Frey's syndrome after condylar fracture: case report

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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Auriculotemporal syndrome (Frey's syndrome) presenting as tic douloureux

Journal of Neurosurgery ◽

10.3171/jns.1990.72.6.0955 ◽

1990 ◽

Vol 72 (6) ◽

pp. 955-958 ◽

Cited By ~ 19

Author(s):

Giuseppe De Benedittis

Keyword(s):

Treatment Modalities ◽

Frey’S Syndrome ◽

Content Type ◽

Gustatory Sweating ◽

Tic Douloureux ◽

Auriculotemporal Syndrome ◽

Frey's Syndrome ◽

Fine Print ◽

Auriculotemporal Nerve

✓ Two cases of auriculotemporal nerve syndrome (Frey's syndrome) presenting as trigeminal tic douloureux are reported. This condition, characterized by gustatory sweating and facial hyperemia, is occasionally associated with pain, which is usually described as aching or burning, and long-lasting. In these two cases, however, a tantalizing gustatory pain occurred in excruciating brief paroxysms. The pathophysiology of the syndrome, with particular reference to pain, and possible treatment modalities are discussed.

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Auriculotemporal nerve syndrome (Frey's syndrome): A literature review and case report

Journal of Indian Society of Pedodontics and Preventive Dentistry ◽

10.4103/jisppd.jisppd_285_18 ◽

2019 ◽

Vol 37 (4) ◽

pp. 414

Author(s):

Roy Petel

Keyword(s):

Case Report ◽

Literature Review ◽

Frey’S Syndrome ◽

Frey's Syndrome ◽

Auriculotemporal Nerve

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Frey's Syndrome Consequent to an Unusual Pattern of Temporomandibular Joint Dislocation: Case Report with Review of Its Incidence and Etiology

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0032-1332210 ◽

2013 ◽

Vol 6 (1) ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

Rajay A. D. Kamath ◽

Shiva Bharani ◽

Suhas Prabhakar

Keyword(s):

Case Report ◽

Parotid Gland ◽

Mandibular Condyle ◽

Parotid Glands ◽

Frey’S Syndrome ◽

Joint Dislocation ◽

Gustatory Sweating ◽

Frey's Syndrome ◽

Anterior Mandible ◽

Temporomandibular Joint Dislocation

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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Not only gustatory sweating and flushing: Signs and symptoms associated with Frey's syndrome and the role of botulinum neurotoxin type A therapy

Toxicon ◽

10.1016/j.toxicon.2020.11.437 ◽

2021 ◽

Vol 190 ◽

pp. S46-S47

Author(s):

Maria Raffaella Marchese ◽

Giovanni Almadori

Keyword(s):

Botulinum Neurotoxin ◽

Signs And Symptoms ◽

Type A ◽

Frey’S Syndrome ◽

Botulinum Neurotoxin Type A ◽

Gustatory Sweating ◽

Frey's Syndrome

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Frey's syndrome: treatment with botulinum toxin

The Journal of Laryngology & Otology ◽

10.1017/s0022215100138769 ◽

1997 ◽

Vol 111 (9) ◽

pp. 839-844 ◽

Cited By ~ 54

Author(s):

A. Bjerkhoel ◽

O. Trobbe

Keyword(s):

Botulinum Toxin ◽

Botulinum Toxin A ◽

Surgical Techniques ◽

Frey’S Syndrome ◽

Need For Treatment ◽

Gustatory Sweating ◽

Parotid Surgery ◽

Frey's Syndrome ◽

Before And After ◽

Set Up

AbstractFrey's syndrome, i.e. gustatory sweating on the cheek, is a fairly common embarrassment after parotid gland surgery. New surgical techniques have been proposed to avoid this complication, but are not widely in use. Hence, there is need for treatment of Frey's syndrome. All surgical and topical treatments have drawbacks. This study was set up in order to evaluate a recently described treatment. One hundred and two patients were interviewed after parotidectomy. Thirty-one of them had noticed gustatory sweating and 15 patients underwent Minor's starch iodine test before, and after, treatment with intracutaneous injections of botulinum toxin A (Botox®, Allergan Inc., USA). Thirteen of the patients did not experience any gustatory sweating at follow-up (one to 13 months). Minor's starch test showed total disappearance of gustatory sweating in 12 of the 15 treated patients. The only side effect was a discreet, transitory affection of the orbicularis oris muscle in one patient. As this treatment is minimally invasive it could be an attractive treatment for Frey's syndrome if the effect is maintained. Complaints of local hypoaesthesia and pain were also common after parotid surgery.

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