Kamath Rajay A D, Bharani Shiva, Prabhakar Suhas
Department of Oral and Maxillofacial Surgery, College of Dental Sciences and Hospital, Davangere, Karnataka, India.
Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):1-8. doi: 10.1055/s-0032-1332210. Epub 2013 Jan 23.
Frey's syndrome was first described in the 18(th) 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.
弗雷综合征于18世纪首次被描述。迪菲尼克斯和巴亚尔热将腮腺炎症患者味觉性出汗的症状描述为一种非特异性病症。然而，作为一种特定的诊断实体，腮腺创伤后出现的味觉性出汗，于1923年由波兰神经学家卢西·弗雷首次描述，因此他提出了耳颞综合征这一术语。该病症的特征是在产生强烈唾液刺激后，耳前和颞部区域出现出汗、潮红、温热感以及偶尔的疼痛。文献中提到了弗雷综合征的几种病因；然而，没有一种将“完整的”下颌髁突脱位视为该综合征的病因。我们详细回顾其病理生理学、病因和发病率，描述了一例下颌前部骨折后完整的下颌髁突向外上脱位继发弗雷综合征的病例。还简要讨论了其治疗和预防方法。
