Indian surgeons in Chennai have reconstructed the jaw of an 18-month old Maldivian baby after removing a large bone tumour from his face, in the first operation of its kind to be conducted in India.
India’s Deccan Chronicle newspaper reported that the “grotesque” tumour was removed during six hours of “gruelling” surgery at Chennai’s Balaji Dental and Craniofacial Hospital, during which time Mohemmed Salik’s lower jaw was reconstructed using three of his ribs, a titanium plane and “three sheets of an expensive genetically-engineered protein that promotes bone growth.”
Craniofacial surgeon S M Balaji told the Chronicle that the rare condition usually led to an operation when the child reached 15 years of age, “however this baby needed immediate surgery as the tumour threatened to permanently disfigure his face and block his nostrils and ear canals.”
The baby’s father, a businessman based in Dubai, told the newspaper that the rare and life-threatening bone disease had appeared when Mohemmed was eight months old, and quickly grown into a “hard balloon” that had disfigured his face and made it impossible for the infant to eat or talk.
Surgeons were reportedly apprehensive about the proceedure, especially given the patient’s age and small size of his blood vessels.
Dr Balaji explained that surgeons first removed a large part of Mohemmed’s upper jaw and then his entire diseased lower jaw, without making an external incision.
“We then harvested three ribs from the child and prepared it with Bone Morphogenetic Protein (BMP), that attracts stem cells to the area and promotes natural bone growth. The rib grafts were then implanted in the child’s mouth along with a titanium plate for support,” Dr Balaji told the Chronicle.
The newspaper added that six months after the operation, which took place in November last year, Mohemmed had a strong healthy jaw and would soon be fitted with an array of artificial milk teeth, most of which he lost in the operation, later to be replaced by a new set of permanent teeth.
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