot peak etc. Certain birth defects such as Down’s syndrome commonly present a small nose with a flattened nasal bridge. This can be due to the absence of one or both nasal bones, shortened nasal bones or nasal bones that have not fused in the midline Initial presentation at our hospital Dr SM Balaji, nasal deformity surgeon, examined the patient in detail and obtained a detailed oral history. He then ordered imaging studies for her nose. She stated that she was worried that her nose looked ugly. This had been an issue with her for a long time now. She had become very self conscious because of this and had started avoiding social functions. The patient stated that she wanted a narrow and elevated nose with a prominent tip. She said that shape of nose would be in harmony with the rest of her face. Biometric studies were obtained for her face. The best nasal form for her face without compromising function was determined for her face. Surgical correction of her nose with cosmetic rhinoplasty Under general anesthesia, a transcartilaginous incision was placed in both nostrils. Bilateral lateral nasal cartilages were partially excised. The lateral nasal cartilages were then sutured together to augment the tip of the nose thereby creating a prominent tip. Lateral osteotomy was then performed bilaterally. Closure of the incisions was performed intranasally with resorbable sutures. Complete patient satisfaction from the surgery Esthetic improvement from the surgery was immediate. The patient expressed her happiness at the result of the surgery. She said that her nose now suited her facial form perfectly. Her breathing function was also at optimum levels. The patient said that she already felt more self confident to face the world. Her parents also expressed that her overall persona had become happier and expressed their satisfaction at the results of the surgery. They said that all their apprehensions were gone after viewing the final results of the surgery. Surgery Video
Dr SM Balaji visits the Indira Gandhi Memorial Hospital at Male, Maldives
[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_column_text]Dr SM Balaji was invited to visit the Indira Gandhi Memorial Hospital (IGMH)/Dharumavantha Hospital at Male, Maldives by Dr Ali Nazeem, Director of Medical Services. He was in the Maldives to attend the 5th International Craniofacial, Dental and Medical Summit, which was organized by the Craniofacial Research Foundation Academy (CRFA)[/vc_column_text][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6370″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_separator][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6372″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_column_text]Dr SM Balaji was accompanied by Dr David Koppel, Consultant Craniofacial Surgeon, Glasgow, Scotland and Mr Peter L. Evans, Consultant in Maxillofacial Prosthodontics, Morriston Hospital, Swansea, Wales. The three distinguished guests were taken on a guided tour of the IGMH, which included the state of art Operating Theaters and Prosthodontic Laboratory facilities.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_separator][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Dr SM Balaji’s long standing ties with Maldives” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji has been a long standing Honorary Consultant in Cranio-Maxillofacial Surgery at the IGMH/Dharumavantha Hospital. He has been operating at the hospital for over 25 years at the invitation of the Ministry of Health, Government of the Republic of Maldives. Many patients with complex craniofacial defects have undergone a transformation in their lives due to his dedicated surgical services to the island nation.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6375″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6377″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_column_text]Dr Ali Nazeem discussed with Dr SM Balaji how his surgical missions to the island nation have resulted in the rehabilitation of scores of people with craniofacial deformities. He further documented the socioeconomic recovery of this population demographic with improvement in their overall quality of life.[/vc_column_text][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6379″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_separator][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Meeting with Hon’ble Abdulla Ameen, Health Minister, Republic of Maldives” subheading=”” alignment=”left” custom_colors=”” class=””][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_column_text]Dr SM Balaji later met with Hon’ble Abdulla Ameen, Health Minister, Republic of Maldives during his visit to the island nation. They held discussions about the surgical missions he has been conducting to the island nation for over 25 years.[/vc_column_text][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6380″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_column_text]The minister and Dr SM Balaji discussed ways to further improve delivery of healthcare services to the people of the island nation. Dr SM Balaji spoke about various ways of introducing new surgical innovations to the healthcare system of the Republic of Maldives. Also present at the meeting were Dr David Koppel and Mr Peter Evans.[/vc_column_text][/vc_column][/vc_row][/vc_section]
Dr SM Balaji invited to Arthur A Dugoni School of Dentistry for 5 on Fifth Celebrations
[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Dr SM Balaji invited as a distinguished guest of Dr Marie Tolarova” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]The Arthur A Dugoni School of Dentistry, University of Pacific in San Francisco, California celebrated the completion of five years on 5th Street with a By-Invitation-Only event. Dr Marie Tolarova, Professor and Executive Director, Pacific Craniofacial Team and Cleft Prevention Program, organized the event in the school premises. Dr SM Balaji was invited in recognition of his excellence in Craniofacial and Cleft Lip and Palate Surgery and in recognition of his surgical service to afflicted patients in underprivileged nations around the world. Many luminaries in the field of research into cleft prevention from around the world were present at this event. Dr Nader Nadershahi, Dean, Arthur A Dugoni School of Dentistry met with Dr SM Balaji and spoke with him at length. They shared their views regarding dental studies in their respective nations. The stalwarts discussed ways to foster overall development of dentistry through increase in dental awareness. Dr SM Balaji also met with Dr Mathew of Connecticut and Dr Mathew of Virginia, alumni from Rajas Dental College, Kavalkinaru. They expressed how Dr SM Balaji had inspired them to attain the high level of excellence in dentistry. Dr Miroslav Tolar, Chairman, Pacific Regenerative Dentistry Laboratory at the Arthur A Dugoni School of Dentistry of the University of Pacific proposed the vote of thanks at the end of the event and thanked the distinguished guests who had flown in from around the globe.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6361″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6362″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6363″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6364″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6365″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6366″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section]
Periapical Jaw Cyst Surgery with Rib Graft
Patient develops a swelling in his anterior upper jaw This is a 24-year-old patient from Mysore in Karnataka, India. He had developed caries in his maxillary front teeth. These included the upper right central incisor, left central and lateral incisors and the left canine. This was approximately 7-8 years ago. Having neglected it, he developed pain and ultimately required root canal treatment of the four teeth. His symptoms had subsided following the root canal treatment. A ceramic bridge had been placed over the crowns of the four teeth. Over the last three to four months, the patient had developed a swelling in relation to the four teeth. This swelling had slowly grown in size. There was no pain associated with the swelling. He had however developed mobility of the involved teeth. Alarmed at the prospect of losing his teeth, he had presented at a local dentist. The local dentist had examined the patient and ordered for x-rays. An x-ray had been obtained, which revealed radiolucency in relation to the four involved teeth. Realizing that this was an extensive periapical cyst, the dentist had explained the treatment needed to the patient. He had then referred the patient to our hospital for treatment. Specialty center for various cyst surgeries in India Our hospital is a specialist center for cyst surgery in India. We are a renowned center for dentigerous cyst surgery in India. Scores of patients have undergone odontogenic keratocyst surgery at our hospital. Jaw reconstruction surgery is a specialty offering at our hospital. Initial presentation and evaluation at our hospital Dr SM Balaji, facial reconstruction surgeon, examined the patient and obtained a detailed history. He ordered comprehensive imaging studies for the patient including a 3D CT scan. This revealed a radiolucency extending from maxillary right central incisor to the left canine. These were the teeth that had undergone root canal therapy many years ago. Treatment planning for total removal of the cyst The swelling involved the anterior maxilla and palate. There was also evidence of buccal and palatal perforation along with a communication with the left maxillary sinus. A biopsy was done, which confirmed the diagnosis of a periapical cyst. It was decided to do a complete cyst enucleation along with extraction of the involved teeth. The involved teeth had grade III mobility. This would result in a large bony defect, which would be reconstructed using a costochondral graft. Dental implant surgery would be performed after complete consolidation of the grafts with the surrounding bone. Ceramic or zirconia crowns would be placed on the dental implants after osseointegration of the implants with the bone. Successful surgical rehabilitation of the patient Under general anesthesia, a right inframammary incision was made followed by dissection down to the ribs. A costochondral rib graft was then harvested. This was followed by a Valsalva maneuver, which demonstrated a patent thoracic cavity. The incision was then closed with sutures. Attention was then directed towards the periapical cyst surgery. A crevicular incision was placed in maxilla in relation to the defect. This was followed by elevation of a mucoperiosteal flap. The cystic lesion was surgically identified. Complete cyst enucleation was done along with removal of involved teeth. Bleeding in the cavity was controlled with the use of electrocautery. This was followed by flushing of the cystic cavity with an antibiotic solution. The previously harvested costochondral grafts were then used to reconstruct the bony defect. These costochondral grafts were fixed using titanium screws. Hemostasis was achieved and wound closed with resorbable sutures. The patient was then extubated and taken to the recovery room in stable condition. Postoperative instructions for complete rehabilitation The patient was advised to return in 3-4 months for placement of dental implants. This would later be followed by placement of dental crowns for esthetic and functional rehabilitation. The patient expressed understanding of the instruction and was happy with the surgical results. Surgery Video
Jaw Reconstruction with Rib Graft after Dentigerous Cyst Surgery
Patient with pain in her right mandibular first molar The patient is a 21-year-old girl from Kottayam in Kerala, India. She had started noticing a swelling on the left side of her mandible over the last few months. Pain had also developed along with the swelling. This had rendered her unable to chew anything. Her taste sensation had also become altered along with the other presenting symptoms. Her parents had become very alarmed by this development. Upon consultation with their family doctor, he had referred them to come to our hospital. He explained to them that our hospital was the premier center in India for treatment of jaw cysts. Initial presentation at our hospital for diagnosis and treatment Dr SM Balaji, jaw reconstruction surgeon, examined the patient. He then ordered comprehensive imaging studies including an OPG and a 3D CT scan. This revealed a cystic lesion in the left posterior mandibular region, which extended well into the ramus region. A biopsy was obtained from the cystic lesion, which revealed it to be a dentigerous cyst. Treatment planning explained to the patient in detail It was explained to the patient that the cystic lesion needed to be enucleated in toto. The patient was also informed that the bony defect that would result from the surgery would have to be reconstructed. It was further explained that rib grafts harvested from the patient would be used for the jaw reconstruction surgery. Dental implants would then be placed after complete bony consolidation of the bone grafts with the mandibular bone. This would be followed by placement of crowns after osseointegration of the dental implants with the surrounding bone. The patient discussed this with her parents and signed the informed consent for the surgery. What is a dentigerous cyst? A dentigerous cyst is an odontogenic cyst, which is associated with the crown of an unerupted or partially erupted tooth. Based on radiological presentation, dentigerous cysts can be classified into central type, lateral type and the circumferential type. The most common dentigerous cysts are those that are associated with mandibular third molars followed by maxillary canines. They are rarely found in association with deciduous teeth and occasionally with odontomas. Treatment of dentigerous cyst is through enucleation of the cyst followed by extraction of the associated tooth. Surgical enucleation of the dentigerous cyst Under general anesthesia, a right inframammary incision was made and costochondral rib grafts were harvested. This was followed by a Valsalva maneuver to ensure that there was no perforation into the thoracic cavity. The incision was then closed in sutures. A crevicular incision was next made in the left mandible followed by elevation of a mucoperiosteal flap. This was followed by extraction of the three left lower molars. Complete cyst enucleation was then performed and electrocautery was applied followed by antibiotic flushing. The resultant bony defect was then packed with rib grafts, which were contoured to fit into the defect. These were then fixed with titanium screws and the flap was closed with sutures. Results: The patient and her parents were extremely relieved after the successful completion of the surgery. They were very happy that the dentigerous cyst had been treated with such good results. It was explained to them that they would need to return in a three months for dental implant surgery. Artificial teeth would be fixed to the dental implants. This would offer complete rehabilitation after the surgery. This would be in the form of a fixed ceramic bridge. Removable dentures are normally not advised for patients. Maintenance of gum tissue health is imperative for success of dental implants. Surgery Video
Dr Stefan Ihde visits Balaji Dental and Craniofacial Hospital
[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Dr Stefan Ihde’s visit to Chennai” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji invited Dr Stefan Ihde during his recent visit to Chennai for a tour of Balaji Dental and Craniofacial Hospital. Dr Ihde is acknowledged as the father of modern Basal Implantology and is the founder of the International Implant Foundation (IF) that is based in Munich, Germany.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”The 4th International Conference on Cortical Implantology” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr Ihde was in Chennai for the 4th International Conference on Cortical Implantology (ICCI) that was held at the Hyatt Regency in Chennai. He was accompanied to the 4th ICCI by Dr Antonina Ihde, Dr Alexander Lazarov, Dr Lukasz Palka among others from the International Implant Foundation.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6341″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6342″ img_size=”Full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Visit to the Balaji Dental and Craniofacial Hospital” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]The team from the International Implant Foundation headed by Dr Stefan Ihde visited Dr SM Balaji at his hospital and was given a guided tour of the facilities. They joined Dr SM Balaji on ward rounds and met with a patient who was undergoing mandibular distraction through distraction osteogenesis at the hospital. The team expressed their satisfaction at having visited the hospital. Dr Stefan Ihde and Dr Antonina Ihde were the recipients of the excellent hospitality of Dr SM Balaji at the end of the visit.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6343″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6345″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Special guest at the opening ceremony of 4th ICCI” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji was invited to the opening ceremony of the 4th ICCI as an honoured guest of Dr Stefan Ihde and the International Implant Foundation. He interacted with dignitaries like Padmashree Prof Shadab Mohammed, Dean, King George Medical University, Lucknow who were present at the function. The conference had many scientific sessions and was a resounding success.[/vc_column_text][/vc_column][/vc_row][/vc_section]
Cosmetic Rhinoplasty with Rib Graft for Nasal Deformity Correction
Broad nose deformity in a young man The patient is a 22-year-old male from Gudiyattam in Tamil Nadu, India. He had always felt that his nose did not suit his face. His main complaint was the lack of harmony between his nose and his face. He had always desired to get it corrected. This had even impeded his soto that the patient that he neededcial interactions over the years. Deciding to get this corrected, he and his parents had made extensive enquiries regarding the best hospital for this treatment. They had been referred to our hospital at multiple places and had finally decided to get this corrected at our hospital. Premier center for cosmetic rhinoplasty in India Our hospital is a world renowned facility for cosmetic rhinoplasty. Broad nose deformity, flat nose deformity and saddle nose deformity are some of the nasal deformities corrected at our hospital. We are pioneers in cleft rhinoplasty correction and our hospital is credited with many surgical innovations. Many of these innovations have been adopted as surgical protocol throughout the world. Our hospital is a preeminent referral center for the World Craniofacial Foundation in this part of the globe. Initial presentation and examination at our hospital Dr SM Balaji, cosmetic rhinoplasty surgeon, examined the patient and obtained a detailed history. The patient stated that he had always disliked his bulky nose and that it made him feel unattractive. He said that he always desired to have a narrow and elevated nose with a prominent tip. The patient also complained of significant snoring during sleep. Examination revealed that the patient had a significant nasal septal deviation. What is a deviated nasal septum? A deviated septum occurs when the dividing wall between the nostrils is displaced to either the left or right side. In many people, the nasal septum is off-center thereby making one nasal passage smaller. When a deviated septum is severe, it can block one side of the nose. This will directly result in reduced airflow and cause difficulty breathing. A nasal blockage or congestion can occur from a deviated nasal septum. It can also result from swelling of the tissues lining the nose. Both these conditions can also exist concurrently. Treatment planning for correction of the broad nose deformity It was explained to the patient that he needed nasal bridge augmentation with costochondral graft placement. He would also require a medial osteotomy and a left lateral osteotomy to correct the nose. This would be followed by a tip graft for creation of a prominent tip. The patient and his parents were in complete agreement with the proposed treatment plan and consented for surgery. Successful surgical correction of the patient’s complaints Under general anesthesia, an incision was made in the right inframammary region and a costochondral rib graft was harvested. Attention was next turned to the broad nose surgery. An intercartilaginous incision was first made. This was followed by placement of a tip graft to elevate the tip. A medial osteotomy was then performed followed by a left lateral osteotomy. Dissection was done following which the nasal bridge was augmented using costochondral graft. This resulted in complete correction of his broad nose deformity. Closure was finally done intranasally using resorbable sutures. Total patient satisfaction at the results of the surgery The patient and his parents were extremely pleased with the results of the surgery. They felt that this had drastically improved the esthetics of the patient’s face. The patient said that he now had a nose that was in harmony with the rest of his face. He said that he would now have new levels of self confidence to face the world. Surgery Video
His Excellency Jean-Paul Adam, Minister of Health, Republic of Seychelles visits Balaji Dental and Craniofacial Hospital
[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Dr SM Balaji plays host to the Minister of Health, Republic of Seychelles” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]His Excellency, Hon’ble Jean-Paul Adam, Minister of Health, Republic of Seychelles, visited Balaji Dental and Craniofacial Hospital recently while on a visit to Chennai. The hospital is a super specialty referral center for patients from the Republic of Seychelles with craniofacial anomalies. Patients from the island nation have been successfully rehabilitated at the hospital for the last 25 years. The minister was accompanied by Dr Loren Reginald, Special Advisor, Dr Danny Louange, CEO, Health Care Agency, Dr Kenneth Henriette, Director of Hospital Services, Dr Javier Rose, Consultant Pediatrician, Mr Marthy Vidot, Personal Assistant to Minister and Mr M Seshasai, Honorary Consul, Consulate of the Republic of Seychelles.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6327″ img_size=”full”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6328″ img_size=”full”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Guided tour of the hospital for the minister” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji conducted a guided tour of the hospital premises for the distinguished guests. They were accompanied by Dr Preetha Balaji, Consultant, Oral and Maxillofacial Surgery and Dr Varsha Balaji, Consultant, Obstetrics and Gynecology. Dr SM Balaji explained the salient features of the hospital. He showed them around the dental clinic, laboratory facilities, Pediatric ICU, inpatient wards and state of art operation theaters. Medical as well as paramedical staff at the hospital were introduced to the minister. He also met and spoke with some of the patients undergoing treatment at the hospital. The minister expressed his appreciation at the wonderful services being provided by the hospital to patients from his nation. Dr SM Balaji and the delegation held extensive talks regarding further strengthening of ties between the hospital and the island nation. The minister expressed his satisfaction at the successful visit to the hospital[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6329″ img_size=”full”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6330″ img_size=”full”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section]