Treacher Collins syndrome in a child patient. Report of a case.

Abstract

ABSTRACT

INTRODUCTION: Treacher Collins Syndrome (STC) is defined as a craniofacial malformation of autosomal dominant origin, presenting in a complex, bilateral manner and with specific affections of the facial complex. Its incidence is known in 1/50,000 births. It involves easy alterations in soft and bone tissues that require multidisciplinary attention, where the Plastic Surgeon, Maxillofacial Surgeon, Pediatric Dentist, audiologist, speech therapy, psychologist and social worker are involved. OBJECTIVE: To evaluate the characteristics and clinical manifestations of the patient with CTS, with the help of clinical history, intra- and extra-oral photographs, panoramic and lateral radiographic images of the skull and anteroposterior radiography. CASE PRESENTATION: An 8-year-old male patient is presented to the Pediatric Dentistry clinic, accompanied by his mother, previously diagnosed with Treacher Collins Syndrome, the mother reports that the patient does not have space for his permanent teeth. Physical examination reveals facies with malar hypoplasia and bilateral infraorbital rim, anti-mongoloid palpebral fissures, absence of eyelashes in the outer third of the lower eyelid. Microretrognathia with limitation in the opening of the temporomandibular joint and poor dental position, for which an orthopedic treatment plan is designed. CONCLUSION: The characteristics and clinical manifestations of each individual must be known in order to carry out the proper management and dental care that they require, which is variable depending on the severity of the genetic expression.