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Nager Syndrome (also known as acrofacial dysostosis) is a rare genetic condition involving physical anomolies and some level of hearing loss. The facial characteristics include downward slanting palpebral fissures (eyelids), absence or underdeveloped lower jaw, malformed outer and middle ears (from mild to total absence),cleft palates, absence of lower eyelashes, and scalp hair extending on to cheek. Upper limb defects include underdeveloped or missing thumbs and occasional absence of the radial limb. There have been fewer than 200 documented cases of Nager Syndrome world wide.