Dr Vinay Kumar OMFS

Dr Vinay Kumar OMFS Oral and Maxillofacial Surgery

Dr Vinay Kumar, BDS, MDS
• He is an Oral and Maxillofacial Surgeon
• An alumnus of Army College of Dental Sciences, Secunderabad (2002-2007)
• Post-Graduation from HP Government Dental College and Hospital, Shimla
(2012-2015)
• Worked in various hospitals in and around Hazaribag as Consultant (2015-
2023)
• Currently working as Consultant Maxillofacial Surgeon at Maa Ram Pyari
Superspeciality Hospital, Ranchi

06/05/2026

Often atypical fractures of the zygomatic bones present with orbital wall and floor fractures, which may go untreated if not diagnosed and operated at the earliest. In this case the patient’s FZ suture suffered diastasis as well as the medial wall of the left orbit was damaged but the floor had complete disruption causing massive herniation, if untreated would have resulted in enophthalmos. The patient had a laceration in the Infraorbital region, hence it was used and no extra cutaneous or conjunctival approach was utilized. (Infraorbital incision or laceration has a big disadvantage of developing lymphedema and unsightly appearance). Fracture at the FZ region was reduced and stabilized using Ti MiniPlates and screws, then the orbital floor was explored, herniated content retracted into the orbit and then a Ti Mesh was inserted with adaptation to the bony walls and floor. Forced duction test was done to see for any interference, after which the wound was closed in layers.

21/04/2026

A white-eyed blowout fracture (WEBOF) is a rare, deceptive orbital floor fracture, often in children/young adults, presenting with minimal external eye signs (no bruising/swelling) but severe, urgent symptoms like painful vertical diplopia, nausea, and bradycardia. It is a surgical emergency, typically a “trapdoor” entrapment of eye muscles requiring prompt reduction. Key Clinical Features
“White Eye”: No bruising (ecchymosis) or swelling (edema), which often misleads practitioners to overlook the injury.
Motility Restriction: Severe limitation of eye movement, particularly looking up or down (vertical restriction), often with severe pain.
Oculovagal Reflex: Nausea, vomiting, headache, or bradycardia (slow heart rate) due to entrapment of the inferior re**us muscle.
Mechanism: Often a result of blunt trauma (e.g., sports, accidents) where the flexible pediatric bones snap back, trapping orbital tissue.

Diagnosis & Imaging
CT Scan: A CT scan of the orbit is essential to confirm the diagnosis, often showing a linear or “trapdoor” hinge-like fracture.
High Suspicion: Because the eye looks white, clinicians must have a high index of suspicion in trauma cases presenting with diplopia or nausea, even without exterior signs.

Management
Urgent Surgery: Unlike some blowout fractures that are managed conservatively, WEBOFs often require prompt surgical intervention (ideally within 24–48 hours) to release entrapped muscles and prevent ischemia.
Prognosis: Early release of tissue entrapment typically leads to better, often complete, recovery of eye movement.

18/04/2026

Panfacial fractures when present with neurological/brain injury requires a collaborative effort with the neurosurgeon. In this case the frontal bone because of the comminution and parenchymal injury was managed by the neurosurgeon and the rest of the facial fractures were managed by ORIF by the Maxillofacial surgery team.

15/04/2026

Comminution in facial skeleton often result from high velocity trauma (RTA - being the most common cause). In this case the patient suffered the bony injury as well globe injury which resulted in loss of sight and also tear of the sclera. If not advised by the ophthalmologist, minimum or no manipulation of the orbital bones should be done to decompress the orbit. The exploration of floor or walls is not advised in such cases. The rims and the buttresses are reestablished using Ti MiniPlates and screws. A team based approach , comprising of Neurosurgery, Ophthalmology and Maxillofacial surgeon is the key in management of such trauma.

11/04/2026

Comminution of bones always pose a big challenge in management of fractured bones. Here in this case the patient suffered from comminution as well as segmental Dentoalveolar fracture. So both conservative as well as direct approaches were utilized to reduce and stabilize the fracture. Customized treatment for each and every case is essential to achieve stable outcomes in fracture cases of the facial and other skeleton.

07/04/2026

Comminuted Zygomaticomaxillary complex fractures, the projection and width of the facial skeleton depends on the reduction of the bones. All possible measures should be taken with keeping in mind the access. In this case, there was an existing laceration which helped in reaching the bone and reducing them anatomically.

17/03/2026

Comminuted zygomatic arch fractures are particularly of interest as the facial nerve (temporal branch) traverses over it. In this case the patient suffered from a big laceration running horizontally over the arch. Careful debridement and dissection was done to expose, reduce and stabilize the bony fragments. The facial nerve branch was also located and an attempt for anastomosis was done. The patient was told about the prognosis. The healing was good so the takeaway points are - careful dissection, reduction and stabilization.

16/03/2026

Comminution always pose a challenge in zygomatic repair, here in this case, the patient had neurological trauma with facial, hence the repair was late. Key is to put the fractured bony ends in the most anatomical position as possible.

15/03/2026

Road traffic accidents defy the conventional classifications of fractures of the facial region. In this case the pterygoids didn’t follow the typical Lefort lines, hence complete dysjunction didn’t happen. However, all the fracture points with or without comminution was addressed as per the current Osteosynthesis principles. Takeaway point is , each case in trauma has its own unique feature and one should be mindful of the mode of trauma.

09/03/2026

RTA pose a great difficulty or any high velocity trauma to the facial region to accurately place them in a single classification, here the patient suffered from communication in the ZMC region but on the right side he had a fracture line almost disregarding the LeFort classification . Hence, in these cases identifying the fractures and creating a workflow is important, the occlusion in such cases hold the key to establish the pretrauma anatomy of the face. The mandible also was comminuted, therefore a lower border plate was applied to prevent splaying of the lingual cortical plate. Careful manipulation and reduction is necessary to avoid great discrepancies.

Address

104, First Floor, Mahal Residency, Opposite SDAH, Near DAV Nandraj Public School, Jai Prakash Nagar, Booty-Bariatu Road
Ranchi
825301

Opening Hours

Monday 10:30am - 7:30pm
Tuesday 10:30am - 7:30pm
Wednesday 10:30am - 7:30pm
Thursday 10:30am - 7:30pm
Friday 10:30am - 7:30pm
Saturday 10:30am - 7:30pm

Telephone

+917488941754

Website

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