Total decompression of facial nerve for Melkersson-Rosenthal syndrome

Melkersson-Rosenthal syndrome (MRS) is a rare condition characterized by re current facial paralysis in addition to various orofacial manifestations. T he condition appears to be a granulomatous disorder causing oedema and infl ammation of the soft tissues of the face, lips, oral cavity and particularl y, the facial nerve. There is general agreement that the symptoms and signs resolve spontaneously, aided perhaps by an empirical course of oral steroi ds. However, in some patients the condition may be progressive, leading to disfiguring facial synkinesis and increasing residual paralysis. There is a necdotal evidence in the literature to suggest that surgical decompression of the facial nerve in its entire intratemporal course may prevent further attacks of facial paralysis and its sequelae. We present here our experienc e with surgical decompression of the facial nerve in a 27-year-old woman wi th MRS who had sufferent recurrent left-sided facial palsy since the age of four. A review of the literature pertaining to facial nerve decompression for Melkersson-Rosenthal syndrome is presented.