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Living with X-linked mandibulofacial dysostosis

An extremely rare X-linked condition with a small jaw, small head, ear and cheekbone differences, hearing loss, and learning difficulty.

Understanding X-linked mandibulofacial dysostosis

X-linked mandibulofacial dysostosis is an extremely rare condition with a small head, underdeveloped cheekbones, and a small jaw.

It also includes downslanting eye openings, a high palate, low-set protruding ears, short stature, hearing loss in both ears, and learning disability. Sometimes there are heart valve differences or undescended testes. Signs are present at birth.

Signs & symptoms

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

  • Small head size (microcephaly)
  • Underdeveloped cheekbones
  • Small lower jaw (micrognathia)
  • Hearing loss
  • Short stature
  • Prominent, backward-rotated ears

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, 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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 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 hearing supports might help my child?
Which specialists, including craniofacial, should be on the team?
Is genetic counseling available for our family?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked

GARD says changes in genes (variants) cause this condition and it follows X-linked inheritance. It doesn't name a gene.

GeneticNeurological

Also known as: mandibulofacial dysostosis toriello type; mandibulofacial dysostosis, toriello type; mandibulofacial dysostosis, x-linked; mfd toriello type; x-linked branchial arch syndrome; x-linked mandibulofacial dysostosis with limb anomalies

Patient organizations

Source: NIH GARD · X-linked mandibulofacial dysostosisGARD ID 1002 · 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 X-linked mandibulofacial dysostosis.

Explore the X-linked mandibulofacial dysostosis blog

Explore research for X-linked mandibulofacial dysostosis

Explore actively recruiting X-linked mandibulofacial dysostosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for X-linked mandibulofacial dysostosis 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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