Tessier P, Tulasne J F, Delaire J, Resche F
Rev Stomatol Chir Maxillofac. 1979;80(6):363-72.
The treatment of Binder's maxillonasal dysostosis raises many problems and difficulties of both orthodontic and surgical natures. Orthodontic therapy should be conducted as early as possible and include, principally, an advancement of the maxilla by heavy extra-oral postero-anterior traction on an orthodontic mask. If good occlusion is obtained the patient can then be treated to improve the anatomical conditions of the muscles of the nose and upper lip. Maxillary, and more rarely mandibular osteotomies are indicated in cases with poor occlusion. When occlusion is reasonably good the hypoplasia has to be compensated for by using large portions of ilac bone to reconstruct the ridge and point of the nose. A preseptal graft on the ridge and secondarily, revisions of the point of the nose are often essential to ensure the best results.
宾德氏上颌鼻骨发育不全的治疗引发了许多正畸和外科性质的问题与困难。正畸治疗应尽早进行，主要包括通过在正畸面罩上进行强力口外后前牵引来推进上颌骨。如果获得了良好的咬合，那么就可以对患者进行治疗以改善鼻和上唇肌肉的解剖状况。在咬合不良的病例中，需要进行上颌骨截骨术，下颌骨截骨术则较为少见。当咬合情况尚可时，必须使用大量髂骨来重建鼻嵴和鼻尖，以补偿发育不全。在鼻嵴处进行鼻中隔前移植，其次，对鼻尖进行修复对于确保最佳效果通常至关重要。
