Facial asymmetry suggests Goldenhar syndrome or Treacher Collins syndrome, hand abnormalities suggest trisomy 13, oculo-dental-digital syndrome, or fetal alcohol syndrome, and genital abnormalities may suggest chromosomal defects, Fraser syndrome, or CHARGE association (c oloboma, h eart defects, a tresia of the choanae, r etardation of mental and / or physical development, g enital hypoplasia, and e ar abnormalities).