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(2,4,5) These syndromes are all associated with mandibular clefts, median lip, bilateral dislocation of knees, elbows, ankles, pulmonary hypoplasia and dysmorphic facial features including prominent forehead, depressed nasal bridge and widely spaced eyes were suggestive of Larsen-like syndrome type 1, (6,7,8) optic G BBB syndrome, oral facial digital syndrome type 1, Klippel-Feil anomaly.