Augmentation with cartilage grafts around the pyriform aperture to improve the midface and profile in binder's syndrome.

Annals of plastic surgery 1996 Vol.36(2) p. 206-11

Watanabe T, Matsuo K

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Abstract

The two major surgical methods for improving the midface and its profile of Binder's syndrome (commonly referred to as "dish face" deformity of "C-shape" deformity) are bone or cartilage graft and osteotomy. The bone or cartilage graft limited to the nasal sill area is ineffective in changing the flatness of the paranasal area. Furthermore, Le Fort II osteotomy has distinct disadvantages with possible damage to the patients and an additional Le Fort I osteotomy or orthodontic therapy is required to rearrange the occlusion of the patient with no malocclusion. A cartilage graft not only on the nostril sill area and the dorsum, but also around the pyriform aperture, makes it possible to augment the paranasal area and infraorbital area without osteotomy. Cartilage is an ideal material for grafting, since it tolerates absorption and is harvested in large volume. This surgical technique was applied to two Binder's syndrome patients and good midface profiles were achieved. We believe this technique would also apply to mild cases of Binder's syndrome and other maxillary hypoplasia without severe malocclusion.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 dorsum 콧등 dict 1
해부 nostril 콧방울 dict 1
해부 cartilage grafts scispacy 1
해부 bone scispacy 1
해부 cartilage graft scispacy 1
해부 Cartilage scispacy 1
합병증 C-shape scispacy 1
합병증 nasal sill scispacy 1
합병증 paranasal area scispacy 1
합병증 nostril sill scispacy 1
합병증 maxillary hypoplasia scispacy 1
약물 Le Fort II scispacy 1
약물 Le Fort I osteotomy scispacy 1
질환 Binder's syndrome C0220692
Maxillonasal dysplasia, Binder type
scispacy 1
질환 malocclusion C0024636
Malocclusion
scispacy 1
질환 maxillary hypoplasia C0240310
Hypoplasia of the maxilla
scispacy 1
기타 patients scispacy 1
기타 patient scispacy 1

MeSH Terms

Adolescent; Adult; Cartilage; Facial Bones; Female; Humans; Nose; Osteotomy; Reoperation; Rhinoplasty; Surgery, Plastic; Suture Techniques; Syndrome

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