Hanowell S, Lees D E, MacNamara T
South Med J. 1979 Sep;72(9):1116-7. doi: 10.1097/00007611-197909000-00008.
Auriculotemporal syndrome frequently follows trauma to the auriculotemporal nerve, a branch of the mandibular nerve. Classic symptoms are gustatory sweating and hyperemia, with pain occurring in less than 10% of cases. We have treated six patients for a variant of auriculotemporal syndrome following combined modality therapy for head and neck cancers. Unique was the presence of pain and the absence of gustatory sweating in all cases. The combination of radical surgery, chemotherapy, and irradiation obscured the "textbook" presentation, leading to initial misdiagnosis. Long-term relief (one year) from this atypical presentation of auriculotemporal syndrome was afforded by a simple mandibular nerve block, a technic that is of no sustained therapeutic benefit in the classic cases.
耳颞综合征常继发于耳颞神经（下颌神经的一个分支）损伤。典型症状为味觉性出汗和充血，不到10%的病例会出现疼痛。我们对6例头颈部癌症综合治疗后出现耳颞综合征变异型的患者进行了治疗。所有病例均有疼痛且无味觉性出汗，这一点很独特。根治性手术、化疗和放疗的联合应用掩盖了“教科书式”表现，导致最初误诊。单纯的下颌神经阻滞为这种非典型耳颞综合征表现带来了长期缓解（一年），而该技术在典型病例中并无持续的治疗益处。
