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Start free with EleplanOrofaciodigital syndrome type 14
ORPHA:434179Malformation syndrome
Also called Microcephaly-cerebral malformation-orofaciodigital syndrome · OFD14 · Oral-facial-digital syndrome type 14
What it is
A rare developmental disorder of the ciliopathy group characterized by oral, facial and digital malformations associated with microcephaly and cerebral malformations such as corpus callosum agenesis and vermis hypoplasia with molar tooth sign. Oral manifestations include gingival frenulae, lingual hamartomas, cleft/lobulated tongue and a cleft palate. Facial features can include telecanthus and an upslanting palpebral fissures. Digital malformations encompass hands postaxial polydactyly and duplication of the hallux.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
42- Abnormal facial shape
- Abnormal myelination
- Accessory oral frenulum
- Aplasia of the epiglottis
- Bifid tongue
- Bilateral cryptorchidism
- Broad hallux
- Bulbous nose
- Cleft palate
- Dandy-Walker malformation
- Deviation of the hallux
- Dilated fourth ventricle
- Dilated third ventricle
- Duplication of phalanx of hallux
- Epispadias
- Gastrostomy tube feeding in infancy
- Global developmental delay
- Hamartoma of tongue
- Hypoplasia of the corpus callosum
- Hypotonia
- Intellectual disability
- Lobulated tongue
- Microcephaly
- Microretrognathia
- Molar tooth sign on MRI
- Open operculum
- Partial agenesis of the corpus callosum
- Patent ductus arteriosus
- Periventricular heterotopia
- Postaxial foot polydactyly
- Postaxial hand polydactyly
- Posteriorly rotated ears
- Retinal coloboma
- Short neck
- Sleep apnea
- Sloping forehead
- Supernumerary tooth
- Telecanthus
- Trigonocephaly
- Upslanted palpebral fissure
- Ventricular septal defect
- Webbed neck
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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