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Cleft palate-large ears-small head syndrome is a rare, genetic syndrome characterized by cleft palate, large protruding ears, microcephaly and short stature (prenatal onset). Other skeletal abnormalities (delayed bone age, distally tapering fingers, hypoplastic distal phalanges, proximally placed thumbs, fifth finger clinodactyly), Pierre Robin sequence, cystic renal dysplasia, proximal renal tubular acidosis, hypospadia, cerebral anomalies on imaging (enlargement of lateral ventricles, mild cortical atrophy), seizures, hypotonia and developmental delay are also observed.
Features include very common findings: Cleft palate, Microcephaly, Short stature, and Macrotia and others; and common findings: Short distal phalanx of finger, Micrognathia, Hypospadias, and Gingival overgrowth and others. 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 5 | Ulnar deviation of the 3rd finger, Short distal phalanx of finger, Tapered finger |
Phenotype severity distribution: 5 very common features, 14 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for cleft palate-large ears-small head syndrome.
3 publications have been identified in PubMed for cleft palate-large ears-small head syndrome. Research spans Other (33%), Review / Meta-Analysis (33%), and Epidemiology / Natural History (33%).
Greene CL (2025). [PMID: 39708391](https://pubmed.ncbi.nlm.nih.gov/39708391/). *Mol Genet Metab*. [Other]
Mergener R (2024). [PMID: 39062689](https://pubmed.ncbi.nlm.nih.gov/39062689/). *Genes (Basel)*. [Review / Meta-Analysis]
Martinez NCM (2024). [PMID: 38922187](https://pubmed.ncbi.nlm.nih.gov/38922187/). *Rev Paul Pediatr*. [Epidemiology / Natural History]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:54 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about cleft palate-large ears-small head syndrome
Head and neck |
2 |
Cleft palate, Microcephaly |
Kidneys and urinary system | 2 | Cystic renal dysplasia, Proximal renal tubular acidosis |
Muscles | 2 | Low muscle tone (hypotonia), Skeletal muscle atrophy |
Bones and joints | 2 | Delayed skeletal maturation, Skeletal muscle atrophy |
Growth and development | 1 | Short stature |
Skin | 1 | Abnormality of the skin |
Eyes | 1 | Ptosis |
Brain and nerves | 1 | Global developmental delay |