Binder Syndrome

This is characterised by a deficiency in growth of the mid-face between the mouth and brow. This results in children who have a poorly developed nose and poor jaw alignment. Treatment for this condition usually includes orthodontics as well orthognathic surgery to reposition the jaw to allow the upper and lower teeth to meet together.

Once the midface has been placed in the proper position with this surgery, attention can be directed towards the nose, which can be supported and enlarged with a bone graft.

In very severe cases, the nasal skin can be stretched from an early age with artificial implants. In this manner, an excellent early facial appearance can be achieved which can prevent teasing at school. These procedures usually begin after the eruption of the secondary teeth, at approximately 7–11 years of age, but final surgery is often not completed until growth is finished.