Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study

Maxillonasal dysplasia or Binder′s syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and...

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Main Authors: C. Yogesh Bhatt, Kinnari A. Vyas, S. Tandale Mangesh, S. Panse Nikhil, S. Bakshi Harpreet, K. Srivastava Rajat
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2008-07-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699257
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author C. Yogesh Bhatt
Kinnari A. Vyas
S. Tandale Mangesh
S. Panse Nikhil
S. Bakshi Harpreet
K. Srivastava Rajat
author_facet C. Yogesh Bhatt
Kinnari A. Vyas
S. Tandale Mangesh
S. Panse Nikhil
S. Bakshi Harpreet
K. Srivastava Rajat
author_sort C. Yogesh Bhatt
collection DOAJ
description Maxillonasal dysplasia or Binder′s syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. The cartilage graft was dipped in a solution of 100 ml 0.9% NaCl and one vial (80mg) gentamicin for 30 min to prevent warping. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by slots made in the graft. This technique has been used in children, adults, and for secondary cases with promising results. All patients were of class I dental occlusion. The nasal and premaxillary augmentation which was monitored by serial photography was found to be stable over a follow-up period of three years
format Article
id doaj-art-6559738d03cc4aeba40eb098a8a87375
institution DOAJ
issn 0970-0358
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language English
publishDate 2008-07-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-6559738d03cc4aeba40eb098a8a873752025-08-20T03:18:09ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2008-07-01410212813210.1055/s-0039-1699257Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up studyC. Yogesh Bhatt0Kinnari A. Vyas1S. Tandale Mangesh2S. Panse Nikhil3S. Bakshi Harpreet4K. Srivastava RajatDepartment of Plastic Surgery, SSG Hospital and Medical College, BarodaDepartment of Plastic Surgery, SSG Hospital and Medical College, BarodaDepartment of Plastic Surgery, SSG Hospital and Medical College, BarodaDepartment of Plastic Surgery, SSG Hospital and Medical College, BarodaDepartment of Plastic Surgery, SSG Hospital and Medical College, BarodaMaxillonasal dysplasia or Binder′s syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. The cartilage graft was dipped in a solution of 100 ml 0.9% NaCl and one vial (80mg) gentamicin for 30 min to prevent warping. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by slots made in the graft. This technique has been used in children, adults, and for secondary cases with promising results. All patients were of class I dental occlusion. The nasal and premaxillary augmentation which was monitored by serial photography was found to be stable over a follow-up period of three yearshttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699257binder′s syndromecostal cartilage graftsnose correctionpremaxillary augmentation
spellingShingle C. Yogesh Bhatt
Kinnari A. Vyas
S. Tandale Mangesh
S. Panse Nikhil
S. Bakshi Harpreet
K. Srivastava Rajat
Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
Indian Journal of Plastic Surgery
binder′s syndrome
costal cartilage grafts
nose correction
premaxillary augmentation
title Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
title_full Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
title_fullStr Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
title_full_unstemmed Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
title_short Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study
title_sort maxillonasal dysplasia binder s syndrome and its treatment with costal cartilage graft a follow up study
topic binder′s syndrome
costal cartilage grafts
nose correction
premaxillary augmentation
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699257
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