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Binder Syndrome

Chummun, Shaheel MBBS, MRCS*; McLean, N.R. MD, FRCS; Nugent, M. MS, FRACDS; Anderson, P. J. PhD, FDSRCS (Ed); David, David J. AC, MD

Journal of Craniofacial Surgery: July 2012 - Volume 23 - Issue 4 - p 986–990
doi: 10.1097/SCS.0b013e31824e2683
Original Articles

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.

denotes article available on Web site in Chinese translation

From the *Department of Plastic Surgery, Derriford Hospital, Plymouth, United Kingdom; and †Australian Craniofacial Unit, Women’s and Children’s Hospital, Adelaide, Australia.

Received December 8, 2011.

Accepted for publication January 28, 2012.

Address correspondence and reprint requests to Shaheel Chummun, MBBS, MRCS, Department of Plastic Surgery, Derriford Hospital, Plymouth, PL6 8DH, United Kingdom; E-mail:

This work is attributed to the Australian Craniofacial Unit, Women’s and Children’s Hospital, Adelaide, Australia.

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD