[腮腺外侧切除术后的味觉出汗综合征。随访与治疗前景]

[Frey syndrome after lateral parotidectomy. Follow-up and therapeutic outlook].

作者信息

Küttner C, Berens A, Tröger M, Keil C, Eckardt A

机构信息

Klinik und Poliklinik für Mund-, Kiefer- und Gesichts-Chirurgie, Medizinische Hochschule Hannover.

出版信息

Mund Kiefer Gesichtschir. 2001 Mar;5(2):144-9. doi: 10.1007/s100060000284.

DOI:10.1007/s100060000284

PMID:11372182

Abstract

BACKGROUND

Gustatory sweating is a common complication of parotid surgery.

PATIENTS AND METHODS

In order to evaluate the incidence of Frey's syndrome following superficial parotidectomy, 69 patients who underwent surgery due to adenoma were studied. Forty-three patients (62%) suffered from gustatory sweating following superficial parotidectomy, and 33 of them requested treatment. Nineteen patients felt that their quality of life had been decreased by the symptoms.

RESULTS

Minor's starch iodine test proved that 85% of the patients who did not notice Frey's syndrome after surgery actually had a subclinical manifestation. Eight patients were successfully treated with intracutaneous injections of botulinum toxin A. Within 1 week gustatory sweating disappeared.

CONCLUSION

Frey's syndrome is present in almost all patients following superficial parotidectomy and there is a strong need for treatment. Intracutaneous injection of botulinum toxin A is an effective treatment in severe cases of the syndrome.

摘要