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

21/01/2026

Common fractures but one needs to assess the orbit in totality to rule out any defect in the wall or floor of the orbit, as it may lead to consequences such as enophthalmos or diplopia with entrapment of the extraocular muscles. In this particular case, comminution was noticed in the buttress region which needed sturdy repair - hence two MiniPlates were used to fix the fragment causing a defect in the buttress. All in all, pre trauma anatomy could be achieved and malar flattering was corrected and a zygomatic arch which is very important for projection of the face is restored. Application of plates is not important as restoring the buttresses in such displaced and comminuted cases. bestmaxillofacialsurgeonranchj

15/01/2026

Gaurdsman fracture a common term used, in cases of bilateral condylar and symphysis fractures of mandible. In this case of RTA, we had a young patient 15 years old male, who had comminuted symphysis of mandible with dislocated medial pole of condylar heads bilaterally. A decision was based purely to address the heads as it might have led to a bony contact of the lateral pole and may cause TMJ problems in future. Hence, after discussion with seniors and consulting contemporary literature, both the Condyles were addressed and an attempt was made to restore the pre trauma anatomy. In such cases the symphysis region is critical as it will determine the fate of the condylar heads back to glenoid fossa. On the left side post operatively the patient had absolutely no paresis of the facial nerve but on the right side he did experience paresis of the temporal branch ( which should gradually come back to normal). Critical part in such cases is to decide whether to go for operative intervention or not? Important is the approach - A PREAURICULAR (modifications described, can be chosen as per surgeons comfort and expertise), incision was made to approach the condylar heads bilaterally. Facial nerve damage is another factor which can direct us to a more conservative approach. Above all, the patient’s occlusion was established to its pretrauma state and function. Every case is different and a customized approach is required, weighing the options of conservative, operative or a combined one. ranchimaxillofacialsurgeon bestmaxillofacialsurgeonranchi

06/01/2026

Mandibular Condylar region fractures are the most common injuries in the facial region, and also one of the most complex and difficult areas to operate upon, owing to its anatomy and proximity to the Facial Nerve. In this particular case of condylar neck fracture, there were many fracture line present, indicating the stress that was directed during the RTA. This made the ORIF, even more challenging, to get proper and near to normal/pre trauma alignment is a task. The facial nerve paresis was observed post operatively which was minimal and improved during the stay of the patient in the hospital. Takeaway points : Understanding the implications of isolated condylar fractures, the relative position to the Glenoid fossa, deviation on opening and closing. Proper alignment is a must with stabilization using contemporary principles of fixation. Post operative assessment whenever possible should be done (considering the financial status of the patient). Approach to the diagnosis and operative part is the key in managing such fractures.

02/01/2026

Dental implants offer a reliable and safe alternative to partial dentures where missing teeth can be replaced without harming/altering the adjacent structures. If done right, can do wonders. However, technique and biomechanics play an important role in the outcome. Here in this case the horizontal width could be improved, but we don’t go for the vertical correction and instead masked it using the gingival colour in the prosthesis. The patients demanded just the replacement and what we could provide (financial and time constraints).

26/12/2025

Comminution again presents a challenge to any surgeon, because of the uncertainty of vitality of the bony fragments and the resorption pattern. In this particular case the patient suffered (RTA) from fractures of the alveolar segment and the ZM complex. Careful dissection, with root preservation and application of conservative methods (splinting) helped with ORIF, to establish the occlusion. Removal of teeth with poor prognosis is also necessary. The lower dentition, anterior segment was reduced and stabilized by interdental splint. Occlusion is established and checked for any significant mobility. Takeaway points are - preservation of dental/teeth and structures around it is primary, and non-vitality may result in necrosis and failure of fixation methods. Palatal incision/Fixation using MiniPlates was avoided to preserve the blood supply to the alveolar segment. Soft/liquid diet (early mobilization and restoration of function) with long term interdental splint (4-6 weeks) is important in such cases.

20/12/2025

NOR fractures per se are complex and challenging to manage. In comminution cases, it is almost like a jigsaw puzzle where we need to align all the bony fragments in the most anatomical way. This case where the NASOFRONTAL angle was ACUTE, had to be decompressed and reduced to a more normal position, the postoperative CT scan clearly shows an OBTUSE NF angle. Also the other important structure, which is very difficult to manage is the MC tendon, and to be able to prevent the rounding of the canthal region poses great challenge. However, we managed to put the fractured bones in a better position that was there post traumatically. Also the MC anatomy was restored. Other parts such as the septum (bony) needs to be aligned as much as possible with the nasal bone to result in a healing with better cosmesis. Not to forget the sinus (frontal) was explored and the sinus lining was removed. Takeaways : Proper reduction, NF angle correction, MCT anatomy restoration with Preventing FUTURE DNS.

17/12/2025

Road traffic accidents nowadays don’t follow the typical feature pattern of textbooks, but fixation and restoration of occlusion remains the same. Minimum hardware but practical application leads to results. In this particular case, we have a Lefort 2 level fracture on the right side but the left side has an atypical pattern, but presents with dysnjunction at the NF region and also floating type maxilla with anterior open bite. The buttresses remain the key areas of fixation. Automatically restores the occlusion. Takeaway points : identify the fracture pattern, occlusion restoration and also minimum hardware usage.

12/12/2025

Comminution always presents a challenge, and here the approach matters. This particular case, the patient had thalamic bleed and a GCS between 9-11 and multiple systemic conditions. The duration of repair couldn’t be longer as time allotted citing the patient’s status was less and hence a local approach was used through the existing lacerations on the left front temporal region and not the HEMICORONAL one. The bones were dissected out of the soft tissue and reduced as well as stabilized with MiniPlates. Smaller one with atleast one screw on either side to just maintain the reduction. The bigger chunks were reduced as per Osteosynthesis principles. Takeaways, always anatomical reductions give better healing and cosmesis comes out naturally.

09/12/2025

Case like this one, in pediatric Mandibular fractures, choice is always a more conservative one. But in the CT scan the Avulsion of the permanent canine tooth bud, led to ORIF as a more logical choice. A single miniplate was used and fixed as far inferior as much as possible with canine tooth bud inside the bone. Also the greenstick angle fracture was left as it is. Takeaway point is to operate with both conservative and ORIF mixed is sometimes a better line than following either of the modes.

04/12/2025

Cases like these require as much as possible anatomical reduction also reestablishment of orbital volume to its pretrauma state. The root of the zygomatic arch in such cases (comminuted) are in my opinion inconsequential in healing if the projection of face in within limits. The soft tissue envelope around it provides a suitable cradle to heal. Takeaway point is - orbital volume and anatomical reduction.

29/11/2025

Depressed Malar or ZMC fractures result in severe disturbance in projection of the midface or the anterior-posterior diameter of face. Hence, it is important to correct that and address the fractured areas in accordance to the principles of fixation/osteosynthesis. .snyadavortho

17/11/2025

Comminuted orbital floor/wall fractures are one of the most complex injuries to treat. The most important aspect is vision in these cases and needs proper ophthalmological review and assessment. Here at MRPSH, we work in close collaboration with the ophthalmologist. Also the timing of repair is prime. The earlier it is addressed the better is the outcome. In this particular case the vision was not up to the mark as the patients also suffered vitreal hemorrhage ( which will resolve gradually with proper ophthalmologist review and treatment). However, the surgical repair of the floor, wall and rim was undertaken. Ti- Mesh plates are help in definitive correction of the defect. First the rim is repaired and then the walls and the floor were addressed, and the herniated contents were carefully removed. The mesh plate was inserted and fixed to the rim. The suction test was performed to assess the eye movement in all directions. Complete evacuation of the herniated contents is important as well as the posteromedial aspect of the orbit has to be reconstructed to its pretrauma levels as much as possible.

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

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