Carpintero Hurtado N, Sainz Gómez C, García Cariñena M, Virto Ruiz Ma T
Centro de Salud San Jorge, Sanducelay s/n, 31012 Pamplona, Spain.
An Pediatr (Barc). 2006 Jun;64(6):588-90. doi: 10.1157/13089926.
Frey's syndrome is characterized by recurrent episodes of facial gustatory flushing and sweating (most frequent in adults) limited to the cutaneous distribution of the auriculotemporal nerve which, when injured, shows abnormal regeneration. The condition is relatively common in adults following nerve injury in parotid surgery but has rarely been reported in children as a sequel of perinatal birth trauma resulting from forceps assisted delivery. We report three patients with the same syndrome and two different causes. Two children had a history of forceps assisted delivery and one adolescent had undergone preauricular lymphadenectomy. This syndrome, which has more often been described by allergists and maxillofacial surgeons than by pediatricians, may pose problems of differential diagnosis with food allergy, leading to unnecessary exclusion diets. In the pediatric age group, Frey's syndrome is self limiting and does not require therapy if the diagnosis is correct.
弗雷氏综合征的特征是面部味觉性潮红和出汗反复发作（在成年人中最为常见），局限于耳颞神经的皮肤分布区域，该神经受损时会出现异常再生。这种情况在成人腮腺手术后神经损伤后相对常见，但作为产钳助产导致的围产期出生创伤的后遗症在儿童中很少有报道。我们报告了3例患有相同综合征但病因不同的患者。2名儿童有产钳助产史，1名青少年接受了耳前淋巴结切除术。这种综合征更多地是由过敏症专科医生和颌面外科医生描述，而非儿科医生，它可能会在与食物过敏的鉴别诊断中带来问题，导致不必要的排除饮食。在儿童年龄组中，弗雷氏综合征是自限性的，如果诊断正确则无需治疗。
