Primary report of single rib-cartilage recombination transplantation in Binder syndrome treatment

Abstract

To explore the surgical methods and advantages of single rib-cartilage recombination transplantation in Binder syndrome treatment. Five patients were treated with single rib-cartilage recombination transplantation. We harvested only the seventh costal cartilage including partial costal bone of the same rib to correct all the deformities. The rib was divided into 3 parts: 1 I-shaped cartilage, 1 inverted-T-shaped cartilage, and 1 C-shaped implant (later divided into a C and a reversed-C implant) composed of rib bone and cartilage. The first 2 parts were constructed to an L-shaped implant for nasal dorsum augmentation, collumella support, and nasal base elevation. The C-shaped and reversed-C-shaped implants were placed on both sides of the pyriform aperture. All patients were followed up for eighteen to thirty months. No apparent deviation on the nasal support was found. Single rib-cartilage recombination transplantation in Binder syndrome treatment has lots of advantages, such as less morbidity, rapid recovery, and good results.