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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 4/2009

01-07-2009 | Case Report

Correction of Septal and Midface Hypoplasia in Maxillonasal Dysplasia (Binder’s Syndrome) Using High-Density Porous Polyethylene

Authors: Tamer Seyhan, Beyza Hancioglu Kircelli, Baris Caglar

Published in: Aesthetic Plastic Surgery | Issue 4/2009

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Abstract

Background

Maxillonasal dysplasia (Binder’s syndrome) is a congenital malformation characterized by an extremely flat and retruded nose.

Methods

This report describes an 18-year-old woman with maxillonasal dysplasia (Binder’s syndrome). The septal deficiencies and maxillary retrusion of the patient were corrected by using an L-shaped implant and a crescent-shaped high-density porous polyethylene implant through the oral vestibular sulcus via an external rhinoplasty approach.

Results

After the operation, the tip of the nose had moved 5.5 mm anteriorly in the sagittal plane and 11.9 mm coronally in the vertical plane. Also, the nasolabial angle had increased after the surgery. Follow-up evaluation at 24 months showed good correction of the nasal and midface projection.

Conclusions

High-density porous polyethylene implants are a good alternative for patients with Binder’s syndrome, especially those who will not accept costal cartilage grafts or orthognathic surgery and who have tendency for hypertrophic scarring.
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Metadata
Title
Correction of Septal and Midface Hypoplasia in Maxillonasal Dysplasia (Binder’s Syndrome) Using High-Density Porous Polyethylene
Authors
Tamer Seyhan
Beyza Hancioglu Kircelli
Baris Caglar
Publication date
01-07-2009
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 4/2009
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-009-9312-5

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