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Living with Pierre Robin sequence with pectus excavatum and rib and scapular anomalies

An inherited condition with a Pierre Robin-type cleft palate, a sunken chest, and differences in the ribs and shoulder blades.

Understanding Pierre Robin sequence with pectus excavatum and rib and scapular anomalies

Pierre Robin sequence with pectus excavatum and rib and scapular anomalies is an inherited condition with autosomal dominant inheritance.

Features include a Pierre Robin-type cleft palate, a sunken chest (pectus excavatum), rib differences, and underdevelopment of the lower parts of the shoulder blades. Some people also have low muscle tone, a low hairline, a webbed neck, and very flexible joints.

Signs & symptoms

GARD doesn't list a symptom list, but the summary describes:

  • Cleft palate (Pierre Robin type)
  • Sunken chest (pectus excavatum)
  • Rib differences
  • Underdeveloped shoulder blades
  • Low muscle tone
  • Webbed neck and very flexible joints

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 FACES: The National Craniofacial Association
  • 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 care is needed for the palate and feeding?
Does the chest shape need monitoring or treatment?
Would genetic counseling help our family?

Quick facts

InheritanceAutosomal Dominant

GARD lists this condition as autosomal dominant, which means one changed copy of a gene is enough to cause it. It doesn't name a specific gene.

Also known as: campomelic dysplasia, mild; skeletal dysplasia related to campomelic dysplasia

Patient organizations

Source: NIH GARD · Pierre Robin sequence with pectus excavatum and rib and scapular anomaliesGARD ID 10090 · 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 Pierre Robin sequence with pectus excavatum and rib and scapular anomalies.

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