Dr. Mimma Afroz Mishu

Behind every reconstructed face is a story of survival, science, and hope.
This case reminds us that dentistry and maxillofacial surgery are not only about teeth — they are about restoring lives. The “before” image shows devastating craniofacial trauma with multiple fractures, displaced bones, and severe facial destruction. The “after” image reveals the incredible result of modern reconstruction using titanium plates, screws, and mesh to rebuild the skull and facial framework with precision.
What once looked impossible became possible through the dedication, teamwork, and skill of surgeons who combined anatomy, technology, and compassion to restore both function and appearance.
Every plate placed, every bone aligned, and every reconstruction performed represents more than a surgical procedure — it represents a second chance at life, confidence, and healing.
Cases like this inspire us to appreciate the power of oral and maxillofacial surgery and the impact healthcare professionals can make in transforming trauma into recovery.
From shattered bones to restored humanity — this is the art and science of reconstruction. ✨🦷



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The image shows a remarkable transformation from a severely shattered skull before surgery to a carefully reconstructed skull after treatment.

In the “before” image, multiple broken bone fragments and displaced facial structures reveal the severity of the traumatic injury.
In the “after” image, surgeons restored the skull using titanium plates, screws, and mesh to rebuild stability, protect vital structures, and recreate the natural shape of the face and head.

This reconstruction highlights the precision, skill, and complexity of modern craniofacial surgery. The comparison demonstrates how advanced surgical techniques can restore both function and appearance after devastating facial trauma.

•Case : Mucocele on lower left sided lip.

✅What is Mucocele lip❓

A mucocele of the lip is a common, harmless, fluid-filled cyst (a mucus extravasation cyst) that forms on the inside of the lip, usually the lower lip, due to trauma like lip biting, causing saliva to leak and form a soft, painless, bluish or clear bump.

✅ Sign & Symptoms:

✔️Appearance: A soft, round, dome-shaped, painless bump.
✔️ Color: Appear clear, bluish, or the same color as your lip.
✔️ Location: Most common on the inner surface of the lower lip.
✔️ Size: Can range from a few millimeters to a couple of centimeters.

✅Treatment:
Surgical removal of the cyst and associated gland.



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✅A case of Melanotic Neuroectodermal Tumour of Infants(MNTI).

• Patient: A 6-months-old female infant.

• Chief Complaint: Rapidly enlarging soft-tissue swelling in the anterior maxillary region for the past 4 months.

• Onset & Course: Gradual onset but rapid progressive increase in size, causing significant parental concern.

➡️ Symptoms:
• Frequent bleeding on touch.
• Bleeding episodes while breastfeeding, leading to feeding difficulty.
• Irritability related to repeated bleeding.
• Fever.

➡️ Clinical Appearance:
• Large, expansile, soft-tissue mass on the anterior maxilla.
• Surface shows dark/necrotic/pigmented areas suggestive of melanin or hemorrhage.
• Lesion is vascular, friable, and bleeds easily.
• Surrounding mucosa stretched and erythematous.

• Duration: 2-3 months

• Age Relevance: Occurrence in an infant under 6 months strongly suggests a neuroectodermal or vascular origin.

• Provisional Diagnosis: Features highly suggestive of Melanotic Neuroectodermal Tumor of Infancy (MNTI).

✅Investigation:

• CBC with ESR
• Serum creatinine, Serum Electrolytes
• Anti-HCV, HBsAg
• Chest Xray P/A view
• Echocardiogram
• CT scan
• Blood grouping, Rh factor, Cross matching

✅Differential Diagnosis:

• Infantile hemangioma
• Congenital granular cell tumor
• Rhabdomyosarcoma
• Pigmented teratoma
• Neuroblastoma metastasis
• Vascular tumor with secondary infection (explains fever)

✅Treatment Given:

• Under General anesthesia.
• Wide surgical excision of tumor with 5mm healthy tissue margins to reduce the high risk of recurrence.
•Associated procedure: Teeth and developing teeth within the tumor area are often removed during the procedure.
• Hemostasis achieved.
• Closure was done by 3-0 vicryl & 2-0 vicryl suture.
• Specimen sent for histopathology.
• Post-operative antibiotics (due to fever and risk of infection).
• Analgesics
• Feeding guidance
• Close monitoring

✅Prognosis:
• Good after complete excision
• Recurrence rate ~10–20%
• Regular follow-up essential

لَا فِي السَّمَاءِ وَهُوَ السَّمِيعُ الْعَلِيمُ
উচ্চারণ: বিসমিল্লাহিল লাজি লা ইয়াদূররু মাআস মিহি শাইয়ুন ফিল আরদি ওয়ালা ফিস সামিই ওয়াহুয়া সামিয়ুল আলিম।
অর্থ: "তাঁর নামের সঙ্গে আসমান বা জমিনের কোনো কিছুই ক্ষতি করতে পারে না, আর তিনি সর্বশ্রোতা, সর্বজ্ঞ।"

জীবনে এই প্রথম এতো বড় ভূমিকম্প টের পেলাম ।

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“It’s just a Hattrick Day, Not a bad life”.🥺





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জীবনের মূল্য ৫ লক্ষ টাকা সাথে একটি চাকরি ফ্রি😑🥹

হায়রে বাংলাদেশ!!