Treacher Collins-Franceschetti Syndrome

The most typical feature of Treacher Collins-Franceschetti syndrome is the antimongoloid slant of the palpebral fissures. This is due to absence or hypoplasia of the zygomatic-malar buttress and ectropion of the lower lid. Reconstruction with cranial bone grafts, upper lid flaps, and lateral canthopexy consents progressive normalization of facial features.