- by Dr Yogishwarappa
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- May 02 2017
ORAL & MAXILLO FACIAL SURGERY
ORAL & MAXILLO FACIAL SURGERY
Silicon implants used to augment the chin to give proportionate facial height in cases of Micrognathia,ie.under developed jaw bone.
Silicon/Medpore implants used to augment Malar area to improve the appearance & fullness over the cheek.
MAXILLO FACIAL TRAUMA
Advanced titanium mini plate and screw fixation in facio maxillary bones fractures.
TMJ-ANKYLOSIS (Corrective surgery)
ORTHO GNATHIC SURGERY
Correction of facial, mandibular deformities due to birth or trauma.
CLEFT LIP AND PALATE SURGERY
WHAT IS IT?
In the early weeks of development, long before a child is born, the right and left sides of the lip and the roof of the mouth normally grow together. In about one of every 800 babies, those sections don't quite meet. A child born with a separation in the upper lip is said to have a "cleft lip." A similar birth defect in the roof of the mouth, or palate, is called a "cleft palate." Since the lip and the palate develop separately, it is possible for a child to have a cleft lip, a cleft palate, or variations of both.
If your child was born with either or both of these conditions, your doctor will probably recommend surgery to repair it. Medical professionals have made great advances in treating children with clefts and can do a lot to help your child lead a normal, healthy, happy life.
A TEAM APPROACH
Children born with a cleft lip or palate may need the skills of several medical professionals to correct the problems. In addition to needing plastic surgery to repair the opening, these children may have problems with their feeding and their teeth, their hearing, their speech, and their psychological development.
In cleft lip surgery, the most common problem is asymmetry, when one side of the mouth and nose does not match the other side. The goal of cleft lip surgery is to close the separation in the first operation. Occasionally, a second operation may be needed.In cleft palate surgery, the goal is to close the opening in the roof of the mouth so the child can eat and learn to speak properly. Occasionally, poor healing in the palate or poor speech may require a second operation.
PLANNING FOR SURGERY
At your initial consultation, your doctor will discuss the details of the procedure he or she will use, including where the surgery will be performed, the type of anesthesia to be used, possible risks and complications, recovery, costs, and the results you can expect. Your surgeon will also answer any questions you may have about feeding your baby both before and after the surgery.
In most cases, health insurance policies will cover most or all of the cost of cleft lip or cleft palate surgery. Check your policy to make sure your child is covered and to check any limitations on types of treatment.
CLEFT LIP SURGERY
A cleft lip can range in severity from a slight notch in the red part of the upper lip to a complete separation of the lip extending into the nose. Clefts can occur on one or both sides of the upper lip. Surgery is generally done when the child is about 10 weeks old.
A cleft lip is a separation of the upper lip that can extend into the nose.To repair a cleft lip, the surgeon will first make an incision on each side of the cleft from the lip to the nostril.
To repair a cleft lip, the surgeon will make an incision on either side of the cleft from the mouth into the nostril. He or she will then turn the dark pink outer portion of the cleft down and pull the muscle and the skin of the lip together to close the separation. Muscle function and the normal "cupid's bow" shape of the mouth are restored. The nostril deformity often associated with cleft lip may also be improved at the time of lip repair or in a later surgery.
The cleft lip is then drawn together and stitched to create a normal "cupid's bow" shape to the upper lip.The scar left after surgery will gradually fade with time.
RECOVERING FROM CLEFT LIP SURGERY
Your child may be restless for a while after surgery, but your doctor can prescribe medication to relieve any discomfort. Elbow restraints may be necessary for a few weeks to prevent your baby from rubbing the stitched area.
If dressings have been used, they'll be removed within a day or two, and the stitches will either dissolve or be removed within five days. Your doctor will advise you on how to feed your child during the first few weeks after surgery.
It's normal for the surgical scar to appear to get bigger and redder for a few weeks after surgery. This will gradually fade, although the scar will never totally disappear. In many children, however, it's barely noticeable because of the shadows formed by the nose and upper lip.
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