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Throat
Published in Marie Lyons, Arvind Singh, Your First ENT Job, 2018
Frey’s syndrome. This is the name for gustatory sweating, which occurs because the parasympathetic supply to the parotid gland is disrupted by the operation. It is thought that the parasympathetic supply instead then grows to the skin and causes sweating on the face when salivary flow is stimulated (e.g. by the sight or smell of food). It is quite a common phenomenon but does not prove bothersome to many patients. Treatments include scopolamine cream applied topically to the area, and division of the nerves in the tympanic plexus.
Case 56
Published in Simon Lloyd, Manohar Bance, Jayesh Doshi, ENT Medicine and Surgery, 2018
Simon Lloyd, Manohar Bance, Jayesh Doshi
Frey syndrome: This is caused secondary to parotid surgery whereby eating/thinking of eating causes sweating and erythema of the skin overlying the parotid gland. This is due to aberrant parasympathetic reinnervation of the skin sweat glands from the dissected parotid gland. Botulinum toxin can be injected into the affected area to paralyse this affect.
Conditions
Published in Sarah Bekaert, Women's Health, 2018
Frey’s syndrome – an autonomic disorder characterised by excessive sweating of the skin on the forehead, upper lip, perioral region or sternum subsequent to gustatory stimuli. The condition may develop after trauma to the parotid gland, in association with parotid neoplasms, or following surgical removal of the latter.
Comparative outcomes of extracapsular dissection and superficial parotidectomy
Published in Acta Oto-Laryngologica, 2019
Kerem Ozturk, Arin Ozturk, Goksel Turhal, Isa Kaya, Serdar Akyildiz, Umit Uluoz
Frey’s syndrome (auriculotemporal syndrome) is complicated by abnormal regeneration of parasympathetic nerve fibres in the postoperative period after parotidectomy. Various surgical methods have been described for preventing Frey’s syndrome. Most widely accepted is the size of the dissected parotid tissue and thickness of skin flap. The incidence of Frey’s syndrome has been reported as 4–62% in patients that underwent parotid gland surgery [16]. Lower rates of Frey’s syndrome (0–5%) after ECD have been reported by many studies compared to traditional parotidectomy techniques [16]. In our study, none of the patients showed signs of Frey’s syndrome in the ECD group. On the other hand, 11 (14.1%) patients in the SP group were diagnosed with Frey’s syndrome in their follow-up which is in line with the previous studies. None of the patients required use of the sternocleidomastoid muscle flap for covering the operation site.
Parapharyngeal space tumor surgery using a modified cervical–parotid approach
Published in Acta Oto-Laryngologica, 2018
Isaku Okamoto, Kiyoaki Tsukahara, Hiroki Sato
We had previously used the cervical approach as the first-choice approach, because the cranial nerves are not exposed. In the above studies, the cervical approach was used for all cases of pleomorphic adenomas and 91% of schwannomas [4]. However, for dumbbell-shaped pleomorphic adenomas or those originating in the deep lobe of the parotid gland, the performance of surgery in the same layer of tissue as the facial nerve is a concern. In addition, separation involving the skull base was blind, so tumors abutting the skull base or schwannomas for which the upper pole could not be confirmed carried a high risk of seeding from either a ruptured capsule or a hemorrhage. With the cervical–parotid approach, confirmation of the facial nerve layer and separation from the skull base are relatively simple. The cervical–parotid approach is defined as a procedure in which the shallow lobe of the parotid gland is removed and the parapharyngeal space tumor is then approached via the deep lobe of the parotid gland. From the perspective of preserving the facial nerve, a cervical–parotid approach represents the safest option. However, one drawback is the possibility of facial paralysis due to exposure of the facial nerve over a wide area or Frey’s syndrome due to removal of the superficial lobe of the parotid gland.
Cosmetic injection techniques: a text and video guide to neurotoxins and fillers
Published in Orbit, 2021
This is the second edition of Cosmetic Injection Techniques, which is a practical, illustrated handbook focused on neurotoxins and facial fillers. It is a comprehensive, 210-page book that is equally divided between neurotoxin and filler injections and is accompanied by many high-quality medical illustrations and videos. The book covers a vast amount of material focused on cosmetic uses of injectables, but also includes treatment of functional medical conditions such as neurotoxin injections for Frey Syndrome and migraines. The table of contents is well constructed and clear to follow.