Secondary Rhinoplasty in Binder Syndrome: Considerations and Management of Complex Problem With Heterologous Bone Graft.

The Journal of Craniofacial Surgery
Giorgio BarberaValentino Valentini

Abstract

Binder Syndrome occurs in less than 1 per 10,000 live births. Mean features of the syndrome include arhinoid face, abnormal position of the nasal bones, intermaxillary hypoplasia with associated malocclusion, reduced or absent anterior nasal spine, atrophy of the nasal mucosa and absence of the frontal sinus. Treatment of these facial deformities is obviously surgical. In the present work, the authors describe, step by step, their technique in secondary rhinoplasty in a 36-years-old patient affected by Binder Syndrome. In this case, the authors used autologous cartilage graft and heterologous bone graft.Satisfying results are achieved in 12 months of follow-up: graft resorption is acceptable, position of the graft is stable, the authors have no signs of infection and the patient is satisfied with the aesthetical and functional results. The authors believe that the first option, in complex nose's reconstruction, is the use of autologous grafts but, the use of cartilage heterologous bone graft should be taken in account, in the future, as a secondary option in Binder Syndrome and in malformed patients.

References

Sep 23, 1997·Aesthetic Plastic Surgery·F O MonasterioJ S McClintock
Jun 8, 2010·Aesthetic Plastic Surgery·Raymond C W Goh, Yu-Ray Chen
Dec 3, 2011·The Journal of Craniofacial Surgery·Pierre GuereschiPhilippe Pellerin
Jul 11, 2012·The Journal of Craniofacial Surgery·Shaheel ChummunDavid J David
Jan 26, 2013·The Journal of Craniofacial Surgery·Hengjian WangMin Wei
Feb 19, 2016·The Journal of Craniofacial Surgery·Carmen Gloria MorovicClaudia Vidal

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