Reyneke J P, Widegrow A D
Division of Maxillofacial and Oral Surgery, University of Witwatersrand, Johannesburg, South Africa.
Int J Adult Orthodon Orthognath Surg. 1996;11(2):117-26.
The treatment of Binder's syndrome, especially the reconstruction of the nose, has been challenging in the past. Although the Class III malocclusion can be corrected by a Le Fort I or II osteotomy, the rudimentary anterior nasal spine, the piriform rim, and the anterior maxilla remain retruded in relation to the rest of the maxilla and other facial structures. Nasal reconstruction based on this retruded potential anchor is difficult and probably the cause of unsatisfactory results. Surgical advancement of the nasal base by means of a nasomaxillary osteotomy not only simplifies the nasal reconstruction but also improves the esthetic results. The surgical technique is described and results are demonstrated by treated cases.
过去，宾德综合征的治疗，尤其是鼻重建一直具有挑战性。虽然III类错牙合畸形可通过勒福I型或II型截骨术矫正，但相对于上颌骨的其他部分和其他面部结构，发育不全的前鼻棘、梨状缘和上颌前部仍后缩。基于这种后缩的潜在锚定进行鼻重建很困难，这可能是导致效果不理想的原因。通过鼻上颌截骨术进行鼻基底的手术前移不仅简化了鼻重建，还改善了美学效果。本文描述了手术技术，并通过治疗病例展示了结果。
