Case Report

Facial Palsy in a Child with a History of Cheilitis Granulomatosa: Melkersson–Rosenthal Syndrome


Department of Otorhinolaryngology, Head and Neck surgery, Antwerp University Hospital, Edegem, Belgium


Department of ENT, Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium


Department of Translational Neurosciences, University of Antwerp Faculty of Medicine and Health sciences, Antwerp, Belgium


Department of Paediatrics, AZ Monica General Hospital, Antwerp, Belgium


Department of Paediatrics, Antwerp University Hospital, Edegem, Belgium


Department of Dermatology, Antwerp University Hospital, Edegem, Belgium


Department of Pathological Anatomy, Antwerp University Hospital, Edegem, Belgium

B-ENT 2023; 19: 242-244
DOI: 10.5152/B-ENT.2023.231323
Read: 474 Downloads: 229 Published: 26 October 2023

Melkersson–Rosenthal syndrome is a rare neuromucocutaneous granulomatous syndrome of unknown etiology characterized by a classical triad of relapsing orofacial edema, recurrent peripheral facial palsy, and lingua plicata. However, the classical triad is seen in only a minority of the cases. The majority of patients present with mono- or oligosymptomatic forms of the disease. Childhood onset of Melkersson–Rosenthal syndrome is extremely rare, and only a few cases have been described in the literature. This paper reports the case of an 8-year-old girl with cheilitis granulomatosa. Two years after the initial presentation, she presented with a unilateral peripheral facial palsy and a diagnosis of Melkersson– Rosenthal syndrome was established. The aim of this paper is to raise awareness among otolaryngologists of this condition in children presenting with orofacial swelling and/or peripheral facial palsy. Since symptoms do not always occur simultaneously, diagnosis often requires repeated follow-ups. Early recognition and a multidisciplinary approach to this condition are crucial to minimize recurrences and prevent orofacial dysfunction and its associated implications for the child’s psychosocial well-being.

Cite this article as: Surmont C, Boudewyns A, Mariën S, et al. Facial palsy in a child with a history of cheilitis granulomatosa: Melkersson– Rosenthal syndrome. B-ENT. 2023;19(4):242-244.

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