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Living with Conductive deafness-malformed external ear syndrome

A very rare genetic condition from birth with hearing loss and differently shaped small ears, plus lip pits or dimples.

Understanding Conductive deafness-malformed external ear syndrome

Conductive deafness-malformed external ear syndrome is a very rare genetic hearing condition with small, differently shaped ears.

People have mild to moderate hearing loss caused by problems in the outer and middle ear, along with lip pits or dimples. The outer ears are usually small and cup-shaped, with the top folded forward. Hearing loss goes with malformed middle ear bones and a displaced ear canal. It is seen in newborns.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Conductive hearing loss
  • Small, overfolded or low-set ears
  • Differences in the middle ear bones
  • High palate
  • Developmental delay
  • Lip pits or dimples

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What hearing aids or surgery options could help?
How often should hearing be tested?
Is genetic testing available for our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition, but doesn't list a specific gene. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: conductive hearing loss-malformed external ear syndrome; deafness, conductive, with malformed external ear; mengel-konigsmark syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Conductive deafness-malformed external ear syndromeGARD ID 1460 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Conductive deafness-malformed external ear syndrome.

Explore the Conductive deafness-malformed external ear syndrome blog

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