• J Formos Med Assoc · Sep 2023

    Review

    Auriculocondylar syndrome: Pathogenesis, clinical manifestations and surgical therapies.

    • Qingqing Li, Zhiyuan Jiang, Liyuan Zhang, Siyuan Cai, and Zhen Cai.
    • Department of Plastic Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China; Chinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, China. Electronic address: lqq003925@163.com.
    • J Formos Med Assoc. 2023 Sep 1; 122 (9): 822842822-842.

    AbstractAuriculocondylar syndrome (ARCND) is a genetic and rare craniofacial condition caused by abnormal development of the first and second pharyngeal arches during the embryonic stage and is characterized by peculiar auricular malformations (question mark ears), mandibular condyle hypoplasia, micrognathia and other less-frequent features. GNAI3, PLCB4 and EDN1 have been identified as pathogenic genes in this syndrome so far, all of which are implicated in the EDN1-EDNRA signal pathway. Therefore, ARCND is genetically classified as ARCND1, ARCND2 and ARCND3 based on the mutations in GNAI3, PLCB4 and EDN1, respectively. ARCND is inherited in an autosomal dominant or recessive mode with significant intra- and interfamilial phenotypic variation and incomplete penetrance, rendering its diagnosis difficult and therapies individualized. To raise clinicians' awareness of the rare syndrome, we focused on the currently known pathogenesis, pathogenic genes, clinical manifestations and surgical therapies in this review.Copyright © 2023 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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