title: Facial nerve paralysis and frey syndrome in an infant following removal of an internal mandibular distraction device.
abstract: Mandibular distraction using an implantable device has become a widely accepted and utilized procedure for the treatment of retrognathia. Although excellent results have been reported and observed with distraction osteogenesis, complications such as facial nerve injury have been previously reported. Often, this injury is usually temporary and corrects over the course of time. Frey syndrome has been classically described as an injury or severance of the auricotemporal branch of the trigeminal nerve. It is commonly seen as a complication of parotid surgery and has never been reported in association with mandibular distraction. The authors report a unique case of both facial nerve paralysis and Frey syndrome in a patient following the removal of an internal mandibular distraction device. A review of the literature along with diagnosis and management are discussed.
authors.affiliation: Emory University School of Medicine, Atlanta, Georgia 30329, USA. smkapad@emory.edu
authors.forename: Sameer Mehbub
authors.initials: SM
authors.lastname: Kapadia
authors.forename: Michael Samuel
authors.initials: MS
authors.lastname: Golinko
authors.forename: Joseph Kerwin
authors.initials: JK
authors.lastname: Williams
mesh_terms: D020878:Device Removal / Q000009:adverse effects; D020220:Facial Nerve Injuries / Q000209:etiology*; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D019186:Mandibular Advancement / Q000009:adverse effects* / Q000379:methods; D019857:Osteogenesis, Distraction / Q000009:adverse effects*; D063173:Retrognathia / Q000601:surgery; D013547:Sweating, Gustatory / Q000209:etiology*