THE MASK RHINOPLASTY - A TECHNIQUE FOR THE TREATMENT OF BINDERS SYNDROME AND RELATED DISORDERS

Congenital and acquired facial deformities in which the nose is small relative to the rest of the face present a problem in reconstruction. Binder's syndrome is the most common of such deformities, where the no se is both short and lacking tip projection. A method of reconstructin g such deformities is described. By means of a coronal skin incision a nd an approach through the upper buccal sulcus, the nasal soft tissues including the alar cartilages are mobilized. Nasal lengthening and im proved tip projection are achieved and supported by a cantilevered gra ft of lyocartilage. The defect created within the nasal vestibule is r epaired by means of mucosal flaps raised from the upper buccal sulcus. Ten cases have so far been treated successfully using this technique we call mask rhinoplasty.