Melkersson-Rosenthal Syndrome (MRS) is a rare otoneurologic condition, which is 
poorly understood and often underdiagnosed. Etiology and incidence are unclear, 
although infectious, inflammatory, and genetic causes have been implicated. 
Recurrent facial nerve palsy, facial swelling, and fissured tongue are the 
symptoms and signs of this condition. However, this triad is not typical in all 
patients as patients may present with one or more of the symptoms, which makes 
management of this condition difficult. Steroids may prove to be useful 
especially in patients who have facial nerve palsy. In this case report, we have 
described a 46 year-old Caucasian male who presented to the clinic for the 
evaluation of orofacial swelling and left facial deviation with a history of 
multiple treatments for recurrent lower motor neuron type facial nerve palsy.