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特雷彻·柯林斯综合征——病例报告

Treacher Collins syndrome - a case report.

作者信息

Fraszczyk-Tousty Magda, Jankowska Agata, Tousty Joanna, Tousty Piotr, Łoniewska Beata

机构信息

Department of Neonatal Diseases, Pomeranian Medical University, Szczecin, Poland.

Department of Gynecology and Obstetrics, Pomeranian Medical University, Szczecin, Poland.

出版信息

Case Rep Perinat Med. 2022 Dec 19;12(1):20200009. doi: 10.1515/crpm-2020-0009. eCollection 2023 Jan.

Abstract

OBJECTIVES

Treacher Collins syndrome (TCS), also known as mandibulofacial dysostosis and Franceschetti-Zwahlen- Klein syndrome, is an autosomal dominant disorder of soft tissue and the craniofacial bones. In most cases, TCS is the result of a mutation in the gene. The incidence is estimated to be between 1/10,000 and 1/50,000 live births. Our purpose was to describe a case report of patient with TCS born in the Department of Neonatology at the Pomeranian Medical University in Szczecin (Poland) and his family with short review of literature.

CASE PRESENTATION

Clinical abnormalities which were found after birth mainly affect the head - hypoplasia of the cheek bones and the zygomatic bones, micrognation, deformed auricles with undeveloped external auditory canals, retrognathia of the mandible, cleft hard and soft palate and narrow palpebral fissure.

CONCLUSIONS

The treatment of children with TCS is long-term. Patients require a series of reconstructive and plastic surgical procedures. Our patient presented the complete form of TCS. There are multiple surgeries awaiting him, which, eventually, will improve his quality of life.

摘要

目的

特雷彻·柯林斯综合征(TCS),也称为下颌面骨发育不全和弗朗切斯科蒂 - 茨瓦伦 - 克莱因综合征,是一种常染色体显性遗传的软组织和颅面骨疾病。在大多数情况下,TCS是基因发生突变的结果。据估计,其发病率在每10000至50000例活产婴儿中有1例。我们的目的是描述一例在波兰什切青的波美拉尼亚医科大学新生儿科出生的TCS患者及其家族的病例报告,并对相关文献进行简要回顾。

病例介绍

出生后发现的临床异常主要影响头部——颧骨和颧弓发育不全、小颌畸形、耳廓畸形伴外耳道未发育、下颌后缩、硬腭和软腭裂以及睑裂狭窄。

结论

TCS患儿的治疗是长期的。患者需要一系列重建和整形手术。我们的患者表现为TCS的完整形式。有多项手术等待着他,最终将改善他的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c41/11616981/ca05957f6881/j_crpm-2020-0009_fig_001.jpg

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