Patient ID Phenotype Array CGH platform Dosage anomaly Chromosomal band Sequence coordinates Min. size (kb) Inheritance Genes in interval ref
III-4 Psychomotor delay; short stature; cryptorchidism; scoliosis.  Facial dysmorphism: facial asymmetry, short neck, downslanting palpebral fissures, long nose, small mouth, narrow ears, R epibulbar dermoid cyst, high arched palate and teeth abnormalities. Hypermetropia; conductive hearing loss. High
resolution karyotype
and FISH + Genosensor Array 300 array-CGH 
deletion 1p22.2-
p31.1
Distance from
pter MB band
74-89.5
15600 Unknown FPGT, CRYZ, ACADM, RABGGTB, MSH4, ST6GALNAC3, ST6GALNAC6, PIGK, AK5, FUBP1, PTGFR, IFI44, LPHN2, PRKACB, DNASE2B, GNG5, CTBS, SSX2IP, EDG7, MCOLN2, MCOLN3, BCL10, DDAHI, CYR61, COL24A1, CLCA1/ CLCA2/ CLCA3, SH3GLB1, SEP15, HS2ST1, LMO4, PKN2, GTF2B,KAT3, GBP1/ GBP2, GBP3 [35]
71401 L microtia, R preauricular tags, L pits, L mandibular hypoplasia, cleft palate, micrognathia 105K Deletion 2p11.2 87552703.
89275144
1722 F (P)  RGPD2, PLGLB1, PLGLB2, KRCC1, SMYD1, FABP1, THNSL2, C2orf51, EIF2AK3, RPIA [10]
80882 L preauricular tags, L mandibular, maxillary and facial musculature hypoplasia, L epibulbar dermoids 44K Deletion 2q11 99119770–
99167676
48 F (M) TSGA10, C2orf15, LIPT1, MITD1, MRPL30 [10]
80039 IGR, B preauricular tags, R pit, L mandibular hypoplasia, R epibulbar dermoids, agenesis of the 12th rib pair 105K Duplications 4q35.113
q13.1
186295254–
186317114,
79675676–
81318868
221643 Unknown SLC25A4, KIAA1 430, SPRY2 [10]
n/a IUGR, short stature, “asymmetric macrostomia”, L cleft of upper lip and cleft-like extension of the L corner of mouth, submucous cleft palate, two epibulbar dermoids and two preauricular tags on L; L hemifacial microsomia, upslanting palpebral fissures, hypertelorism, epicanthi, broad nose and normal ears and limbs. Recurrent middle ear infections; hypernasal voice; language delay. Neonatal  rombocytopenia, followed by severe myelodysplasia.  44K and
244K Agilent
Technologies
Deletion 5(pter→
p15.33) 
[45,XX, inv(2)
(q32q37)mat,
dic(5;21)
(p15.3;q22.3)
dn]
2000 S PLEKHG4B, CCDC127, SDHA, PDCD6, AHRR, C5orf55, EXOC3, SLC9A3, CTD-2228K2.7, CEP72, TPPP, ZDHHC11, BRD9, TRIP13, NKD2, SLC12A7, SLC6A19, SLC6A18, TERT, CLPTM1L, SLC6A3, LPCAT1, MRPL36, NDUFS6, IRX4, IRX2 (The smallest 5p deletion associated to OAVS features) [40]
71329 B preauricular tags, L epibulbar dermoids 105K Duplication 8q11.23 53635269–
53719594
84 F(M) FAM150A, RB1CC1 [10]
71681 B hearing loss, B mandibular hypopasia, high arched palate, block vertebrae C3C4 105K Duplication 9q34.11 130591031–
130822006
230 F (P)  TBC1D13, ENDOG, C9orf114, LRRC8A, PHYHD1, CCBL1, DOLK, NUP188, SH3GLB2 [10]
82047 L microtia with preauricular tags, L mandibular hypoplasia, R epibulbar dermoids 44 K Agilent
Technologies
Duplication 11q21 95725560–
95766136
41 F (P)  CCD82, JRKL [10]
30214 IGR, MR, L microtia, preauricular tags and pits, L mandibular hypoplasia, wide L corner of the mouth, patent foramen ovale, short QT 44 K Agilent
Technologies
Deletion 12p13.33 0–2309191 2309 De novo IQSEC3, SLC6A12, SLC6A13, JARID1A, CCDC77, B4GALNT3, NINJ2, WNK1, HSN2, RAD52, ERC1, FBXL14, WNT5B, ADIPOR2, CACNA2D4, LRTM2, DCP1B, CACNA1C [10]
n/a IUGR and polyhydramnios;  delayed psychomotor development; axial hypotonia and peripheral hypertonia,. Craniofacial dysmorphism: broad nasal tip, thin upper lip, mild hypertelorism, bilateral dysplastic low-set ears with over-folded helix, L microtia, L preauricular tag and pit, wide L corner of the mouth, and L hemifacial microsomia with L mandibular and condylar hypoplasia; wide-spaced teeth; gingival hypertrophy. Lumbar kyphosis; patent foramen ovale; moderate L conductive hearing loss.  MRI showed L temporal arachnoid cyst with widened sub-arachnoid spaces.  44 K Agilent
Technologies
deletion  12(pter→
p13.33)
between BAC
RP11-275A6
(73.9 Mb, 1p31.1)
and RP5-
908D6
(89.5 Mb, 1p22.2)
2300 S IQSEC3, SLC6A12, SLC6A13, JARID1A, CCDC77, B4GALNT3, NINJ2, WNK1, HSN2, RAD52, ERC1, FBXL14, WNT5B*, ADIPOR2, CACNA2D4, LRTM2, DCP1B, CACNA1C (* highlighted by the authors as candidate gene.) [42]
III-4 Defects on aural, oral, mandibular, and vertebral development. Cardiac, pulmonary, renal, skeletal, and CNS anomalies. qChip-Post;
qGenomics SL)
duplication 14q23.1  56,278,628-
57,623,179
1034 AD AK024921, BC041486,C14orf105, C14orf37, LOC145407, EX9OC5, SEC10, MUDENG, NAT12 , OTX2*, SLC35F4 (*In common with [45]) [44]
n/a IUGR; failure to thrive; torticollis; high arched palate; multiple skin tags and pits in preauricular and cheek regions; low set ears with abnormal antihelix and ear lobe; micrognathia with severe hypoplasia of  mandible; bilateral facial  clefts; short nose with broad nasal bridge; short palpebral fissures and lacrimal duct stenosis. Short neck with usion of the pedicles and laminae on the L at C2–4. Hearing loss; L ear  Eustachian tube dysfunction; R ear  adhesive otitis media. Anterior ventricular septal defect. 5 cm meningocele and thin corpus callosum on MRI. Deep sacral dimple associated with conus tip at L3 with mild thickening and fatty infiltration of the filum terminale. Small kidneys; hypoplastic genitalia. 244K and
44K Agilent Technologies
duplication 14q22.3–
q23.3
14q22.3
at ∼55.774 Mb  to 14q23.3 at ∼
67.571 Mb
11790 F (P) AD with variable expressivity OTX2*, PSMA3, DAAM1, RTN1, SIX6*, SIX1*, SIX4, MNAT1, PRKCH, HIF1A, KCNH5, PPP2R5E, SYNE2, ESR2, ZNF46, HSPA2, SPTB, GPX2, FNTB, MAX, FUT8, MPP5, PIGH, ARG2, RDH11, RDH12 (*Proposed by the authors to be implicated in a OAVS/BOR phenotype)    [45]
71016 B anotia, B mandibular hypoplasia (R>L), retrognathism, high arched palate 105K Deletion 14q32.2 98250689–
98253385
2.7 M C14orf177 [10]
n/a IUGR, Hypotonia, acute dyspnea, recurrent respiratory infections, and gastrointestinal reflux, moderate psychomotor delay,   cL of the soft palate, R grade IV microtia and hemifacial microsomia due to malar and mandibular hypoplasia, bilateral conductive hearing loss. Myopia and strabismus. neonatal hypotonia, growth retardation, mental retardation,  facial dysmorphism. 60 K Agilent Technologies deletion   15q24.1
q24.2
74,419,546-
75,931,476**
  S STRA6, CCDC5, CYP11A1, UBL7, ARID3B, CLK3, CPLX3, GOLGA6C, GOLGA6D, SIN3A, PTPN9, MAN2C, CSK (according to the figure 2) [46]
Case 4 Round, asymmetric face, cup-shaped protruding ears, smooth philtrum; cognitive impairment, microphallus, hypotonia; recurrent ear infections oligonucleotide Chromosomal
Microarray
Analysis
(CMA Versions
6 and 7 OLIGO)
deletion   15q24  70.708–
73.856 Mb (htg19) 74,419,546-
75,931,476
3148 S STRA6, CYP11A1, SEMA7A, CSK, CPLX3, MPI, and SIN3A (defined as the minimum critical region for the  15q24 deletion syndrome ) [47]
40373 R grade III microtia with preauricular tag, mandibular hypoplasia 244K duplication 18p11.23–
p11.31
6932021–
8074805
1142 F (P)  PTPRM, LRRC30, LAMA1 [10]
70588 R microtia with preauricular tag, R hemifacial microsomia, R microphtalmia, hemivertebrae T1, R renal agenesis, abnormal ribs, learning disabilities 105K duplication 20p12.2 9971936–
10124896
153 F (M) ANKRD5 [10]
n/a IUGR, bilateral cL lip and palate, L macrostomia, multiple bilateral preauricular tags, and small external auditory canals; microcephalic. Developmental delay. Multiple ventricular septal defects. High resolution G-banding
(∼850 band
level) and
OaCGH44K array
deletion 22q11.21–
q11.22
(hg18 assembly)
20128705–
21246612
20,453,484-
20,551,970
1118 S HIC2, LOC220686, UBE2L3, LOC150223, CCDC116, SDF2L1, PPIL2, YPEL1, MAPK1, PPM1F, TOP3B, VPREB1, LOC96610, SUHW2, SUHW1, PRAME [50]
Patient 1 L hemifacial microsomia, coloboma of  upper L eyelid, cL palate,  small mouth, asymmetric mandibular hypoplasia, bilateral preauricular tags, microtia with aural atresia of  L ear. Absence of  external auditory meatus and dysgenesis of inner ear system on  L; hearing loss in  L ear.   CHD (double outlet R ventricle with valvular and infundibular pulmonary stenosis, subaortic ventricular septal defect, and normally related great arteries). Hypocalcemia secondary to hypoparathyroidism. T-lymphocyte count  low, serum immunoglobulin concentrations normal. FISH with
N25 probe
deletion 22q11.2 See N25 probe coordinates 22q11.2  S "genes located inside the 22q11.2 “critical region,” including TBX1 and UFD1L" [51]
Patient 2 Prominent forehead with a receding hairline, mild facial asymmetry (smaller R cheek ), asymmetric crying facies  R facial droop.  R ear microtia with preauricular tag and atresia, low-set L ear with  overfolded, thick superior helix. R internal ear anomalies (prominent vestibule, no lateral semicircular canal); R-sided hearing loss. Sacral dimple, long fingers. Feeding and respiratory difficulties , severe gastro-esophageal reflux. CHD (aberrant R subclavian artery, patent foramen ovalis, trivial tricuspid regurgitation). Brain MRI - open fronto-temporal operculum with persistent cavum septum pellucidum, mild widening of  foramen of Magendie and cisterna magna.  FISH with
N25 probe
deletion 22q11.2 See N25 probe coordinates 22q11.2  S "genes located inside the 22q11.2 “critical region,” including TBX1 and UFD1L" [51]
Patient 3 Hemifacial microsomia, periorbital fullness, broad nasal root, bulbous nasal tip, hypoplastic nares, submucous cL palate, small mouth, L microtia with aural atresia, small R ear with simple protruding helix, tapered fingers, sacral dimple, and butterfly vertebra at  T8 and T10. Developmental delay; bilateral optic nerve hypoplasia;  R ear hearing loss. CHD (small atrial septal defect ostium secundum type). Dysphagia, feeding difficulties and laryngomalcia.  FISH with
N25 probe
deletion 22q11.2 See N25 probe coordinates 22q11.2  De novo "genes located inside the 22q11.2 “critical region,” including TBX1 and UFD1L" [51]
Patient 2 Bilateral ear tags, hemifacial microsomia epibulbar dermoid; postnatal growth restriction. (Note- Maternal Diabetes) Illumina Human CytoSNP-12 v1.0 BeadChip  deletion 22q11.2  19,782,237–
22,969,069
3200 S Not listed [52]
n/a Sparse hair, frontal bossing, flat nasal bridge, facial asymmetry with asymmetric retrognathia, bilateral mandibular hypoplasia, branchial cL sinus, R-sided muscular torticollis, esotropia, atretic R ear canal with mild-to-moderate sensorineural hearing loss, preauricular ear tag on  L and  larger ear tag associated with the tragal cartilage on the R, assymetric ears with simplified helices, R preauricular pit and two skin tags on  L cheek. Bilateral clinodactyly, tapered fingers,  L lower extremity shorter than R, sacral dimple and hypotonia.  Combimatrix CMDX BAC
array + FISH
(VYSIS
probes D22Z1,
and TUPLE1) 
duplication 22q11.1–
q11.21 
17,381,569–
18,618,107**
 1500 S CECR1, CECR2, CECR3, CECR5, CECR6, CECR7, GAB4, AS1, IL17RA, ATP6V1E1, BCL2L13, BID, MIR3198-1, MIR648, FLJ41941, PEX26, TUBA8, MICAL3, USP18, G6T3P [54]
n/a Short stature and icrocephaly. R-sided facial cleft; R-sided external auditory canal atresia and bilateral conductive hearing loss; flattening of  zygoma; mandibular asymmetry; bilateral epicanthal folds; myopia. Mild lumbar lordosis. IQ of 77. Nimblegen oligo12-plex array + FISH
(RP11-829C4)
duplication deletion 22q11.1
q11.21  22q11.21
q11.22
20000000-
21/22000000
1100 unknown 22q11.1q11.21  dup: IL17RA, CECR1, CECR2, SLC25A18, ATP6V1E1, BID, MICAL3, PEX26, TUBA8, and USP18. 22q11.21q11.22 del: HIC2, RIMBP3B, RIMBP3C, UBE2L3, SDF2L1, MIR130B, PPIL2, YPEL1, MAPK1, TOP3B, VPREB1, PRAME, GGTLC2, and RTDR1. [55]
71178 IGR, B anotia, R mandibular and maxillary hypoplasia, macrostomia, cL palate, L epibulbar dermoids, micrognathia, block cervical vertebrae 105K duplication deletion Yp-q11.221,
Yq11.222–
q12
2715688–
18073734 and
19492239–
57432638,
respectively
15000 and 38000, respectively S Y (not all genes listed) [10]
81232 R preauricular tags, R mandibular hypoplasia, R epibulbar dermoids 105K amplification Xp22.33 3588423–
3645922
57 F (P)  PRKX [10]
71174 R microtia with preauricular tags and pits, R hemifacial microsomia, micrognathia, asymmetric legs and R breast hypoplasia 105K 47, XXX Trisomy X   X S X (not all genes listed) [10]
Key                  
n/a not available                
** htg19 genome build, all other loci are in htg18                
L left                
R right                
CHD congenital heart disease                
F familial                
M paternal                
P maternal                
S sporadic/de novo                
AD autosomal dominant                
**htg19 genome build, all other loci are in htg18
Table 3: aCGH CNV loci reported in OAVS patients. F: Familial; P: Paternal; M: Maternal; S: Sporadic/de novo; n/a: not available; AD: Autosomal Dominant; None: No Pathogenic Changes; Del: Deletion; Dup: Duplication; L: Left; R: Right; CHD: Congenital Heart Disease.