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Living with Oculoauriculofrontonasal syndrome

A rare condition that affects how the middle of the face, eyes, nose, and ears form before birth.

Understanding Oculoauriculofrontonasal syndrome

Oculoauriculofrontonasal syndrome is a rare condition with a vertical split (cleft) along the middle of the face, plus ear and jaw differences.

Features vary widely. They can include widely spaced eyes, eyelid and eye surface differences, nose differences, small or malformed ears, cleft lip or palate, small jaws, and uneven face shape. Brain differences and features outside the head and face are frequent. GARD lists onset as newborn.

Signs & symptoms

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

  • Cleft lip
  • Small or missing ears (microtia) and skin tags near the ears
  • Hearing loss from the middle ear (conductive)
  • Cleft upper eyelid (eyelid coloboma)
  • Small lower jaw (micrognathia)
  • Facial asymmetry

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 bone and joint 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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 Children's Craniofacial Association and other patient organizations
  • 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
Which specialists form the care team for cleft and ear differences?
Should hearing, heart, and brain imaging be checked?
Is genetic testing available to look for the cause?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes cause this condition. It doesn't list a specific gene or how it is inherited.

Genetic

Also known as: oafns; oafns - oculoauriculofrontonasal syndrome; oculoauriculofrontonasal dysplasia

Patient organizations

Source: NIH GARD · Oculoauriculofrontonasal syndromeGARD ID 4031 · 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 Oculoauriculofrontonasal syndrome.

Explore the Oculoauriculofrontonasal syndrome blog

Explore research for Oculoauriculofrontonasal syndrome

Explore actively recruiting Oculoauriculofrontonasal syndrome studies with HealthSpark.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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