title: Surgical approach in severe cases of maxillonasal dysplasia (Binder's syndrome).
abstract: Binder's syndrome or maxillonasal dysplasia is a malformation characterized by an extremely flat and retruded nose. Severe cases of the syndrome do also have a retrognatic maxilla often combined with an open bite deformity which demands a combined surgical solution with both maxillary osteotomy and secondary nose correction. The two-stage surgical procedure in the advanced cases of maxillonasal dysplasia has in our opinion been preferable to a Le Fort II osteotomy. Two cases with severe Binder's syndrome where the two-stage procedure has been performed will be presented and the surgical approach discussed.
authors.affiliation: Department of Plastic Surgery, University of Gothenburg, Sweden.
authors.forename: H
authors.initials: H
authors.lastname: Holmström
authors.forename: K E
authors.initials: KE
authors.lastname: Kahnberg
mesh_terms: D000293:Adolescent; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000601:surgery*; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D010027:Osteotomy / Q000379:methods*