Parotid Mass and Orofacial Granulomatosis—A Diagnostic Dilemma with Review of Literature

Introduction: Parotid mass and facial nerve palsy are common clinical presentations in hospital and clinic-based practice. But when presented together they usually point to the possibility of malignancy or inflammatory pathogenesis. Melkersson–Rosenthal Syndrome is one of the diseases in the spectrum of orofacial granulomatosis characterized by bilateral alternate facial nerve palsy, swelling of lips and fissured tongue. We present a study of two cases where the spectrum of disease consisted of parotid mass, alternating facial nerve palsy, characteristic features of Melkersson–Rosenthal syndrome, ultimately leading to the diagnosis of Wegener's granulomatosis.