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Living with Treacher Collins syndrome

A genetic condition that affects how the bones and tissues of the face develop, from barely noticeable to severe.

Understanding Treacher Collins syndrome

Treacher Collins syndrome is a genetic condition that affects the development of the bones and other tissues of the face.

Signs range from almost unnoticeable to severe. Most people have underdeveloped cheekbones and a very small jaw and chin. Some have a cleft palate, and in severe cases the airway can be narrowed. Eyes often slant downward, with a notch in the lower eyelids. Ears may be absent, small, or unusually shaped, and about half of people have hearing loss. GARD says people usually have normal intelligence.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Underdeveloped cheekbones
  • Very small jaw (micrognathia)
  • Notch in the lower eyelid (coloboma)
  • Eyes that slant downward
  • Absent, small, or unusually shaped ears
  • Hearing loss from ear bone or ear canal differences

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    American Cleft Palate Craniofacial Association and World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: American Cleft Palate Craniofacial Association, World Craniofacial Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Cleft Palate Craniofacial Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which gene change do I or my child have, and can testing confirm it?
Which specialists should be on a craniofacial care team?
How can hearing and breathing be checked early?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes (variants) cause this condition and lists both autosomal dominant and autosomal recessive inheritance. It doesn't name a gene here.

Genetic

Also known as: franceschetti klein syndrome; franceschetti syndrome; franceschetti-klein syndrome; mandibulofacial dysostosis without limb anomalies; treacher collins-franceschetti syndrome; treacher-collins syndrome

Patient organizations

Source: NIH GARD · Treacher Collins syndromeGARD ID 9124 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Treacher Collins syndrome.

Explore the Treacher Collins syndrome blog

Explore research for Treacher Collins syndrome

Explore actively recruiting Treacher Collins syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Treacher Collins syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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