Facial Surgeon

07/04/2025

💀🦷 Managing a Complex Mandibular Fracture Case! 🦷💀

Mandibular fractures are among the most frequent facial fractures, often caused by trauma, falls, or road traffic accidents. This patient sustained a left angle fracture and a right parasymphysis fracture, leading to severe pain, malocclusion, and restricted jaw movement.

🔹 Fracture Breakdown:
✅ Left Angle Fracture: Typically displaced due to muscle pull, requiring rigid fixation.
✅ Right Parasymphysis Fracture: Can affect occlusion and stability, needing careful alignment.

🔹 Treatment Plan:
✔️ Pre-op Imaging: OPG/CBCT for precise diagnosis
✔️ ORIF (Open Reduction & Internal Fixation): Miniplate and screw fixation for stability
✔️ Occlusion Correction: Intermaxillary fixation (IMF) if necessary
✔️ Post-op Care: Antibiotics, soft diet, and jaw physiotherapy

🚨 Early and proper management prevents complications like malunion, nonunion, or infection! Watch how I surgically manage this case for optimal healing and function!

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07/04/2025

🔥 Submasseteric Space Infection – A Deep Facial Space Abscess! 🔥

The submasseteric space is located between the masseter muscle and the lateral surface of the mandibular ramus. Infections here usually originate from an infected third molar (especially pericoronitis) or mandibular trauma. Due to the dense fascia and muscle layers, swelling may be localized but extremely painful, with trismus (difficulty opening the mouth) being a key clinical feature.

🔹 Management Approach:
✅ Clinical evaluation & imaging (CBCT helps in locating the abscess)
✅ IV antibiotics & pain management
✅ Surgical drainage via an intraoral or extraoral approach
✅ Removal of the offending tooth (if present)
✅ Warm saline/mouth rinses & physiotherapy for trismus

💡 If left untreated, the infection can spread to deeper spaces, leading to serious complications like Ludwig’s angina or descending necrotizing fasciitis.

📌 Watch as I surgically drain a submasseteric space abscess and restore function!

31/03/2025

🦷💀 Bilateral Mandibular Fractures – A Complex Case! 💀🦷

Mandibular fractures are common facial injuries, often resulting from trauma, road traffic accidents, or physical assault. This patient presented with a left angle fracture and a right parasymphysis fracture, causing severe pain, malocclusion, and difficulty in jaw movement.

🔹 Understanding the Fractures:
✅ Angle Fracture (Left Side): Commonly occurs due to impact at the lateral border of the mandible. Often displaced due to muscle pull.
✅ Parasymphysis Fracture (Right Side): Occurs in the anterior mandible, affecting occlusion and stability.

🔹 Management Plan:
✔️ Preoperative Imaging: OPG/CBCT to assess fracture displacement
✔️ Rigid Fixation: Open Reduction & Internal Fixation (ORIF) with titanium miniplates & screws
✔️ Occlusion Restoration: Intermaxillary fixation (IMF) if required
✔️ Post-op Care: Antibiotics, soft diet, and physiotherapy for jaw function

🚑 Early surgical intervention ensures proper healing and prevents complications like malunion, nonunion, or infection. Watch as I manage this case with precise surgical reduction and fixation!

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24/03/2025

🚨 Ludwig’s Angina – A Life-Threatening Emergency! 🚨

Ludwig’s Angina is a rapidly progressing, life-threatening cellulitis of the submandibular, sublingual, and submental spaces. It typically arises from an infected mandibular molar and can cause severe swelling, airway obstruction, and systemic toxicity.

🚑 Emergency Management:
✅ Securing the airway (may require intubation or tracheostomy)
✅ IV antibiotics & fluids
✅ Surgical drainage of pus and necrotic tissue
✅ ICU monitoring for respiratory distress

This condition demands urgent intervention, as delays can lead to sepsis, mediastinitis, or even death. Watch as I manage a case of Ludwig’s Angina with prompt surgical drainage and airway stabilization.

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17/03/2025

🦷💀 Surgical Management of TMJ Ankylosis in a 10-Year-Old Patient! 💀🦷

TMJ Ankylosis is a condition where the temporomandibular joint (TMJ) becomes fused, leading to severely restricted mouth opening, facial asymmetry, and difficulty in eating, speaking, and maintaining oral hygiene. It commonly results from trauma, infection, or systemic conditions affecting joint development.

🔹 Key Features of TMJ Ankylosis:
✅ Limited or absent mouth opening
✅ Facial deformity (especially in growing children)
✅ Difficulty in speech & chewing
✅ Possible growth restriction of the mandible

🔹 Surgical Management Plan:
✔️ Preoperative Evaluation: CT scan to assess the extent of fusion
✔️ Gap Arthroplasty: Surgical removal of the ankylosed bone to restore mobility
✔️ Interpositional Material Placement: To prevent re-ankylosis (fat graft, temporalis muscle flap, or alloplastic material)
✔️ Post-op Physiotherapy: Crucial for long-term success and function

🚑 Early surgical intervention is vital in children to prevent severe facial deformities and functional impairments! Watch as I surgically release the ankylosed TMJ and restore jaw mobility in this young patient.

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14/03/2025

Management of Leforte 1 and ZMC fractures in a young male patient following a bike accident. Internal fixation was performed at the right and left piriform, left buttress, and left front-zygomatic suture regions. A reminder of the importance of wearing a helmet to prevent such injuries! 🏍️💔

28/05/2024

It was fun sharing my knowledge on the topic "Virtual Surgery Planning for Othognathic Surgery" at the Orthognathic Surgery Workshop by Aomsi India at udaipur.

12/04/2024

Late post :
Sharing the power of 3D innovation in maxillofacial surgery at the 1st NEXTGEN AOMSI SYMPOSIUM! 🚀

21/09/2023

https://youtu.be/Fl8HXRoGdDg

In this captivating and educational YouTube video, join us as we embark on a journey through the intricacies of surgical extraction, focusing on the removal ...

29/08/2023

I performed surgical removal of third molars alone using my innovative tools, the Saline Irrigation Device and Modified Austin's Retractor. 💪

Link to the video : www.youtube.com/watch?v=GA66dwCqQKE

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