Lecture Craniofacial Limoudei Hemsech
Lecture Craniofacial Limoudei Hemsech
Lecture Craniofacial Limoudei Hemsech
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29<br />
Treacher Collins<br />
• EYES<br />
– Eye<br />
• Strabismus, amblyopia<br />
• Lower eyelid<br />
Notch between lateral and<br />
middle third, absent eye lashes<br />
– Upper eyelid Microform coloboma<br />
– Eyebrow Notch<br />
– Lacrimal Absence of lower punctum<br />
– Lateral CantusNo insertion, free, small<br />
palpabrale fissure.<br />
– Orbit Open laterally because of the<br />
absent structures. The<br />
orbital floor is inclined<br />
outwards 45 0 .<br />
• Nose<br />
– Narrow, deviated, hooked, possible cohanal atresia.<br />
• Cheek<br />
– Sclerodermic furrow from the lower eye lid notch to the mandibular angle.<br />
• Oral comissure<br />
– Frequently macromastia<br />
• Alveola Palate<br />
– Narrow dental arch, high palate,<br />
• Maxilla& sinus<br />
– Under developed and small<br />
• Temporalis<br />
– The muscle is usually atrophic the masseter is not absent.<br />
• TMJ<br />
– Frequently hypoplastic<br />
• Mandible<br />
– Short ascending ramus. Lower body is hyoplastic.<br />
• Chin<br />
– Retrusion and increase in height.<br />
• Ear<br />
– Microtia and Cryptotia, Middle ear abnormalities<br />
• Cleft palate<br />
– May be present
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