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

Frey's syndrome was first described in the 18th century. Recognizing it as a nonspecific condition, the symptom of gustatory sweating in patients with parotid gland inflammation was described by Duphenix and Baillarger. However, as a specific diagnostic entity, gustatory sweating, following trauma to parotid glands, was first described by Polish neurologist Lucie Frey, in 1923, and hence he proposed the term auriculotemporal syndrome. The condition is characterized by sweating, flushing, a sense of warmth, and occasional pain in the preauricular and temporal areas, following the production of a strong salivary stimulus. Several etiologies of Frey's syndrome have been mentioned in the literature; however, none attribute dislocation of the “intact” mandibular condyle as a cause of the syndrome. Reviewing its pathophysiology, etiology, and incidence in detail, we describe a case of Frey's syndrome subsequent to superolateral dislocation of the intact mandibular condyle following fracture of the anterior mandible. Its management and prevention are also discussed in brief.

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Frey's syndrome after condylar fracture: case report

Brazilian Dental Journal ◽

10.1590/s0103-64402004000200014 ◽

2004 ◽

Vol 15 (2) ◽

pp. 159-162 ◽

Cited By ~ 13

Author(s):

Cassio Edvard Sverzut ◽

Alexandre Elias Trivellato ◽

Elis Cristina Souza Serra ◽

Emanuela Prado Ferraz ◽

Alexander Tadeu Sverzut

Keyword(s):

Case Report ◽

Rigid Fixation ◽

Simple Test ◽

Review Of The Literature ◽

Frey’S Syndrome ◽

Condylar Fracture ◽

Gustatory Sweating ◽

Auriculotemporal Syndrome ◽

Frey's Syndrome ◽

Auriculotemporal Nerve

Frey's syndrome is the occurrence of hyperesthesia, flushing and warmth or sweating over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus. Frey's syndrome is also known as auriculotemporal syndrome and gustatory sweating. We present a case of Frey's syndrome after a condylar fracture and its treatment by internal rigid fixation. A review of the literature is provided along with mention of a simple test (Minor's test) that can help in the diagnosis of this syndrome.

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Treatment of Frey's syndrome with type a botulinum toxin: Case report

Journal of Oral and Maxillofacial Surgery ◽

10.1053/joms.2000.18277 ◽

2000 ◽

Vol 58 (12) ◽

pp. 1411-1414 ◽

Cited By ~ 11

Author(s):

Jens-Jörg von Lindern ◽

Bernd Niederhagen ◽

Stefaan Bergé ◽

Rudolf H. Reich

Keyword(s):

Case Report ◽

Botulinum Toxin ◽

Type A ◽

Frey’S Syndrome ◽

Frey's Syndrome

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Frey's syndrome after fracture of the mandibular condyle

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/s1079-2104(95)80003-4 ◽

1995 ◽

Vol 80 (1) ◽

pp. 2 ◽

Cited By ~ 5

Author(s):

G. Dhaif ◽

S. Kuriakose ◽

D. Sleeman ◽

F. Brady

Keyword(s):

Mandibular Condyle ◽

Frey’S Syndrome ◽

Frey's Syndrome

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Frey’s Syndrome after Elective Thyroidectomy: a Case Report

Acta Chirurgica Belgica ◽

10.1080/00015458.2008.11680301 ◽

2008 ◽

Vol 108 (5) ◽

pp. 613-615 ◽

Cited By ~ 5

Author(s):

V. Van Gorp ◽

G. Verfaillie ◽

C. Verborgh ◽

F. Camu

Keyword(s):

Case Report ◽

Frey’S Syndrome ◽

Frey's Syndrome

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Gustatory itching: an unusual complication following superficial parotidectomy

The Journal of Laryngology & Otology ◽

10.1017/s0022215110001039 ◽

2010 ◽

Vol 124 (11) ◽

pp. 1227-1228

Author(s):

R Ricks ◽

R Banga ◽

M Porter

Keyword(s):

Case Report ◽

English Literature ◽

Unusual Complication ◽

Invasive Procedures ◽

Frey’S Syndrome ◽

Superficial Parotidectomy ◽

Documented Case ◽

Oral Antihistamine ◽

Frey's Syndrome

AbstractObjective:We report the previously undocumented complication of gustatory itching following superficial parotidectomy.Method:Case report and review of the English literature concerning Frey's syndrome, complications of superficial parotidectomy and the pathophysiology of itching.Results:A 49-year-old woman developed gustatory itching following a superficial parotidectomy. Her symptoms were satisfactorily managed with topical and oral antihistamine preparations. We propose a neurophysiological pathway involving acetylcholine and histamine to explain this phenomenon.Conclusion:To our knowledge, this is the first documented case of gustatory itching following superficial parotidectomy. The use of antihistamine preparations appears to effectively manage this symptom, without the need for invasive procedures.

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