Skip to main content
SpringerLink
Log in

Reconstruction of the Ear Deformities Associated with Treacher Collins Syndrome

  • Chapter
  • First Online:
Craniofacial Microsomia and Treacher Collins Syndrome

  • 699 Accesses

Abstract

External ear anomalies in Treacher Collins syndrome (TCS) range from preauricular accessory appendages to sinuses to the full spectrum of microtia. These generally occur bilaterally but not necessarily symmetrically. Identification early in life is important for parental reassurance and discussion of future plans.

Up to 85% of TCS patients have microtia or atresia. It is important to present the family with all options of reconstruction, from not intervening to prosthetics and surgical reconstruction. This chapter focuses on the identification and management of external ear anomalies in TCS.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Aljerian A, Gilardino MS. Treacher Collins syndrome. Clin Plast Surg. 2019;46(2):197–205. https://doi.org/10.1016/j.cps.2018.11.005.

    Article  PubMed  Google Scholar 

  2. Amirhassankhani S, Lloyd MS. Accessory auricles: systematic review of definition, associated conditions, and recommendations for clinical practice. J Craniofac Surg. 2018;29(2):372–5. https://doi.org/10.1097/SCS.0000000000004201.

    Article  PubMed  Google Scholar 

  3. Arvystas M, Shprintzen RJ. Craniofacial morphology in Treacher Collins syndrome. Cleft Palate Craniofac J. 1991;28(2):226–30; ; discussion 230-221. https://doi.org/10.1597/1545-1569_1991_028_0226_cmitcs_2.3.co_2.

    Article  CAS  PubMed  Google Scholar 

  4. Brent B. Microtia repair with rib cartilage grafts: a review of personal experience with 1000 cases. Clin Plast Surg. 2002;29(2):257–71, vii. https://doi.org/10.1016/s0094-1298(01)00013-x.

    Article  PubMed  Google Scholar 

  5. Cabin JA, Bassiri-Tehrani M, Sclafani AP, Romo T. Microtia reconstruction: autologous rib and Alloplast techniques. Facial Plast Surg Clin North Am. 2014;22(4):623–38. https://doi.org/10.1016/j.fsc.2014.07.004.

    Article  PubMed  Google Scholar 

  6. Chang CC, Steinbacher DM. Treacher Collins syndrome. Semin Plast Surg. 2012;26(2):83–90. https://doi.org/10.1055/s-0032-1320066.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Surg Hand Surg. 1998;32(1):35–47. https://doi.org/10.1080/02844319850158930.

    Article  CAS  PubMed  Google Scholar 

  8. Hwang J, Cho J, Burm JS. Accessory auricle: classification according to location, protrusion pattern and body shape. Arch Plast Surg. 2018;45(5):411–7. https://doi.org/10.5999/aps.2018.00430.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kountakis SE, Helidonis E, Jahrsdoerfer RA. Microtia grade as an indicator of middle ear development in aural atresia. Arch Otolaryngol Head Neck Surg. 1995;121(8):885–6. https://doi.org/10.1001/archotol.1995.01890080053010.

    Article  CAS  PubMed  Google Scholar 

  10. Kubo S, Horinouchi T, Kinoshita M, Yoshizato T, Kozuma Y, Shinagawa T, Ushijima K. Visual diagnosis in utero: prenatal diagnosis of Treacher-Collins syndrome using a 3D/4D ultrasonography. Taiwan J Obstet Gynecol. 2019;58(4):566–9. https://doi.org/10.1016/j.tjog.2019.05.024.

    Article  PubMed  Google Scholar 

  11. Lennon C, Chinnadurai S. Nonsurgical management of congenital auricular anomalies. Facial Plast Surg Clin North Am. 2018;26(1):1–8. https://doi.org/10.1016/j.fsc.2017.09.001.

    Article  PubMed  Google Scholar 

  12. Lodovichi FF, Oliveira JP, Denadai R, Raposo-Amaral CA, Ghizoni E, Raposo-Amaral CE. Traz a deformidade de orelha impacto negativo na qualidadede vida em indivíduos com síndrome de Treacher Collins? Cien Saude Colet. 2018;23:4311–8.

    Article  Google Scholar 

  13. Marsella P, Scorpecci A, Pacifico C, Tieri L. Bone-anchored hearing aid (Baha) in patients with Treacher Collins syndrome: tips and pitfalls. Int J Pediatr Otorhinolaryngol. 2011;75(10):1308–12. https://doi.org/10.1016/j.ijporl.2011.07.020.

    Article  PubMed  Google Scholar 

  14. Nagata S. Total auricular reconstruction with a three-dimensional costal cartilage framework. Ann Chir Plast Esthet. 1995;40(4):371–99; discussion 400-373

    CAS  PubMed  Google Scholar 

  15. Raju M, Shetty M, Prasad DK. Prosthetic rehabilitation of a patient with congenitally deformed ears. J Indian Prosthodont Soc. 2014;14(Suppl 1):264–7. https://doi.org/10.1007/s13191-013-0325-z.

    Article  PubMed  Google Scholar 

  16. Rosa F, Coutinho MB, Ferreira JP, Sousa CA. Ear malformations, hearing loss and hearing rehabilitation in children with Treacher Collins syndrome. Acta Otorrinolaringologica (English Edition). 2016;67(3):142–7. https://doi.org/10.1016/j.otoeng.2016.05.001.

    Article  Google Scholar 

  17. Shibazaki-Yorozuya R, Nagata S. Preferential associated malformation in patients with Anotia and Microtia. J Craniofac Surg. 2019;30(1):66–70. https://doi.org/10.1097/SCS.0000000000004915.

    Article  PubMed  Google Scholar 

  18. Tanzer RC. Total reconstruction of the auricle. The evolution of a plan of treatment. Plast Reconstr Surg. 1971;47(6):523–33. https://doi.org/10.1097/00006534-197106000-00001.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology- Head and Neck Surgery, Emory University, Atlanta, GA, USA

    Kristan P. Alfonso

  2. Division of Pediatric Otolaryngology, Children’s Healthcare of Atlanta, Center for Advanced Pediatrics, Atlanta, GA, USA

    Kristan P. Alfonso

  3. Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA

    Yi-Chun Carol Liu & Rodrigo C. Silva

  4. Division of Pediatric Otolaryngology, Texas Children’s Hospital, Houston, TX, USA

    Yi-Chun Carol Liu & Rodrigo C. Silva

Authors
  1. Kristan P. Alfonso
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yi-Chun Carol Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rodrigo C. Silva
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kristan P. Alfonso .

Editor information

Editors and Affiliations

  1. Division of Cranial and Facial Surgery, El Paso Children’s Hospital, El Paso, TX, USA

    David M. Yates

  2. Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, NY, USA

    Michael R. Markiewicz

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Alfonso, K.P., Liu, YC.C., Silva, R.C. (2022). Reconstruction of the Ear Deformities Associated with Treacher Collins Syndrome. In: Yates, D.M., Markiewicz, M.R. (eds) Craniofacial Microsomia and Treacher Collins Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-030-84733-3_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-84733-3_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84732-6

  • Online ISBN: 978-3-030-84733-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation