raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2013

Cleft palate-large ears-small head syndrome

Synonyms: Say-Barber-Hobbs syndrome

Type
Malformation syndrome
Group
Disorder
Age of onset
Infancy, Neonatal
Status
active

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, hypospadias, cerebral anomalies on imaging (enlargement of lateral ventricles, mild cortical atrophy), seizures, hypotonia and developmental delay are also observed.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCleft palate-large ears-small head syndromeSay-Barber-Hobbs syndrome
frSyndrome de fente palatine-grandes oreilles-petite tailleSyndrome de Say-Barber-Hobbs
deGaumenspalte-große Ohren-Kleinwuchs-SyndromSay-Barber-Hobbs-Syndrom
esSíndrome de paladar hendido-orejas grandes-cabeza pequeñaSíndrome de Say-Barber-Hobbs
itPalatoschisi - orecchie grandi - microcefaliaSindrome di Say-Barber-Hobbs
nlGespleten gehemelte - grote oren - klein hoofd-syndroomSyndroom van Say-Barber-Hobbs
ptSíndrome de fenda palatina-pavilhões auriculres grandes-microcefaliaSíndrome Say-Barber-Hobbs
plRozszczep podniebienia - duże uszy - mała głowaZespół Say, Barber i Hobbsa
csSyndrom zahrnující rozštěp patra, velké uši a malou hlavuSayův-Barberův-Hobbsův syndrom · Say-Barber-Hobbsův syndrom
ukСиндром розщілини піднебіння-великих вух-маленької головиСиндром Сай-Барбера-Хоббса
zh腭裂-大耳-小头畸形综合征Say-Barber-Hobbs 综合征
trDamak yarığı-büyük kulaklar-küçük kafa sendromuSay-Barber-Hobbs sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM181180Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0008402Evalidated
MeSHC536621Evalidated
UMLSC1867023Evalidated
GARD162Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated10449654[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_10449654[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

19 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000175Cleft palate
HP:0002750Delayed skeletal maturation
HP:0000400Macrotia
HP:0000252Microcephaly
HP:0004322Short stature
Frequent (79-30%)
HP:0006709Aplasia/Hypoplasia of the nipples
HP:0004428Elfin facies
HP:0000212Gingival overgrowth
HP:0001263Global developmental delay
HP:0001800Hypoplastic toenails
HP:0000047Hypospadias
HP:0001252Hypotonia
HP:0000347Micrognathia
HP:0000767Pectus excavatum
HP:0000411Protruding ear
HP:0000508Ptosis
HP:0009882Short distal phalanx of finger
HP:0003202Skeletal muscle atrophy
HP:0009465Ulnar deviation of finger

Run the differential on the 5 obligate / very frequent terms

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Sources for this card