Freys syndrome is a syndrome that includes sweating while eating gustatory sweating and facial flushing. This nerve, when it heals, reattaches to sweat glands instead of the original salivary gland which had been. She proposed novel pathologic and pharmacologic mechanisms to explain the syndrome. Freys syndrome unusually long delayed clinical onset. Freys syndrome consists of gustatory discomfort, sweating and flushing of the skin overlying the parotid area which may be associated with pain in the auriculotemporal nerve distribution. It is caused by injury to a nerve, called the auriculotemporal nerve, typically after surgical trauma to the parotid gland. Botox injection for freys syndrome iowa head and neck.
He had to continuously dab his face with a cloth during a meal. The characteristic symptom of frey syndrome is gustatory sweating, which is excessive sweating on the cheek, forehead, and around the ears shortly after eating certain foods, specifically foods that produce a strong salivary response such as sour, spicy or salty foods. Botulinum toxin a for quality of life improvement in postparotidectomy gustatory sweating frey s syndrome volume 122 issue 10 d m hartl, m julieron, am leridant, f janot, p marandas, jp travagli. Injection of botulinum toxin a has been reported as a safe and effective treatment option for patients with frey s syndrome. Frey published a report detailing her eponymous illness after treating a polish soldier who experienced gustatory sweating after sustaining an infected bullet wound affecting the parotid gland. Gustatory sweating, as its medically referred to, is a symptom of a condition doctors call frey syndrome. Treatment of gustatory sweating freys syndrome with. One year after resection of a parotid neoplasm, a 44yearold man developed sweating over the left side of the face while eating see video. Gustatory sweating is a common complication of parotid surgery. What have we learnt from lucja frey and her predecessors. It is not uncommon for people to sweat during or after eating. The condition is characterized by sweating and erythema, and. Produces gustatory sweating, warmth and flushing in.
Frey syndrome, or when described more informatively as gustatory sweating. It is caused by the severed ends of parasympathetic secretomotor fibres which innervated the salivary gland growing into the sweat glands of the skin. Gustatory sweating, known as frey syndrome,1 results from misdirected regeneration of parasympathetic fibers normally innervating. Frey s syndrome also known as baillargers syndrome, dupuys syndrome, auriculotemporal syndrome, or frey baillarger syndrome is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva, and from damage to the auriculotemporal nerve often from surgery the symptoms of frey s syndrome are redness and sweating on the cheek area adjacent. The condition causes sweating even when you eat something cold, like ice cream. He has been treated successfully with botulinum toxin. The parotid gland is the largest of the salivary glands and is located at the level of the cheek.
Frey was the first to describe gustatory sweating as a disorder of both sympathetic and parasympathetic innervation. In some cases, frey syndrome may not develop until several years after surgery. Botulinum toxin a for quality of life improvement in post. Frey s syndrome is due to parasympathetic nerve fiber regrowth innervating sweat glands and blood vessels in the facial skin.
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