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Living with Otospondylomegaepiphyseal dysplasia, autosomal dominant

A dominant form of bone condition (Weissenbacher-Zweymuller syndrome) with short limbs at birth, hearing loss, and distinct facial features.

Understanding Otospondylomegaepiphyseal dysplasia, autosomal dominant

Otospondylomegaepiphyseal dysplasia, autosomal dominant, also called Weissenbacher-Zweymuller syndrome, is a condition that affects bone growth.

It overlaps with OSMED and Stickler syndrome type III. Babies are smaller than average, with short arm and leg bones and thigh and upper arm bones that are wide at the ends. Facial features include wide-set eyes, a small upturned nose with a flat bridge, and a small lower jaw. Some babies have cleft palate. Most people have catch-up growth in childhood, so adults are not unusually short. GARD lists newborn and infant years as the usual onset.

Signs & symptoms

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

  • Hearing loss from the inner ear
  • Cleft palate
  • Small lower jaw
  • Flattened cheekbones
  • Joint pain and arthritis
  • Tongue falling back (glossoptosis)

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in COL11A2 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

    American Cleft Palate Craniofacial Association, The Marfan Foundation and World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: American Cleft Palate Craniofacial Association, The Marfan Foundation, 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 American Cleft Palate 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
How should my hearing be tested and supported?
Will my child likely have catch-up growth?
Would COL11A2 genetic testing help my relatives?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesCOL11A2

Changes in the COL11A2 gene cause this condition. It is inherited in an autosomal dominant way, meaning one changed copy of the gene can be enough.

Genetic

Also known as: ad osmed; autosomal dominant otospondylomegaepiphyseal dysplasia; col11a2 stickler syndrome; col11a2-related stickler syndrome; heterozygous osmed; heterozygous otospondylomegaepiphyseal dysplasia

Patient organizations

Source: NIH GARD · Otospondylomegaepiphyseal dysplasia, autosomal dominantGARD ID 5021 · 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

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