Khoo S G, Keogh I J, Timon C
Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Dublin.
Ir Med J. 2006 May;99(5):136-7.
Frey's Syndrome, or gustatory sweating, occurs in over 50% of patients following superficial parotidectomy. In the vast majority of cases, these symptoms are not severe enough to require surgical treatment and can be effectively treated with topical anticholinergics and antihyperhydrotics. Patients with recalcitrant Frey's Syndrome can be treated by a variety of surgical procedures. However, the potential risks and side effects of these surgical procedures often outweigh the benefits. Botulinum toxin A has recently emerged as a popular treatment option for a number of head and neck conditions. The anticholinergic effects of Botox make it particularly suitable for the treatment of Frey's Syndrome. We report our experience.
弗雷氏综合征,即味觉性出汗,在腮腺浅叶切除术后超过50%的患者中出现。在绝大多数情况下,这些症状并不严重到需要手术治疗,可通过局部使用抗胆碱能药物和止汗剂有效治疗。患有顽固性弗雷氏综合征的患者可通过多种外科手术进行治疗。然而,这些外科手术的潜在风险和副作用往往超过其益处。肉毒杆菌毒素A最近已成为治疗多种头颈疾病的常用选择。肉毒杆菌毒素的抗胆碱能作用使其特别适合治疗弗雷氏综合征。我们报告我们的经验。