Effectiveness of autologous costal cartilage transplantation in repair of Binder’s syndrome_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIANG Zhiyuan ,  YOU Xiaobo , CAI Zhen , LIU Quan , DU Liping , CUI Wei , CHEN Zaihong , SHENG Yang

Department of Plastic Surgery, Sichuan Provincial People’s Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China;

Corresponding author：

YOU Xiaobo, Email: yxbprs@163.com

Keywords：

Binder’s syndrome; autologous costal cartilage; cartilage transplantation

DOI：

10.7507/1002-1892.201802064

Video：

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Objective To investigate the technical points and effectiveness of autogenous costal cartilage transplantation in repair of Binder’s syndrome. Methods Between June 2012 and June 2017, 8 cases of Binder’s syndrome were admitted. There were 3 males and 5 females, aged 16-31 years (mean, 22 years). All patients were conformed to the typical manifestations of Binder’s syndrome. The autogenous costal cartilage was harvested and carved into the nasal dorsum graft, nasal column graft, and nasal basement graft. Before and after operation, standard pictures of the anterior view, lateral view, and base view were taken to measure facial related parameters of nasal dorsum length, nasal columella-lobule ratio, nasofrontal angle, nasal columella-upper lip angle, nasal tip projection rate, and nasion projection. Then the effectiveness of this surgical procedure for Binder’s syndrome was evaluated. Results All incisions healed by first intention without acute infections. All patients were followed up 6-36 months, with an average of 18 months. The foreign body sensation in upper lip and scar hyperplasia in thoracic incision occurred in 1 case, respectively. The nasal morphology improved significantly and the coordinated relationships of the nose with the upper lip and face were restored postoperatively. Postoperative parameter measurements were taken in 6 cases. The nasal dorsum length, nasal columella-lobule ratio, nasofrontal angle, nasal columella-upper lip angle, nasal tip projection rate, and nasion projection at preoperation were significantly improved when compared with the values at 6 months after operation (P<0.05). The difference in nasal dorsum length, nasal tip projection rate, and nasion projection between actual values at 6 months after operation and normal values was no significant (P<0.05). There was significant difference in nasal columella-lobule ratio between actual value at 6 months after operation and normal value (P>0.05). Conclusion Autogenous costal cartilage transplantation in repair of Binder’s syndrome can obviously improve patients’ appearance of the external nose and middle face, and obtain the persistent effectiveness.

Citation： JIANG Zhiyuan, YOU Xiaobo, CAI Zhen, LIU Quan, DU Liping, CUI Wei, CHEN Zaihong, SHENG Yang. Effectiveness of autologous costal cartilage transplantation in repair of Binder’s syndrome. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(8): 1056-1060. doi: 10.7507/1002-1892.201802064 Copy

1.	刘长松, 陈伟华, 宋娜, 等. 膨体联合自体肋软骨移植矫正 Binder’s 综合征畸形. 中国美容整形外科杂志, 2016, 27(8): 461-463.
2.	田甜, 滕利. Binder综合征的诊断和治疗. 中国美容医学, 2012, 21(15): 2087-2090.
3.	Demas PN, Braun TW. Simultaneous reconstruction of maxillary and nasal deformity in a patient with Binder’s syndrome (maxillonasal dysplasia). J Oral Maxillofac Surg, 1992, 50(1): 83-86.
4.	Cook K, Prefumo F, Presti F, et al. The prenatal diagnosis of Binder syndrome before 24 weeks of gestation: case report. Ultrasound Obstet Gynecol, 2000, 16(6): 578-581.
5.	Jack PG, Rod JR, William PA, 等. 达拉斯鼻整形术. 李战强, 主译. 北京: 人民卫生出版社, 2009: 67-81.
6.	王悦, 王国民. 上海地区 100 例青年人面部正常值测量分析. 中国口腔颌面外科杂志, 2011, 9(3): 217-222.
7.	李芯, 蔡磊, 王克明, 等. 闭合入路肋软骨颗粒游离移植隆鼻术的前瞻性临床对照研究. 中国美容整形外科杂志, 2016, 27(10): 584-588.
8.	Bitik O, Uzun H, Kamburoğlu HO, et al. Nasal tip suspending transfixion suture. Aesthetic Plast Surg, 2014, 38(2): 309-315.
9.	田乐. 软骨移植物矫正 Binder 综合征鼻畸形的临床效果及移植后的转归. 北京: 北京协和医学院, 2017.
10.	于洪波, 张雷, 王旭东, 等. 面中部牵引成骨结合正颌手术治疗 Binder 综合征. 中国口腔颌面外科杂志, 2014, 12(4): 323-327.
11.	杨定文, 吴杰, 李宁生, 等. Le Fort Ⅱ型截骨治疗 Binder’s 综合征一例. 中华整形外科杂志, 2002, 18(6): 362.
12.	Posnick JC, Tompson B. Binder syndrome: staging of reconstruction and skeletal stability and relapse patterns after LeFort Ⅰ osteotomy using miniplate fixation. Plast Reconstr Surg, 1997, 99(4): 961-975.
13.	杨锴, 滕利, 卢建建, 等. 自体肋骨及肋软骨植入矫正 Binder 综合征畸形. 中国美容医学, 2008, 17(2): 214-216.
14.	Wei J, Luo J, Herrler T, et al. A simple technique for the correction of maxillonasal dysplasia using customized expanded polytetrafluoroethylene (ePTFE) implants. J Plast Reconstr Aesthet Surg, 2017, 70(9): 1292-1297.
15.	Cossellu G, Biagi R, Faggioni G, et al. Orthodontic treatment of Binder syndrome: A case report with 5 years of follow-up. Cleft Palate Craniofac J, 2015, 52(4): 484-488.
16.	Gurley JM, Pilgram T, Perlyn CA, et al. Long-term outcome of autogenous rib graft nasal reconstruction. Plast Reconstr Surg, 2001, 108(7): 1895-1907.
17.	Ahmed A, Imani P, Vuyk HD. Reconstruction of significant saddle nose deformity using autogenous costal cartilage graft with incorporated mirror image spreader grafts. Laryngoscope, 2010, 120(3): 491-494.
18.	Defatta RJ, Williams EF 3rd. The decision process in choosing costal cartilage for use in revision rhinoplasty. Facial Plast Surg, 2008, 24(3): 365-371.
19.	柳大烈, 鲁开化, 艾玉峰, 等. 自体肋软骨移植隆鼻术的经验体会(79 例报告). 中国美容整形外科, 1991(Z1): 58-59.
20.	Cantarell SM, Azuara LS, Perez SP, et al. Prenatal diagnosis of Binder’s syndrome: report of two cases. Clin Exp Obstet Gynecol, 2016, 43(2): 279-283.
21.	Chummun S, McLean NR, Nugent M, et al. Binder syndrome. J Craniofac Surg, 2012, 23(4): 986-990.

1. 刘长松, 陈伟华, 宋娜, 等. 膨体联合自体肋软骨移植矫正 Binder’s 综合征畸形. 中国美容整形外科杂志, 2016, 27(8): 461-463.
2. 田甜, 滕利. Binder综合征的诊断和治疗. 中国美容医学, 2012, 21(15): 2087-2090.
3. Demas PN, Braun TW. Simultaneous reconstruction of maxillary and nasal deformity in a patient with Binder’s syndrome (maxillonasal dysplasia). J Oral Maxillofac Surg, 1992, 50(1): 83-86.
4. Cook K, Prefumo F, Presti F, et al. The prenatal diagnosis of Binder syndrome before 24 weeks of gestation: case report. Ultrasound Obstet Gynecol, 2000, 16(6): 578-581.
5. Jack PG, Rod JR, William PA, 等. 达拉斯鼻整形术. 李战强, 主译. 北京: 人民卫生出版社, 2009: 67-81.
6. 王悦, 王国民. 上海地区 100 例青年人面部正常值测量分析. 中国口腔颌面外科杂志, 2011, 9(3): 217-222.
7. 李芯, 蔡磊, 王克明, 等. 闭合入路肋软骨颗粒游离移植隆鼻术的前瞻性临床对照研究. 中国美容整形外科杂志, 2016, 27(10): 584-588.
8. Bitik O, Uzun H, Kamburoğlu HO, et al. Nasal tip suspending transfixion suture. Aesthetic Plast Surg, 2014, 38(2): 309-315.
9. 田乐. 软骨移植物矫正 Binder 综合征鼻畸形的临床效果及移植后的转归. 北京: 北京协和医学院, 2017.
10. 于洪波, 张雷, 王旭东, 等. 面中部牵引成骨结合正颌手术治疗 Binder 综合征. 中国口腔颌面外科杂志, 2014, 12(4): 323-327.
11. 杨定文, 吴杰, 李宁生, 等. Le Fort Ⅱ型截骨治疗 Binder’s 综合征一例. 中华整形外科杂志, 2002, 18(6): 362.
12. Posnick JC, Tompson B. Binder syndrome: staging of reconstruction and skeletal stability and relapse patterns after LeFort Ⅰ osteotomy using miniplate fixation. Plast Reconstr Surg, 1997, 99(4): 961-975.
13. 杨锴, 滕利, 卢建建, 等. 自体肋骨及肋软骨植入矫正 Binder 综合征畸形. 中国美容医学, 2008, 17(2): 214-216.
14. Wei J, Luo J, Herrler T, et al. A simple technique for the correction of maxillonasal dysplasia using customized expanded polytetrafluoroethylene (ePTFE) implants. J Plast Reconstr Aesthet Surg, 2017, 70(9): 1292-1297.
15. Cossellu G, Biagi R, Faggioni G, et al. Orthodontic treatment of Binder syndrome: A case report with 5 years of follow-up. Cleft Palate Craniofac J, 2015, 52(4): 484-488.
16. Gurley JM, Pilgram T, Perlyn CA, et al. Long-term outcome of autogenous rib graft nasal reconstruction. Plast Reconstr Surg, 2001, 108(7): 1895-1907.
17. Ahmed A, Imani P, Vuyk HD. Reconstruction of significant saddle nose deformity using autogenous costal cartilage graft with incorporated mirror image spreader grafts. Laryngoscope, 2010, 120(3): 491-494.
18. Defatta RJ, Williams EF 3rd. The decision process in choosing costal cartilage for use in revision rhinoplasty. Facial Plast Surg, 2008, 24(3): 365-371.
19. 柳大烈, 鲁开化, 艾玉峰, 等. 自体肋软骨移植隆鼻术的经验体会(79 例报告). 中国美容整形外科, 1991(Z1): 58-59.
20. Cantarell SM, Azuara LS, Perez SP, et al. Prenatal diagnosis of Binder’s syndrome: report of two cases. Clin Exp Obstet Gynecol, 2016, 43(2): 279-283.
21. Chummun S, McLean NR, Nugent M, et al. Binder syndrome. J Craniofac Surg, 2012, 23(4): 986-990.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of autologous costal cartilage transplantation in repair of Binder’s syndrome

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