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Living with Otofaciocervical syndrome

A rare genetic condition with distinct face and ear shapes, a long neck, sloping shoulders, hearing loss, and mild intellectual disability.

Understanding Otofaciocervical syndrome

Otofaciocervical syndrome is a rare genetic condition that affects the face, ears, neck, and shoulders.

Features include a long, triangular face, a broad forehead, large cup-shaped ears, a long neck, pits or cysts near the ears or neck, and sloping shoulders with winged shoulder blades. People may have hearing loss and mild intellectual deficit. Spine bone differences and short stature may also occur. 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:

  • Hearing loss
  • Large, protruding ears with pits in front of the ear
  • Down-sloping shoulders
  • Delayed development and intellectual disability
  • High palate and full cheeks
  • Increased muscle tone and reflexes

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 brain and nervous system 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
Brain and nervous system specialists (neurologists); 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
Which hearing tests and supports are right for me or my child?
Should the spine and kidneys be checked?
Would genetic testing help find the inheritance pattern?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes cause this condition. It lists autosomal dominant and autosomal recessive inheritance.

GeneticNeurological

Also known as: familial oto-facio-cervical dysmorphia; fara chlupackova syndrome; fara-chlupackova syndrome; ofc; ofc syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Otofaciocervical syndromeGARD ID 4169 · 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 Otofaciocervical syndrome.

Explore the Otofaciocervical syndrome blog

Explore research for Otofaciocervical syndrome

Explore actively recruiting Otofaciocervical syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Otofaciocervical syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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