Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience

Aim: Being an uncommon congenital condition, the treatment modalities of maxillonasal dysplasia are not clearly defined. Our aim is to discuss the availability and utility of various treatment options to achieve optimum results. In patients with Binder′s syndrome, the midface appears flattened, the...

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Main Authors: Sanjeev N. Deshpande, Manpreet H. Juneja
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2012-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.96588
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author Sanjeev N. Deshpande
Manpreet H. Juneja
author_facet Sanjeev N. Deshpande
Manpreet H. Juneja
author_sort Sanjeev N. Deshpande
collection DOAJ
description Aim: Being an uncommon congenital condition, the treatment modalities of maxillonasal dysplasia are not clearly defined. Our aim is to discuss the availability and utility of various treatment options to achieve optimum results. In patients with Binder′s syndrome, the midface appears flattened, the columella is short and the upper lip slants backwards. Materials and Methods: We report here 15 patients with Binder′s syndrome who were operated over a period of 5 years. Different treatment options in the form of correction of the depressed nasal dorsum and maxillary hypoplasia with split cranial bone graft or synthetic materials such as high-density porous polyethylene implant were used. Two patients with Angle class III malocclusion underwent a Le Fort I osteotomy for maxillary advancement. The patients were followed over a period of 3 years. Results: We achieved a reasonable augmentation of the nose and the maxilla in our patients. We faced complications in two of our patients; in one patient there was fracture of the dorsal nasal bone graft and the other patient had protrusion of paranasal screws into the palate, which were removed. Conclusion: In this series of cases, we were able to utilise various treatment modalities appropriately to achieve satisfactory outcome with no significant complications.
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spelling doaj-art-a9798cbd3c7f41b2b9509abaa054ff5b2025-08-20T02:23:08ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2012-01-01450106206610.4103/0970-0358.96588Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experienceSanjeev N. Deshpande0Manpreet H. Juneja1Department of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, IndiaDepartment of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, IndiaAim: Being an uncommon congenital condition, the treatment modalities of maxillonasal dysplasia are not clearly defined. Our aim is to discuss the availability and utility of various treatment options to achieve optimum results. In patients with Binder′s syndrome, the midface appears flattened, the columella is short and the upper lip slants backwards. Materials and Methods: We report here 15 patients with Binder′s syndrome who were operated over a period of 5 years. Different treatment options in the form of correction of the depressed nasal dorsum and maxillary hypoplasia with split cranial bone graft or synthetic materials such as high-density porous polyethylene implant were used. Two patients with Angle class III malocclusion underwent a Le Fort I osteotomy for maxillary advancement. The patients were followed over a period of 3 years. Results: We achieved a reasonable augmentation of the nose and the maxilla in our patients. We faced complications in two of our patients; in one patient there was fracture of the dorsal nasal bone graft and the other patient had protrusion of paranasal screws into the palate, which were removed. Conclusion: In this series of cases, we were able to utilise various treatment modalities appropriately to achieve satisfactory outcome with no significant complications.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.96588binder’s syndromemaxillonasal dysplasiasplit calvarial bone graft
spellingShingle Sanjeev N. Deshpande
Manpreet H. Juneja
Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
Indian Journal of Plastic Surgery
binder’s syndrome
maxillonasal dysplasia
split calvarial bone graft
title Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
title_full Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
title_fullStr Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
title_full_unstemmed Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
title_short Binder′s syndrome (maxillonasal dysplasia) different treatment modalities: Our experience
title_sort binder s syndrome maxillonasal dysplasia different treatment modalities our experience
topic binder’s syndrome
maxillonasal dysplasia
split calvarial bone graft
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.96588
work_keys_str_mv AT sanjeevndeshpande binderssyndromemaxillonasaldysplasiadifferenttreatmentmodalitiesourexperience
AT manpreethjuneja binderssyndromemaxillonasaldysplasiadifferenttreatmentmodalitiesourexperience