A Variant BORS in a 20 Weeks Foetus – A Case Report.

A still born male foetus of 20weeks gestation was brought to the Department of Anatomy from one of the private nursing homes in Vizianagaram as a part of routine research work in the department. Foetal autopsy revealed bilateral cleft lip with cleft palate, anotia (absence of ear pinna), absence of external acoustic meatus and auricular tags on the right side, where as left pinna and acoustic meatus were normal. Study also revealed anomalies in the right middle ear and internal ear. Orientation of thoracic and abdominal viscera was normal. There were two large cysts in the abdominal cavity in place of kidneys. Both ureters were dilated. Branchial arch anomalies, ear anomalies and renal anomalies constitute Melnick-Fraser syndrome, otherwise called as Branchio-oto-renal syndrome.