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Frey's syndrome following fracture of the mandibular condyle - a case report

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Abstract

Frey's syndrome (preauricular gustatory sweating) following multiple fractures of maxillofacial structures, including both mandibular condyles, is presented. Condylar fracture is an uncommon cause of this syndrome. The physiology of this syndrome is reviewed. Successful relief of symptoms and technique for objective documentation are presented.

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References

  1. Frey L (1923) Le syndrome du nerf auriculotemporal. Rev Neurol 2:97

    Google Scholar 

  2. Martis C, Athanassiades S (1969) Auriculotemporal syndrome (Frey's syndrome) secondary to fracture of the mandibular condyle. Plast Reconstr Surg 44:603–604

    PubMed  Google Scholar 

  3. Spiro PH, Martin H (1967) Gustatory sweating following parotid surgery and radical neck dissection. Ann Surg 165:118–127

    PubMed  Google Scholar 

  4. Laage-Hellman JE (1957) Gustatory sweating and flushing after conservative parotidectomy. Acta Otolaryngol 48:234

    PubMed  Google Scholar 

  5. Laage-Hellman JE (1958) Gustatory sweating and flushing. Acta Otolaryngol 49:306

    PubMed  Google Scholar 

  6. Laage-Hellman JE (1958) Treatment of gustatory sweating and flushing. Acta Otolaryngol 49:132

    PubMed  Google Scholar 

  7. Harrison K, Donaldson I (1979) Frey's syndrome. J R Soc Med 72:503–508

    PubMed  Google Scholar 

  8. Hogeman KE (1951) Surgical orthopaedic correction of mandibular protrusion. Acta Chir Scand 159:46

    Google Scholar 

  9. Myers EN, Conley J (1970) Gustatory sweating after radical neck dissection. Arch Otol 91:534–542

    Google Scholar 

  10. Schmidseder R, Scheunemann H (1977) Nerve injury in fractures of the condylar neck. J Maxillot Fac Surg 5:186–190

    Google Scholar 

  11. Goodman RS (1986) Frey's syndrome: secondary to condylar fracture. Laryngoscope 96:1397–1398

    PubMed  Google Scholar 

  12. Storrs TJA (1974) A variation of the auriculotemporal syndrome. Br J Oral Surg 11:236–242

    PubMed  Google Scholar 

  13. Olson RE, Walters CL, Powell WJ (1977) Gustatory sweating caused by blunt trauma. J Oral Surg 35:306–308

    PubMed  Google Scholar 

  14. Herrmann A, Zoller J, Maier H (1991) Freysches Syndrom (gustatorisches Schwitzen) nach Kiefergelenksfraktur. Laryngol Rhinol Otol 70:196–198

    Google Scholar 

  15. Dhaif G, Kuriakose S, Sleeman D, Brady F (1995) Frey's syndrome after fracture of the mandibular condyle (Letter). Oral Surg Oral Med Oral Pathol 80:2

    Google Scholar 

  16. Balfour HH, Bloom JE (1970) The auriculotemporal syndrome beginning in infancy. J Pediatr 77:872–874

    PubMed  Google Scholar 

  17. Chisa N, Mendelson CG, Darnley JD (1964) Auriculotemporal syndrome. Arch Dermatol 90:457–459

    PubMed  Google Scholar 

  18. Laage-Hellman JE (1958) Gustatory sweating and flushing, aetiological implications of response of seperate sweat glands to various stimuli. Acta Otolaryngol 49:363–374

    PubMed  Google Scholar 

  19. Hemenway WG (1960) Gustatory sweating and flushing (the auriculo - temporal syndrome, Frey's syndrome). Laryngoscope 70:84–90

    PubMed  Google Scholar 

  20. Glaister DH, Hearnshaw JR, Heffron PF, Peck AW (1958) The mechanism of post-parotidectomy gustatory sweating (the auriculotemporal syndrome). Br Med J II:942

    Google Scholar 

  21. Gardner WJ, McCubbin JW (1956) Auriculotemporal syndrome: gustatory sweating due to misdirection of regenerated nerve fibers. JAMA 160:272

    Google Scholar 

  22. Golding-Wood PH (1962) Tympanic neurectomy. J Laryngol 76:683

    Google Scholar 

  23. Langenskiöld A (1946) Gustatory local hyperhydrosis following injuries in the parotid region. Acta Chir 93:294

    Google Scholar 

  24. Hays LL (1978) The Frey syndrome: a review and double blind evaluation of the topical use of a new anticholinergic-agent. Laryngoscope 88:1796

    PubMed  Google Scholar 

  25. Kornblut AD, Westphal P, Miehlke A (1974) The effectiveness of a stern ocleidomastoid muscle flap in prevention post-parotidectomy occurence of the Frey syndrome. Acta Otolaryngol 77:368–373

    PubMed  Google Scholar 

  26. Haxton HA (1948) Gustatory sweating. Brain 71:16

    Google Scholar 

  27. Simeone FA, Mentha C, Rodrigues HA (1951) Responsivenes of sweat glands after denervation of preganglionic ramisection, ganglionectomy and peripheral nerve section. Am J Physiol 165:356

    PubMed  Google Scholar 

  28. Perry JF, Hamilton GF, Lachenbruch PA (1974) Protective sensation in the hand and its correlation to the ninhydrin sweat test following nerve laceration. Am J Phys Med 53:113

    PubMed  Google Scholar 

  29. Phelps P, Walker E (1977) Comparison of the finger wrinkling test results to established sensory tests in peripheral nerve injury. Am J Occup Ther 31:9

    Google Scholar 

  30. Laws IM (1967) Two unusual complications of fractured condyles. Br J Oral Surg 5:51–59

    PubMed  Google Scholar 

  31. Uprus V Gaylor JB, Carmichael EA (1934) Localized abnormal flushing and sweating on eating. Brain 57:443–453

    Google Scholar 

  32. Freedberg A, shaw RS, McManus MJ (1948) The auriculotemporal syndrome, a clinical and pharmocologic study. J Clin Invest 27:669–676

    Google Scholar 

  33. Tuinzing DB, Van der Kwast WAM (1982) Frey's syndrome. Int J Oral Surg 11:197–200

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy and Medical School, Ankara, Turkey

    M. Sengezer & M. Deveci

  2. Private practice, Tel-Aviv, Israel

    R. C. Sadove

Authors
  1. M. Sengezer
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  2. R. C. Sadove
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  3. M. Deveci
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Sengezer, M., Sadove, R.C. & Deveci, M. Frey's syndrome following fracture of the mandibular condyle - a case report. Eur J Plast Surg 20, 217–219 (1997). https://doi.org/10.1007/BF01152199

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