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one known cause of this is a mutation in the TCOF1 gene, at chromsome 5q32-q33,1.
The typical features include downward slanting eyes, micrognathia(a small lower jaw), conduotive hearing loss, under developzygoma, developing part of the laterial lower eyelids, and malform or absent ears.
Most affected is appearence in the middle of the face, a prooiment nose, and a very small jaw and chin.
Treacher Collins Syndrome is found in 1 in 10,000 births .
Genetically the carrier is the father, because inherited in an autosomal-dominant pattern.
People who have Treacher Collins Syndrome can undergo surgeries on the face