Photographs and X-rays of otocephalic case 1 (A-C), case 2 (D-F), case 3 (G-I), and case 4 (K-M). Cardinal features of ODC include: severe micrognathia (cases 2 and 3) or agnathia (cases 1 and 4), microstomia (present in all 4 cases) and low set ears (present in all 4 cases) with sometimes anteromedial position (melotia, cases 1 and 4). All 4 patients have downslanting palpebral fissures.