Branchiogenic deafness syndrome

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ORPHA:50815OMIM:609166Q87.0
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Overview

Branchiogenic deafness syndrome, also known as branchio-otic-renal (BOR) syndrome or branchio-otic (BO) syndrome, is a rare inherited condition that affects the development of structures in the head and neck, as well as the ears and kidneys. The name comes from the branchial arches — tissue structures that form during early fetal development and eventually become parts of the face, neck, and ears. When these structures do not develop properly, it can lead to a combination of hearing loss, small pits or cysts in the neck, and problems with the outer, middle, or inner ear. The most noticeable features include hearing loss (which can range from mild to profound), small skin tags or pits near the ears or along the sides of the neck, and abnormally shaped ears. Some people also have kidney problems, which can vary from minor differences in kidney shape to more serious kidney function issues. Not everyone with this condition has all of these features — symptoms can vary widely even within the same family. There is currently no cure for branchiogenic deafness syndrome, but many of the symptoms can be managed effectively. Hearing aids or cochlear implants can greatly improve hearing. Cysts or skin tags in the neck may be surgically removed if they cause problems. Kidney health is monitored regularly by a specialist. With proper care and support, many people with this condition lead full and active lives.

Also known as:

Key symptoms:

Hearing loss (ranging from mild to profound, affecting one or both ears)Small pits or holes in the skin near the ears (preauricular pits)Small skin tags near the ears or along the sides of the neckCysts or lumps along the sides of the neck (branchial cysts)Abnormally shaped or positioned outer earsProblems with the ear canal or middle ear bonesAbnormal inner ear structure (such as an enlarged vestibular aqueduct)Kidney abnormalities (such as missing, duplicated, or malformed kidneys)Reduced kidney function in some casesRinging in the ears (tinnitus)Balance problems in some individuals

Clinical phenotype terms (21)— hover any for plain English
Mixed hearing impairmentHP:0000410Abnormality of the middle ear ossiclesHP:0004452Reticulated skin pigmentationHP:0007427Aplasia/Hypoplasia of the inner earHP:0008774Branchial fistulaHP:0009795Branchial cystHP:0009796Osteolytic defects of the distal phalanges of the handHP:0009839
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Branchiogenic deafness syndrome.

View clinical trials →

No actively recruiting trials found for Branchiogenic deafness syndrome at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the Branchiogenic deafness syndrome community →

No specialists are currently listed for Branchiogenic deafness syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Branchiogenic deafness syndrome.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Branchiogenic deafness syndrome

1 articles
Drug approvalRSSApr 24, 2026
FDA Approves First-Ever Gene Therapy for Treatment of Genetic Hearing Loss Under National Priority Voucher Program
The FDA has approved Otarmeni, a new gene therapy treatment for genetic hearing loss. This is the first-of-its-kind treatment that uses a special virus to deliv
See all news about Branchiogenic deafness syndrome

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.Which genes should be tested, and what does a positive or negative result mean for my family?,How often should my hearing and kidney function be checked, and what warning signs should I watch for?,Would my child benefit from a cochlear implant, and how do we decide between a hearing aid and an implant?,Should other family members be tested, and what are the chances my children will inherit this condition?,Are there any neck cysts or pits that need to be removed, and when is the right time to do that?,What support services are available for hearing loss at school or work?,Is there a specialist center or patient registry I should be connected with?

Common questions about Branchiogenic deafness syndrome

What is Branchiogenic deafness syndrome?

Branchiogenic deafness syndrome, also known as branchio-otic-renal (BOR) syndrome or branchio-otic (BO) syndrome, is a rare inherited condition that affects the development of structures in the head and neck, as well as the ears and kidneys. The name comes from the branchial arches — tissue structures that form during early fetal development and eventually become parts of the face, neck, and ears. When these structures do not develop properly, it can lead to a combination of hearing loss, small pits or cysts in the neck, and problems with the outer, middle, or inner ear. The most noticeable f

How is Branchiogenic deafness syndrome inherited?

Branchiogenic deafness syndrome follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Branchiogenic deafness syndrome typically begin?

Typical onset of Branchiogenic deafness syndrome is neonatal. Age of onset can vary across affected individuals.