Rhouma and Horneff, 2014, described a female child born to consanguineous parents from Abu Dhabi. Features included a broad protruding nasal root, inverse epicanthus folds, and hypotrophic alae of the nose; a lobulated tongue and posterior cleft palate with short frenulum; and digital anomalies such as brachymetaphalangia, brachymetatarsalia, and preaxial polydactyly. 

Ghossaini et al (2002) described a male Lebanese patient with several congenital anomalies, including polysyndactyly, hypertelorism, partial median cleft of the upper lip, and 2 solitary tongue masses. Parents were consanguineous, and a similarly affected sister died as a neonate. The authors concluded that the patient presented with a variant form of OFD Type II, with tongue lipomas instead of hamartomas.