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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(01): 078-081
DOI: 10.1055/s-0043-1761249
Ideas and Innovations

Columellar Lengthening in Primary and Secondary Rhinoplasty for Binder's Syndrome: A Fresh Perspective

Kapil Agrawal 
1   Department of Plastic Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
,
Raghav Shrotriya 
1   Department of Plastic Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
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Abstract

Binder's syndrome is a developmental disorder with a short columella and nasal base flaring among the many features that have been described. Since the nose occupies the central position over the face, these features appear as a major cosmetic deformity for which patients seek correction. Traditionally various designs of V–Y advancement flap from the upper lip have been described, but they are not without problems. In this article, the authors have discussed a novel design that can mitigate those problems and also described a method of providing additional vascular safety in case of secondary rhinoplasty.

Keywords

rhinoplasty - plastic surgery - binder syndrome - columellar reconstruction - short columella

Informed Consent

Institutional Ethics Committee clearance has been taken for this study. Informed consent has been taken from the patients involved.




Publikationsverlauf

Artikel online veröffentlicht:
02. Februar 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Von Binder KH. Dysotosis maxillo-nasalis, ein arhinencephaler missbildungskomplex. Deutsche Zahnarztuche Zeitschift 1962; 17: 438-444 [in German]
    Google Scholar
  • 2 Yamani VR, Ghosh S, Tirunagari S. Nasal correction in nasomaxillary hypoplasia (Binder's syndrome): an optimised classification and treatment. Indian J Plast Surg 2016; 49 (03) 314-321
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 3 Gensoul J. Journ Hebd Med Chir Pratique 1833; 29
  • 4 Draf W, Bockmühl U, Hoffmann B. Nasal correction in maxillonasal dysplasia (Binder's syndrome): a long term follow-up study. Br J Plast Surg 2003; 56 (03) 199-204
    CrossrefPubMedGoogle Scholar
  • 5 Holmström H. Surgical correction of the nose and midface in maxillonasal dysplasia (Binder's syndrome). Plast Reconstr Surg 1986; 78 (05) 568-580
    CrossrefPubMedGoogle Scholar
  • 6 Deshpande SN, Juneja MH. Binder's syndrome (maxillonasal dysplasia) different treatment modalities: our experience. Indian J Plast Surg 2012; 45 (01) 62-66
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 7 Edgerton MT, Lewis CM, McKnelly LO. Lengthening of the short nasal columella by skin flaps from the nasal tip and dorsum. Plast Reconstr Surg 1967; 40 (04) 343-353
    CrossrefPubMedGoogle Scholar
  • 8 Jackson IT, Yavuzer R, Kelly C, Bu-Ali H. The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity. J Craniofac Surg 2005; 16 (02) 255-261
    CrossrefPubMedGoogle Scholar