Congenital Frey's syndrome associated with nontraumatic bilateral trifid mandibular condyle

Bilateral condylar anomaly: A case report and review

“…Congenital deformities and developmental abnormalities of the mandibular condyle are classified as (1) hypoplasia or aplasia; (2) hyperplasia; and (3) bifidity. [ 1 ] Bifidity reports are scanty in literature, whereas trifid[ 2 3 4 5 6 7 8 ] and tetrafid[ 9 ] reports are extremely rare. The current classification does not accommodate condyles with trifid/tetrafid cases.…”

Frey Syndrome

“…Bilateral forms occur exceptionally in adults, mainly in the context of bilateral surgery, and are more frequent in the pediatric setting. 4,[11][12][13][14][15][16][17][18] In our series, unilateral forms were statistically significantly more highly associated with traumatic instrumented delivery compared with idiopathic bilateral forms. Forceps and spatula deliveries were both associated with traumatic lesions.…”

“…In the infantile forms of Frey syndrome reported here, diagnoses were made mainly by pediatric allergists (63%), relatively rapidly (median delay of 3 months after the onset of symptoms) in comparison with the literature (median delay of 13 months). 4,5,[11][12][13][14][15][16][17][18] Frey syndrome is easily mistaken for food allergy because of an onset of symptoms concomitant with food diversification. A more frequent than usual history of asthma or atopy, as observed in our series, may add to the confusion.…”

Trifid Mandibular Condyle: Case Report and Current Review of the Literature

“…signs such as: deviation of the mandible while opening, jaw weakness, mandibular hypo plasia, restricted mouth opening and clicking joint noises. Other reported signs include snoring during sleep, Frey's syndrome, facial asymmetry, swelling of the masseteric re gion and incisal midline shift [1][2][3][4][5][6][7][8]16,17,20,21].…”