Binder Syndrome

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also known as
Dish Face Anomaly

Common Description

Often referred to as the dish-face deformity, these patients have a flat midface with poorly developed cheek bones and a flattened nose.

Medical Description

Chondro dysplasia punctata.


  • Structures around nose poorly formed
  • Frontal sinuses are often small
  • Contour of the cheekbones less pronounced
  • Short columella
  • Poorly formed philtrim (groove in upper lip)
  • Maxilla is set back
  • Abnormal bite (class III malocclusion) is common
  • Difficulty with speech and eating is common

Actual Patient - Before

Actual Patient - After

Our Recommendation

Protocol management by a craniofacial team from birth to maturity.

DDMS Process and Procedure

Professor David, has developed a protocol, in conjunction with the Australian Craniofacial Unit, that incorporates a multidisciplinary approach to treatment. This treatment extends from birth until early adulthood when full development is complete.

Advice for Carer's

Children with Binder Syndrome are often the subject of much teasing.


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Denpasar - Yayasan Senyum
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Launceston General Hospital
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Kota Bharu
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Contact Information

David David Medical Services
226 Melbourne Street
North Adelaide
South Australia, 5006
T (61) 8 8267 1466
F (61) 8 8267 3403