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Living with Short stature-auditory canal atresia-mandibular hypoplasia-skeletal anomalies syndrome

A rare genetic condition present at birth with short height, hearing loss, a small jaw and bone differences.

Understanding Short stature-auditory canal atresia-mandibular hypoplasia-skeletal anomalies syndrome

Short stature-auditory canal atresia-mandibular hypoplasia-skeletal anomalies syndrome is a rare genetic syndrome with differences in many parts of the body.

Babies are born with closed or missing ear canals that cause hearing loss, a small lower jaw, and short stature. They have bone differences, including short upper arm bones, hip problems and clubfeet. Facial features can include a small head, high palate, flat cheeks and pits near the ears. Feeding difficulties are common.

Signs & symptoms

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

  • Short stature
  • Missing or closed ear canals
  • Hearing loss (conductive)
  • Small lower jaw (micrognathia)
  • Clubfeet
  • Hip dislocation

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Ear, nose, and throat specialists (otolaryngologists); 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
Can genetic testing of the GSC gene confirm this diagnosis?
What hearing support is available for my child?
Which orthopedic specialists should we see for hips and feet?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesGSC

GARD lists changes in the GSC gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: sams syndrome; short stature, auditory canal atresia, mandibular hypoplasia, and skeletal abnormalities; short stature, auditory canal atresia, mandibular hypoplasia, skeletal abnormalities

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Short stature-auditory canal atresia-mandibular hypoplasia-skeletal anomalies syndromeGARD ID 17633 · 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 Short stature-auditory canal atresia-mandibular hypoplasia-skeletal anomalies syndrome.

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