Gordon A B, Fiddian R V
Am J Surg. 1976 Jul;132(1):54-8. doi: 10.1016/0002-9610(76)90290-7.
The operative records of seventy-one patients who had parotid surgery carried out in the ten year period from 1964 to 1973 were reviewed. Forty-one (67%) of the operations were suprafacial parotidectomies. Of the fifty patients who agreed to reassessment in a special clinic, seventeen had a noticeable degree of Frey's syndrome, and of these fourteen were submitted to further investigations. Minor's test in these fourteen patients showed the greater auricular nerve to be involved in six patients, the ariculotemporal nerve in four, and both nerves in two. The results in two patients were inconclusive. Because the starch test reveals only the distribution of the gustatory sweating, a useful adjunct is described for investigating Frey's syndrome. By blocking of the contralateral greater auricular nerve in the neck and mapping out of the anesthetized area, its sensory distribution is demonstrated. We conclude that it is manifestly unwise to avulse the auriculotemporal nerve if the sweating occurs in the distribution of the greater auricular nerve.
回顾了1964年至1973年这十年间接受腮腺手术的71例患者的手术记录。其中41例（67%）手术为腮腺浅叶切除术。在同意在专门诊所进行重新评估的50例患者中，17例有明显程度的味觉出汗综合征，其中14例接受了进一步检查。这14例患者的Minor试验显示，耳大神经受累6例，颞浅神经受累4例，两条神经均受累2例。2例患者的结果不明确。由于淀粉试验仅显示味觉出汗的分布情况，因此描述了一种用于研究味觉出汗综合征的有用辅助方法。通过阻断颈部对侧耳大神经并描绘出麻醉区域，可显示其感觉分布。我们得出结论，如果出汗发生在耳大神经分布区域，撕脱颞浅神经显然是不明智的。
