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Living with Orofaciodigital syndrome type 14

A rare genetic condition with a small head, severe intellectual disability, and mouth, face, and finger or toe differences.

Understanding Orofaciodigital syndrome type 14

Orofaciodigital syndrome type 14 is a rare genetic condition that can cause physical and intellectual disabilities.

Symptoms include a small head, a triangular head shape, severe intellectual disability, and small penis size (micropenis). There are also mouth, face, and digit differences, such as cleft palate, extra fingers or toes, and abnormal tongue or gum tissue. People may be born with differences in how the brain is built and works. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

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

  • Small head (microcephaly)
  • Cleft palate and cleft tongue
  • Differences in the structure of the brain, including Dandy-Walker malformation
  • Widely spaced eyes (telecanthus)
  • Broad big toes and extra toe bones
  • Undescended testes

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, brain and nervous system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in C2CD3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
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 World Craniofacial Foundation 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 brain imaging findings apply to my child?
Which specialists should manage cleft and hand or foot care?
Would C2CD3 genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesC2CD3

Changes in the C2CD3 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: c2cd3 orofaciodigital syndrome; microcephaly-cerebral malformation-orofaciodigital syndrome; microcephaly, cerebral malformation, orofaciodigital syndrome; ofd14; oral-facial-digital syndrome type 14; oro-facial digital syndrome type 14

Patient organizations

Source: NIH GARD · Orofaciodigital syndrome type 14GARD ID 13655 · 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 Orofaciodigital syndrome type 14.

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