Abstract
Background
Maxillonasal dysplasia (Binder’s syndrome) is a congenital malformation characterized by an extremely flat and retruded nose.
Methods
This report describes an 18-year-old woman with maxillonasal dysplasia (Binder’s syndrome). The septal deficiencies and maxillary retrusion of the patient were corrected by using an L-shaped implant and a crescent-shaped high-density porous polyethylene implant through the oral vestibular sulcus via an external rhinoplasty approach.
Results
After the operation, the tip of the nose had moved 5.5 mm anteriorly in the sagittal plane and 11.9 mm coronally in the vertical plane. Also, the nasolabial angle had increased after the surgery. Follow-up evaluation at 24 months showed good correction of the nasal and midface projection.
Conclusions
High-density porous polyethylene implants are a good alternative for patients with Binder’s syndrome, especially those who will not accept costal cartilage grafts or orthognathic surgery and who have tendency for hypertrophic scarring.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Berghaus A (1985) Porous polyethylene in reconstructive head and neck surgery. Arch Otolaryngol 111:154–160
Binder KH (1962) Dysostosis maxillo-nasalis: ein archinencephaler Missbildungskomplex. Deutsche Zahnarztuche Zeitschift 17:438–444
Converse JM (1950) Restoration of facial contour by bone grafts introduced through the oral cavity. Plast Reconstr Surg (1946) 6:295–300
Converse JM, Horowitz SL, Valauri AJ, Montandon D (1970) The treatment of nasomaxillary hypoplasia: a new pyramidal naso-orbital mazillary osteotomy. Plast Reconstr Surg 45:527–535
Draf W, Bockmühl U, Hoffmann B (2003) Nasal correction in maxillonasal dysplasia (Binder’s syndrome): a long term follow-up study. Br J Plast Surg 56:199–204
Dyer FM, Willmot DR (2002) Maxillo-nasal dysplasia, Binder’s syndrome: review of the literature and case report. J Orthod 29:15–21
Gürlek A, Celik M, Fariz A, Ersöz-Oztürk A, Eren AT, Tenekeci G (2006) The use of high-density porous polyethylene as a custom-made nasal spreader graft. Aesth Plast Surg 30:34–41
Holmström H (1986) Surgical correction of the nose and midface in maxillonasal dysplasia (Binder’s syndrome). Plast Reconstr Surg 78:568–580
Holmström H, Kahnberg KE (1988) Surgical approach in severe cases of maxillonasal dysplasia (Binder’s syndrome). Swed Dent J 12:3–10
Horswell BB, Holmes AD, Barnett JS, Levant BA (1987) Maxillonasal dysplasia (Binder’s syndrome): a critical review and case study. J Oral Maxillofac Surg 45:114–122
Karnes J, Salisbury M, Schaeferle M et al (2000) Porous high-density polyethylene implants (Medpor) for nasal dorsum augmentation. Aesth Surg J 20:26–30
Monasterio FO, Molina F, McClintock JS (1997) Nasal correction in Binder’s syndrome: the evolution of a treatment plan. Aesth Plast Surg 21:299–308
Munro IR, Sinclair WJ, Rudd NL (1979) Maxillonasal dysplasia (Binder’s syndrome). Plast Reconstr Surg 63:657–663
Niechajev I (1999) Porous polyethylene implants for nasal reconstruction: clinical and histologic studies. Aesth Plast Surg 23:395–402
Okazaki M, Sarukawa S, Fukuda N (2005) A patient with congenital defect of nasal cartilaginous septal and vomeral bone reconstructed with costal cartilaginous graft. J Craniofac Surg 16:819–822
Olow-Nordenram M, Thilander B (1989) The craniofacial morphology in persons with maxillonasal dysplasia (Binder syndrome): a longitudinal cephalometric study of orthodontically treated children. Am J Orthod Dentofacial Orthop 95:148–158
Ragnell A (1952) A simple method of reconstruction in some cases of dish-face deformity. Plast Reconstr Surg (1946) 10:227–237
Romo TIII, Sclafani AP, Sabini P (1998) Reconstruction of the major saddle nose deformity using composite allo-implants. Facial Plast Surg 14:151–157
Rune B, Aberg M (1998) Bone grafts to the nose in Binder’s syndrome (maxillonasal dysplasia): a follow-up of eleven patients with the use of profile roentgenograms. Plast Reconstr Surg 101:297–304 (discussion 305–306)
Tessier P, Tulasne JF, Delaire J, Resche F (1981) Therapeutic aspects of maxillonasal dysostosis (Binder syndrome). Head Neck Surg 3:207–215
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Seyhan, T., Kircelli, B.H. & Caglar, B. Correction of Septal and Midface Hypoplasia in Maxillonasal Dysplasia (Binder’s Syndrome) Using High-Density Porous Polyethylene. Aesth Plast Surg 33, 661–665 (2009). https://doi.org/10.1007/s00266-009-9312-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-009-9312-5