Binder syndrome is a congenital disorder that affects the face, leaving you with a flat, underdeveloped central face and a compacted nose. Fortunately, this condition is treatable. Read more about treating binder syndrome.

Symptoms of Binder Syndrome

This rare congenital disorder can be either mild or severe, but neither is favorable. In extreme cases, you’ll have a miniature nose, and your upper jaw will be completely recessed, causing an underbite. In mild cases, your upper teeth will be positioned typically, but the visible bones on each side of your nose will be recessed.

Your nose will also have a shorter columella (frontal nasal spine) and an undersized nasal bridge. Most kids with binder syndrome have comma-shaped nostrils and lack the bone below the columella.

How to Treat Binder Syndrome

The process of treating binder syndrome begins with a proper diagnosis. This disorder can be diagnosed based on a child’s appearance. But your doctor will also do several additional tests to confirm their diagnosis, including a CT scan and an x-ray. It’s advisable to wait until the child’s facial bones are fully developed, usually between 15 and 19 years.

The treatment of binder syndrome involves surgery. The surgeon will cut and reposition the affected jaw by pulling it forward. This procedure is commonly referred to as Le Fort I osteotomy or progression. Before the surgery, your child will be taken through orthodontic therapy.

In mild cases, the surgery may not be necessary because orthodontic therapy is enough to help the child live everyday life. However, both mild and severe cases of binder syndrome cause the bone along the nose to recede. Therefore, bone grafting or the placement of synthetic implants in this area may be necessary. If the nose has been completely reduced, it may be augmented through cartilage grafting.

Make sure that your child’s skeletal structure is fully formed before grafting. This ensures that their bones don’t outgrow the grafts. Suppose your child’s facial appearance is a significant concern. In that case, they can get temporary artificial implants that can be replaced with larger ones at different stages of their development until their facial skeletal structure is fully formed. Sometimes the child’s septum and turbinate sheaths need to be operated on to reduce nasal obstruction.