Abstract

While rare in the general population, familial dysautonomia (ID), an autosomally recessive genetically transmitted disorder, affects Ashkenazi Jewish children at a rate of slightly more than 1 in 4,000 viable births.’ The disease involves the peripheral nervous system and is characterized by progressive sensory, autonomic, and motor dysfunction.’ Clinical features of FD include dysphagia, regurgitation with frequent aspiration, esophageal dysmotility, diminished lacrimation and corneal reflex, scoliosis, facial asymmetry, and significant decreased or absent fungiform lingual papillae.’ Dentally, crowding and malocclusion are common, as are factitious injuries due to dyskinetic movement and diminished pain perception.” We report a case of FD in which a pathologic fracture of the mandible of unusual etiology occurred, and the subsequent complications of surgical management.

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