#leftlipsurgery

[smbalaji]

Book on Cleft and Craniofacial Osteobiology and Distraction edited by Dr SM Balaji Over 280 leading craniofacial surgeons from around the world participated in the 4th International Congress on Craniofacial Osteobiology and Distraction, which included live surgical demonstrations during the preconference sessions. A compilation of the scientific research papers presented at the conference, edited by Dr. SM Balaji, was officially released at the inaugural session by the Hon’ble Health Minister of the Republic of Maldives, Dr. Mariyam Shakeela and received by world renowned cleft and craniofacial surgeons including Prof. Manlio Galie (http://www.moip2016.com/team-item/dr-manlio-galie/), Prof. Patrick Diner, Prof. Bodo Hoffmeister (https://www.meoclinic.de/fachaerzte/bodo-hoffmeister/), Prof. Karl Erik Kahnberg (https://www.researchgate.net/profile/Karl_Kahnberg), Prof. Lim K Cheung (https://www.researchgate.net/scientific-contributions/47240695_Lim_Kwong_Cheung), and Prof. Daniel Hrusak (https://www.researchgate.net/profile/Daniel_Hrusak). The conference was a resounding success with many groundbreaking research advances in craniofacial surgery being presented by renowned craniofacial surgeons from around the world The entire compilation of papers presented at the congress and edited by Dr. SM Balaji can be viewed at https://www.smbalaji.com/wp-content/uploads/2020/06/Book-on-Cleft-and-Craniofacial.pdf #maldives #maldivesisland #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect @craniofacialconference #healthminister #miniterofhealth #distraction #internationalconference #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Bandos Island Resort) https://www.instagram.com/p/CBnX3MuFS3F/?igshid=1alj6zkso2xzf

[smbalaji]

Book on Cleft and Craniofacial Osteobiology and Distraction edited by Dr SM Balaji Over 280 leading craniofacial surgeons from around the world participated in the 4th International Congress on Craniofacial Osteobiology and Distraction, which included live surgical demonstrations during the preconference sessions. A compilation of the scientific research papers presented at the conference, edited by Dr. SM Balaji, was officially released at the inaugural session by the Hon’ble Health Minister of the Republic of Maldives, Dr. Mariyam Shakeela and received by world renowned cleft and craniofacial surgeons including Prof. Manlio Galie (http://www.moip2016.com/team-item/dr-manlio-galie/), Prof. Patrick Diner, Prof. Bodo Hoffmeister (https://www.meoclinic.de/fachaerzte/bodo-hoffmeister/), Prof. Karl Erik Kahnberg (https://www.researchgate.net/profile/Karl_Kahnberg), Prof. Lim K Cheung (https://www.researchgate.net/scientific-contributions/47240695_Lim_Kwong_Cheung), and Prof. Daniel Hrusak (https://www.researchgate.net/profile/Daniel_Hrusak). The conference was a resounding success with many groundbreaking research advances in craniofacial surgery being presented by renowned craniofacial surgeons from around the world The entire compilation of papers presented at the congress and edited by Dr. SM Balaji can be viewed at https://www.smbalaji.com/wp-content/uploads/2020/06/Book-on-Cleft-and-Craniofacial.pdf #maldives #maldivesisland #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect @craniofacialconference #healthminister #miniterofhealth #distraction #internationalconference #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Bandos Island Resort) https://www.instagram.com/p/CBnXpKWFiC0/?igshid=1tp1w5k85ppj6

[smbalaji]

Cleft Palate Repair in Child with Pierre Robin Syndrome This child was born with Pierre Robin syndrome along with an accompanying isolated wide cleft palate deformity. Children with Pierre Robin syndrome developed obstructive sleep apnea due to their mandibular micrognathia. His parents were extensively counseled regarding his condition and it was decided to perform cleft palate repair at 11 months of age. The Wardill-Kilner palatal pushback technique was used to surgically repair this. As his cleft palate was very wide, greater palatine osteotomy was performed for better mobilization of the greater palatine artery to enable better closure of the cleft defect. Using Delaire’s principle, the abnormal attachment of the levator palati and tensor palati were detached and a hammock was form with the muscle fibers. This recreated normal palatal structure. There was also perfect recreation of the uvula. He would need to undergo distraction osteogenesis of the mandible at a later date to correct his mandibular micrognathia. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #PierreRobinSyndrome #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CGXbHJAHzPU/?igshid=juyzpsny2s9r

[smbalaji]

Completely Collapsed Columella of the Nose – Open Rhinoplasty with Reconstruction of Prolabium This young girl was born with a bilateral cleft lip and palate deformity and had undergone surgical repair as an infant. She now has a collapsed columella and a shortened prolabium that has led to a whistling deformity with exposure of her anterior teeth. The bridge of her nose is also extremely flattened. Costal rib grafts were harvested and used to augment the bridge of her nose through an open rhinoplasty. A double-decker graft was used due to the extreme flatness of her nasal bridge. This gave her a raised and esthetic nasal form. She then underwent a prolabium flap repositioning to reconstruct the shortened columella. An Abbe flap reconstruction of the residual prolabium defect was then performed. This resulted in complete correction of her deformities. Her entire facial appearance was transformed by her surgery. She expressed her happiness at the results of her surgery, which has given her a beautiful smile. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #prolabium #openrhinoplasty #rhinoplasty #cosmeticrhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #facilcosmeticsurgery #cosmetic #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CGAazWFgfBl/?igshid=1l1yntzcztf7r

[smbalaji]

Closed Rhinoplasty and Lip Scar Revision Surgery This gentleman had been born with a unilateral cleft lip and palate deformity, which had been surgically corrected as an infant. He now presented to our hospital complaining of nasal asymmetry and an unsightly lip scar. A closed rhinoplasty was performed with augmentation of his nasal bridge and correction of his nasal deformity with a costal rib graft harvested at the time of surgery. This was followed by lip scar revision. There was nasal asymmetry following the surgery. He was very happy with the results of the surgery and thanked the surgical team before final discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #rhinoplasty #cosmeticrhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #facilcosmeticsurgery #cosmetic (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFrtTqYgZns/?igshid=j7w6vfl3baxt

[smbalaji]

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Nasal Speech Correction Surgery – Pharyngoplasty with Positive Suction Test This teenaged girl was born with a bilateral cleft lip and palate deformity. Bilateral cleft lip repair was performed at 3 months of age and cleft palate repair at 11 months of age. She had however always been troubled with improper pronunciation of certain sounds along with a pronounced hypernasality. Of late, her teachers in school had been complaining about inability to understand her speech in class and she was referred to our hospital for management by her speech therapist who diagnosed her with velopharyngeal incompetence. An Orticochea dynamic sphincter pharyngoplasty was performed with creation of a small central port to facilitate normal nasal breathing. A suction test performed at the end of surgery demonstrated proper action of the soft palate, thus indicating complete correction of her velopharyngeal insufficiency. She was referred back to her speech therapist for completion of the rehabilitation process. Upon discharge, she expressed complete satisfaction at the level of care at our hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFo9czGAlxz/?igshid=1u7k72au6qjsh

[smbalaji]

Incomplete Unilateral Cleft Lip with Lip Notch Deformity This little girl had a very mild incomplete unilateral cleft lip deformity with notching of the lip. This is the mildest form of cleft deformity. Her parents had been counseled at the time of her birth and referred to our hospital. The nasal sill was addressed using a C-flap. It was then decided to do a three layer closure of her cleft lip deformity. The orbicularis oris, subcutaneous tissues and skin were reapproximated with extreme precision with the use of a surgical loupe. There was perfect recreation of lip anatomy. There was negligible scarring and her parents were extremely happy with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFZxuJsAWJN/?igshid=1ofmq43gxavkv

[smbalaji]

Nasal Speech Correction Surgery – Pharyngoplasty with Positive Suction Test This young man was born with a bilateral cleft lip and palate deformity. Bilateral cleft lip repair was performed at 3 months of age and cleft palate repair at 11 months of age. He has always had trouble pronouncing certain sounds along with a hypernasality. Of late, his career growth is being hindered by his inability to speak clearly and he was referred to our hospital for management by a speech therapist who diagnosed him with velopharyngeal incompetence. An Orticochea dynamic sphincter pharyngoplasty was performed with creation of a small central port to facilitate normal nasal breathing. A suction test performed at the end of the surgery demonstrated proper action of the soft palate, thus indicating complete correction of his velopharyngeal insufficiency. He was referred back to his speech therapist for completion of his rehabilitation process. Upon discharge, he expressed his complete satisfaction at the level of care at our hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #Pharyngoplasty #NasalSpeechCorrection (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFW_C72gKtv/?igshid=rtv5yvl1idqb

[smbalaji]

Unilateral Cleft Lip Surgery This little girl was born with a unilateral cleft lip and palate. Her parents were counseled regarding the difficulties encountered by children born with this defect. She had subsequently undergone cleft lip surgery at the age of 3 months. It was decided to perform a modified Millard’s technique. The floor of her nose and nasal sill were reconstructed using a C-flap. This was followed by reapproximation of the vermillion border. There was meticulous reapproximation of the cleft lip with a three layer closure. The orbicularis oris, subcutaneous tissue and skin had been perfectly aligned under the magnification of a surgical loupe. Her parents expressed their total satisfaction with the results of the surgery and were extremely happy at the time of discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFR-TjWgIqf/?igshid=o719si0oueml

[smbalaji]

Premaxillary Setback Procedure This little girl presented to us with a bilateral cleft lip and palate deformity. She underwent cleft lip repair at 3 months and cleft palate repair at 11 months of age. Her parents brought her back for premaxillary setback surgery. It was decided to proceed with this surgery even though she was only 4 years old as she was facing a lot of teasing at school. Her premaxillary segment was completely mobile. It was decided to harvest a graft from the ribs as her hip bone would be predominantly cartilaginous at this age. Excess vomerine bone was removed and also utilized for the graft. Her premaxillary segment was aligned with the maxilla on either side. The space between the maxillary segments and the premaxillary segment was closed with bone grafts. She had very good functional and cosmetic results from the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #PremaxillarySetback (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFPthUUANG2/?igshid=pkkaps1euqx7

[smbalaji]

Nasal Speech Correction Surgery – Pharyngoplasty with Positive Suction Test This young man was born with a unilateral cleft lip and palate deformity. Unilateral cleft lip repair was performed at 3 months and cleft palate repair at 11 months. There had always been a degree of distortion to his speech with relation to certain sounds with an accompanying hypernasality. Of late, he had been facing trouble with his colleagues expressing difficulty comprehending him and his speech therapist referred him to our hospital. He had been diagnosed with velopharyngeal incompetence by his speech therapist. An Orticochea dynamic sphincter pharyngoplasty was performed with creation of a small central port. This would enable normal nasal breathing. A suction test was then performed at the end of the surgery and demonstrated proper action of the soft palate. A positive suction test is indicative of complete correction of velopharyngeal insufficiency. He was referred back to his speech therapist for completion of his rehabilitation process. Upon discharge, he expressed his complete satisfaction at the level of care at our hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #NasalSpeechCorrection #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #Pharyngoplasty #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFEzia7gsAY/?igshid=znh7c82n3mcf

[smbalaji]

Normal Mustache Growth After Abbe Flap Surgery The patient is a case of repaired bilateral cleft lip and palate with a residual whistling deformity. There was no mustache growth on the prolabium. He now presents for correction of flat nose with collapsed columella and stunted prolabium with a short upper lip. The prolabium was dissected and used to reconstruct the collapsed columella and raise his flat nose. The resultant upper lip defect was reconstructed with an Abbe flap harvested from the lower lip. The patient was very happy with the overall esthetic results with good mustache growth in the midline. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #mustache #abbeflap #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CD_j3udAl7F/?igshid=1gfc6otxqlbel

[smbalaji]

Unilateral Incomplete Cleft Lip Deformity This little girl had been born with a unilateral cleft lip deformity. This is the mildest form of cleft deformity. Her parents had been counseled at the time of her birth and referred to our hospital. She underwent cleft lip surgery when she was 7 months old. The nasal sill was addressed using a C-flap. It was then decided to do a three layer closure of his cleft lip deformity. The orbicularis oris, subcutaneous tissues and skin were reapproximated with extreme precision with the use of a surgical loupe. There was perfect recreation of lip anatomy. Her parents were extremely happy with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CD8wGAYgW_M/?igshid=a4l1ppr0sg76

[smbalaji]

Abbe flap Correction of Short Upper Lip The patient is a case of repaired bilateral cleft lip and palate with a residual whistling deformity. There was no mustache growth on the prolabium. He now presents for correction of flat nose with collapsed columella and stunted prolabium with a short upper lip. The prolabium was dissected and used to reconstruct the collapsed columella and raise his flat nose. The resultant upper lip defect was reconstructed with an Abbe flap harvested from the lower lip. The patient was very happy with the overall esthetic results with good mustache growth in the midline. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CD6NMC1gSQW/?igshid=g98gbq2tktyb

[smbalaji]

Bilateral Cleft Lip Surgery This little boy had a congenital bilateral cleft lip and palate deformity. His parents were very upset at this. They had been counseled regarding cleft deformities and sent to our hospital for corrective surgery. His bilateral cleft lip deformity was addressed first. At the age of 3 months, he underwent a single stage repair utilizing Paul Black’s technique. No cross incision was made at the prolabium. Available prolabium and columella were utilized for reconstructing the philtral column and Cupid’s bow. This was followed by creation of the nasal floor and vermillion. Bilateral C-flaps were utilized for this. This was followed by meticulous three layer closure of the cleft lip under loupe magnification. Orbicularis oris muscle was approximated at the midline. This was followed by approximation of the subcutaneous tissue and skin. Her parents were extremely happy with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CDTxDFzHIX-/?igshid=ubcm4fmyk155

[smbalaji]

Cleft Lip, Palate and Premaxillary Setback Surgery for a Hypertelorism Child This little boy was born with a bilateral cleft lip and palate deformity as well as hypertelorism. His parents presented to our hospital when he was around 3 years old. Cleft lip surgery is ideally performed at 3 months of age and cleft palate surgery at 11 months of age. He underwent simultaneous cleft lip, cleft palate and premaxillary setback surgery with placement of bone grafts. There was dramatic improvement in esthetics as well as function following the surgery. It was explained to him that he would need further surgeries before full rehabilitation of his hypertelorism deformity with facial bipartition surgery. His parents expressed understanding of the instructions. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #hypertelorism #premaxillarysetback (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CDRC2M2n1Xd/?igshid=1mn0ibo07o2au