Binder’s Syndrome Nose deformity-Rhinoplasty

Originally posted on Better Rhinoplasty:
Rhinoplasty in Naso Maxillary Hypoplasia or Binders syndrome – It is an uncommon condition and although we are a tertiary referral centre we get quite a few cases of Binders syndrome. It is a  congenital disease affecting the face. Also called Nasomaxillary hypoplasia or maxilla-facial dysplasia, the condition results in…

Hump Nose/Large nose

Hump Nose /Big Nose
A straight nose is the most preferred choice sometime a small(or large) bump in mid dorsum Makes it looks like a hump

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The nasal dorsum connects the tip of the nose to the face; commonly refer to it as the “bridge”. When there is a hump in the upper region, it is probably made up of bone, while in the lower area; it will more likely consist of cartilage. Often, though, the hump will be a combination of cartilage and excess bone.
Although trauma sustained during the birthing experience as well as injury to the nose later in life are common causes for the dorsal hump, the main contributing factor is genetics.
It can be only a visible dorsal prominent (Only aesthetic) or associated with deviated nasal septum with breathing problem, Which is usually misdirected growth of the Nasal septum ,pushing the Nsal bones out appearing as hump
Nasal hump surgery – The dorsum carefully evaluated. Most dorsal humps consist primarily of cartilage with a bony component. Hump excision can be performed using various techniques. Rasping alone can be used to address small bony humps. Larger dorsal humps are usually excised a osteotome.
Recently Ultrasonic waves (Piezo surgery) has been introduced for Bony hump reduction and removing bony irregularities, ultrasonic waves offers a great precision in removing hump and have revolutionised the Rhinoplasty surgery .
After Hump removal the dorsum becomes wide and it is narrowed by osteotomies, and the mid vault is reconstructed by using spreader grafts or flap to avoid the inverted ‘v ‘deformity
A new concept is emerging preservation of dorsum technique where a piece of septal cartilage pushing the dorsum is removed from inside the nose and the hump is reduced by pushing it back ,thus preserving the natural dorsum ,some surgeons like to reconstruct back the mid vault after hump removal



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