Binder syndrome

Shaheel Chummun, N. R. McLean, M. Nugent, Peter Anderson, David J. David

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Patients with chondrodysplasia punctata (CDP) usually present with Binder-type features, and often CDP is misdiagnosed as Binder syndrome. This study reviewed the management and outcome of patients with Binder syndrome and CDP in a multidisciplinary setting. Methods: The notes and radiographs of the patients managed at the Australian Craniofacial Unit with a multidisciplinary setting since 1976 were reviewed, and data were collected on patient demographics, associated medical and surgical problems, subsequent management, and complications. Results: Seventy-seven patients were treated over the 30-year period (5 patients were lost to follow-up); of the remaining 72 patients, 60 (83%) had Binder syndrome, and 12 (17%) were patients with CDP. Forty were males, and 32 were females, with an age range of 6 months to 47 years. Thirteen patients (18%) had a strong family history, and 65 patients (90%) have so far undergone surgical correction, and of those, 35 (54%) have completed their treatment, the longest follow-up time being 18 years. The mean number of surgical procedures was 2.4, and 18 patients (28%) had postoperative complications, which included partial necrosis of the maxilla, osteomyelitis of the mandible, facial nerve and inferior alveolar nerve neuropraxia, nasal bone graft exposure, and cellulitis. Discussion: Because of the phenotypic characteristics shared by both Binder syndrome and CDP, it is most likely that Binder syndrome is not a syndrome, nor is it an entity, but most likely to be an "association." We would advocate that these patients should be managed in a multidisciplinary setting.

Original languageEnglish
Pages (from-to)986-990
Number of pages5
JournalJournal of Craniofacial Surgery
Volume23
Issue number4
DOIs
Publication statusPublished - 1 Jul 2012
Externally publishedYes

Keywords

  • Binder syndrome
  • chondrodysplasia punctata
  • costochondral nasal grafts

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Chummun, S., McLean, N. R., Nugent, M., Anderson, P., & David, D. J. (2012). Binder syndrome. Journal of Craniofacial Surgery, 23(4), 986-990. https://doi.org/10.1097/SCS.0b013e31824e2683