NASO-Maxillary hypoplasia—The Le Fort II osteotomy

Henderson, Derek Scott; Jackson, Ian T.

doi:10.1016/0007-117x(73)90022-x

Cited by 83 publications

(16 citation statements)

References 3 publications

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“…Others will advocate for a higher Le Fort osteotomy, including a high Le Fort I or a Le Fort II osteotomy to correct the entire piriform deficiency. [152][153][154] Augmentation of the premaxillary and piriform areas can also be achieved with onlay bone grafting. 151 Timing of nasal reconstruction in Binder syndrome patients has also been controversial.…”

Section: Binder Syndromementioning

confidence: 99%

Craniofacial Syndromes

Buchanan

Xue

Hollier

2014

Plastic and Reconstructive Surgery

167

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Craniofacial syndromes fall into two major categories-those associated with craniosynostosis, and those associated with clefts. Each has a different set of potential complications requiring a unique approach for surgical management. Craniosynostosis is a congenital disorder in which one or more of the cranial sutures fuses prematurely. The most common syndromes associated with this condition include Crouzon, Apert, Pfeiffer, Muenke, and Saethre-Chotzen syndromes. Surgical management of these children requires a multidisciplinary approach and close involvement of the family. Operations must take into consideration the growing potential of the bony structures. Common syndromes associated with clefts include Pierre Robin, Treacher Collins, Nager, Binder, and Stickler syndromes. Many of these children have severe airway issues requiring immediate address before operative reconstruction. As with syndromes associated with craniosynostosis, the key to management is a multidisciplinary approach focused on the right timing. The purpose of this article is to review the clinical presentation, care, and treatment of these patients.

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Section: Binder Syndromementioning

confidence: 99%

Craniofacial Syndromes

Buchanan

Xue

Hollier

2014

Plastic and Reconstructive Surgery

167

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“…[32] This is mainly due to the absent septal support of the nasal dorsum and the relative retrusion of the septum with respect to the nasal base. [2533] Furthermore, a Le Fort two osteotomy lessens the normal glabellar depression and this may be a limiting factor as a nasal dorsum coming straight off the lower forehead is not ideal aesthetically. [34] These facts point to the major importance of nasal correction in patients with Binder's syndrome.…”

Section: Discussionmentioning

confidence: 99%

Maxillonasal dysplasia (Binder's syndrome) and its treatment with costal cartilage graft: A follow-up study

Bhatt¹,

Vyas²,

Tandale³

et al. 2008

Indian J Plast Surg

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Maxillonasal dysplasia or Binder's syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. The cartilage graft was dipped in a solution of 100 ml 0.9% NaCl and one vial (80mg) gentamicin for 30 min to prevent warping. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by slots made in the graft. This technique has been used in children, adults, and for secondary cases with promising results. All patients were of class I dental occlusion. The nasal and premaxillary augmentation which was monitored by serial photography was found to be stable over a follow-up period of three years.

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“…Henderson and Jackson presented a landmark paper [3]in 1973 regarding Lefort -2 osteotomy for the treatment of patients with nasomaxillary hypoplasia. They described four types of nasomaxillary hypoplasia in which this procedure could be used.…”

Section: Nasomaxillary Hypoplasiamentioning

confidence: 98%

Lefort-2 osteotomy for the treatment of nasomaxillary hypoplasia: a case report

Bhat

Cariappa

2009

J. Maxillofac. Oral Surg.

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Nasomaxillary hypoplasia clinically presents as a class lll deformity with hypoplasia or retrusion of the nasal bones and maxilla, which manifests as deficient projection of the nose.Lefort 2 osteotomy though introduced in 1950s, did not get its due attention till Henderson and Jackson published their landmark article, for the correction of Nasomaxillary hypoplasia in 1973. Accomplished surgeons can achieve a lot more in this rarely performed surgery when used in appropriate cases.

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NASO-Maxillary hypoplasia—The Le Fort II osteotomy

Cited by 83 publications

References 3 publications

Craniofacial Syndromes

Craniofacial Syndromes

Maxillonasal dysplasia (Binder's syndrome) and its treatment with costal cartilage graft: A follow-up study

Lefort-2 osteotomy for the treatment of nasomaxillary hypoplasia: a case report

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