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Living with Patterson-Stevenson-Fontaine syndrome

A very rare condition affecting the face bones, ears, and feet, present from birth.

Understanding Patterson-Stevenson-Fontaine syndrome

Patterson-Stevenson-Fontaine syndrome is a very rare condition affecting how the bones of the face and the limbs develop.

People have abnormal development of the bones and tissues of the face (mandibulofacial dysostosis), such as a small, set-back jaw, cleft palate, and ear differences. In the feet, toes may be missing, split, or fused (ectrodactyly, also called split-foot). Signs begin before birth and in newborns.

Signs & symptoms

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

  • Face bone differences (mandibulofacial dysostosis)
  • Small lower jaw (micrognathia)
  • Cleft palate
  • Differently shaped or large ears
  • Split foot (ectrodactyly)
  • Fused toes (syndactyly)

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.

  4. Connect with expert centers

    American Cleft Palate Craniofacial Association may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: American Cleft Palate Craniofacial Association
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
What surgery or care could help with the cleft palate and foot differences?
Should hearing be checked?
Would genetic counseling help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

Changes in the genes (also called variants) cause this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it. GARD doesn't list a specific gene.

Genetic

Also known as: patterson stevenson fontaine syndrome; patterson-stevenson syndrome; split foot deformity with mandibulofacial dysostosis syndrome; split foot deformity-mandibulofacial dysostosis syndrome; split-foot deformity with ectrodactyly and mandibulofacial dysostosis; split-foot deformity with mandibulofacial dysostosis

Patient organizations

Source: NIH GARD · Patterson-Stevenson-Fontaine syndromeGARD ID 4260 · 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 Patterson-Stevenson-Fontaine syndrome.

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