Deshpande Sanjeev N, Juneja Manpreet H
Department of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, India.
Indian J Plast Surg. 2012 Jan;45(1):62-6. doi: 10.4103/0970-0358.96588.
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.
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.
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.
In this series of cases, we were able to utilise various treatment modalities appropriately to achieve satisfactory outcome with no significant complications.
上颌鼻发育不全是一种罕见的先天性疾病，其治疗方式尚无明确定义。我们的目的是探讨各种治疗方案的可行性和效用，以取得最佳效果。患有宾德综合征的患者，中面部显得扁平，鼻中隔短，上唇向后倾斜。
我们报告了在此5年期间接受手术治疗的15例宾德综合征患者。采用了不同的治疗方案，如用颅骨劈开移植骨或合成材料（如高密度多孔聚乙烯植入物）矫正鼻背凹陷和上颌骨发育不全。2例安氏III类错牙合患者接受了上颌前徙的勒福I型截骨术。对患者进行了3年的随访。
我们的患者鼻和上颌骨得到了合理的增高。我们有2例患者出现了并发症；1例患者鼻背移植骨骨折，另1例患者鼻旁螺钉突入腭部，已将螺钉取出。
在这一系列病例中，我们能够适当地运用各种治疗方式，取得满意的效果，且无明显并发症。
