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.	劉長松, 陳偉華, 宋娜, 等. 膨體聯合自體肋軟骨移植矯正 Binder’s 綜合征畸形. 中國美容整形外科雜志, 2016, 27(8): 461-463.
2.	田甜, 滕利. Binder綜合征的診斷和治療. 中國美容醫學, 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. 達拉斯鼻整形術. 李戰強, 主譯. 北京: 人民衛生出版社, 2009: 67-81.
6.	王悅, 王國民. 上海地區 100 例青年人面部正常值測量分析. 中國口腔頜面外科雜志, 2011, 9(3): 217-222.
7.	李芯, 蔡磊, 王克明, 等. 閉合入路肋軟骨顆粒游離移植隆鼻術的前瞻性臨床對照研究. 中國美容整形外科雜志, 2016, 27(10): 584-588.
8.	Bitik O, Uzun H, Kamburo?lu HO, et al. Nasal tip suspending transfixion suture. Aesthetic Plast Surg, 2014, 38(2): 309-315.
9.	田樂. 軟骨移植物矯正 Binder 綜合征鼻畸形的臨床效果及移植后的轉歸. 北京: 北京協和醫學院, 2017.
10.	于洪波, 張雷, 王旭東, 等. 面中部牽引成骨結合正頜手術治療 Binder 綜合征. 中國口腔頜面外科雜志, 2014, 12(4): 323-327.
11.	楊定文, 吳杰, 李寧生, 等. Le Fort Ⅱ型截骨治療 Binder’s 綜合征一例. 中華整形外科雜志, 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.	楊鍇, 滕利, 盧建建, 等. 自體肋骨及肋軟骨植入矯正 Binder 綜合征畸形. 中國美容醫學, 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, 魯開化, 艾玉峰, 等. 自體肋軟骨移植隆鼻術的經驗體會(79 例報告). 中國美容整形外科, 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. 劉長松, 陳偉華, 宋娜, 等. 膨體聯合自體肋軟骨移植矯正 Binder’s 綜合征畸形. 中國美容整形外科雜志, 2016, 27(8): 461-463.
2. 田甜, 滕利. Binder綜合征的診斷和治療. 中國美容醫學, 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. 達拉斯鼻整形術. 李戰強, 主譯. 北京: 人民衛生出版社, 2009: 67-81.
6. 王悅, 王國民. 上海地區 100 例青年人面部正常值測量分析. 中國口腔頜面外科雜志, 2011, 9(3): 217-222.
7. 李芯, 蔡磊, 王克明, 等. 閉合入路肋軟骨顆粒游離移植隆鼻術的前瞻性臨床對照研究. 中國美容整形外科雜志, 2016, 27(10): 584-588.
8. Bitik O, Uzun H, Kamburo?lu HO, et al. Nasal tip suspending transfixion suture. Aesthetic Plast Surg, 2014, 38(2): 309-315.
9. 田樂. 軟骨移植物矯正 Binder 綜合征鼻畸形的臨床效果及移植后的轉歸. 北京: 北京協和醫學院, 2017.
10. 于洪波, 張雷, 王旭東, 等. 面中部牽引成骨結合正頜手術治療 Binder 綜合征. 中國口腔頜面外科雜志, 2014, 12(4): 323-327.
11. 楊定文, 吳杰, 李寧生, 等. Le Fort Ⅱ型截骨治療 Binder’s 綜合征一例. 中華整形外科雜志, 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. 楊鍇, 滕利, 盧建建, 等. 自體肋骨及肋軟骨植入矯正 Binder 綜合征畸形. 中國美容醫學, 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, 魯開化, 艾玉峰, 等. 自體肋軟骨移植隆鼻術的經驗體會(79 例報告). 中國美容整形外科, 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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