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Published on: March 23, 2022
[Binder's syndrome--symptoms and treatment]
Julia Kruk-Jeromin1, Bogusław Antoszewski
1Klinika Chirurgii Plastycznej Uniwersytetu Medycznego w Lodzi.
Otolaryngologia Polska = the Polish Otolaryngology
|August 15, 2006
Summary
Binder syndrome (maxillonasal displasia) treatment involves nasal and maxillary correction, with surgical intervention timing dependent on symptom progression. Early orthodontic intervention is crucial for optimal outcomes.
Area of Science:
- Craniofacial Surgery
- Orthodontics
- Pediatric Plastic Surgery
Background:
- Binder syndrome (maxillonasal displasia) is characterized by a concave midface profile due to a flat nasal dorsum, short septum, and maxillary micrognathism.
- Treatment typically involves nasal and maxillary correction followed by orthodontic rehabilitation.
Observation:
- The study observed five patients with Binder syndrome, aged 5-20 years.
- Two patients underwent surgical nose correction (septal elongation, bone grafting) at ages 14 and 20.
- Three patients required orthodontic treatment for Class III occlusion; no maxillary osteotomies were performed.
Findings:
- Surgical correction of the nose in Binder syndrome yielded excellent five-year long-term results.
- Treatment timing is critical, with nasal grafting possible from age 14 and osteotomies planned post-18 years.
Implications:
- A multidisciplinary approach integrating surgical and orthodontic treatment is essential for managing Binder syndrome.
- Individualized treatment plans should consider symptom progression and patient age for optimal functional and aesthetic results.
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