Laskawi R, Rohrbach S
Department of Otolaryngology, Head and Neck Surgery, University of Göttingen, Germany.
ORL J Otorhinolaryngol Relat Spec. 2001 Sep-Oct;63(5):294-7. doi: 10.1159/000055761.
Botulinum toxin treatment is an efficient, well-tolerated technique for patients suffering from gustatory sweating, first described by our group. With the experience gained in recent years we were able to improve on some of our skills in the diagnosis and treatment of gustatory sweating and here we wish to focus on some interesting aspects: (1) the necessity for an exact anamnesis before treatment with botulinum toxin to ensure correct treatment; (2) the advantages of Minor's test in special situations, for example, when sweating occurs in regions of hairy skin, retroauricular, at the back of the auricle and in areas distant from the site of salivary gland surgery; (3) the reduction of pain during treatment using an anesthetic ointment containing lidocaine and prilocaine as active substances; (4) intracutaneous injections in areas anterior to the fascia-protected skin of the lateral face-covering mimetic muscles, and (5) the occasional necessity for short-time reinjection in small areas of persistent sweating.
肉毒杆菌毒素治疗是一种针对味觉性出汗患者的有效且耐受性良好的技术，由我们团队首次描述。凭借近年来积累的经验，我们得以在味觉性出汗的诊断和治疗方面提升一些技能，在此我们希望聚焦于一些有趣的方面：（1）在使用肉毒杆菌毒素治疗前进行精确问诊的必要性，以确保正确治疗；（2）Minor试验在特殊情况下的优势，例如，当出汗发生在多毛皮肤区域、耳后、耳廓后部以及远离唾液腺手术部位的区域时；（3）使用含有利多卡因和丙胺卡因作为活性成分的麻醉药膏减轻治疗过程中的疼痛；（4）在覆盖侧面模仿肌肉的筋膜保护皮肤前方区域进行皮内注射，以及（5）在持续性出汗的小区域偶尔需要进行短期再次注射。
