Treacher Collins' syndrome, or mandibulofacial dysostosis, is a rare,
autosomal-dominant disorder. We describe the recurrence of this anomal
y in the fetus of a patient who previously had delivered a severely af
fected infant. The ultrasonographic findings of hydramnios, absence of
fetal swallowing movements, and poor growth of the biparietal diamete
r and head circumference permitted us to suggest the diagnosis antenat
ally of another affected child.