Khatiwada Abhikanta, Thapa Bikram, Pandit Raju, Bhandari Dependra, Kc Sharada
Department of Radiology; Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Orthopedic Surgery, KMCTH, Kathmandu, Nepal.
Radiol Case Rep. 2024 Nov 8;20(1):593-596. doi: 10.1016/j.radcr.2024.10.042. eCollection 2025 Jan.
Treacher Collins syndrome, also known as mandibulofacial dysostosis, is a rare congenital disorder affecting craniofacial development. It is caused by an autosomal dominant mutation, primarily in the TCOF1 gene, which impacts the development of the first and second branchial arches. We present the case of a 12-year-old male with bilateral conductive hearing loss and deformed ears, whose clinical and imaging findings were consistent with Treacher Collins syndrome. Imaging revealed microtia, atresia of the external auditory canals, and hypoplastic middle ear structures. Additionally, facial abnormalities such as retrognathia, hypoplastic zygomatic bones, and a cleft palate were identified. This case underscores the crucial role of imaging in diagnosing Treacher Collins syndrome and guiding multidisciplinary management strategies.
特雷彻·柯林斯综合征,又称下颌面骨发育不全,是一种影响颅面发育的罕见先天性疾病。它由常染色体显性突变引起,主要发生在TCOF1基因,影响第一和第二鳃弓的发育。我们报告一例12岁男性,患有双侧传导性听力损失和耳部畸形,其临床和影像学表现与特雷彻·柯林斯综合征相符。影像学检查显示小耳畸形、外耳道闭锁以及中耳结构发育不全。此外,还发现了诸如下颌后缩、颧骨发育不全和腭裂等面部异常。该病例强调了影像学在诊断特雷彻·柯林斯综合征及指导多学科管理策略方面的关键作用。