title: Binder's syndrome (maxillonasal dysplasia) different treatment modalities: Our experience.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  In this series of cases, we were able to utilise various treatment modalities appropriately to achieve satisfactory outcome with no significant complications.
authors: Department of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, India.
authors: Sanjeev N
authors: SN
authors: Deshpande
authors: Manpreet H
authors: MH
authors: Juneja