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Frey syndrome before Frey: the correct history
P Dulguerov1, F Marchal, C Gysin
1Division of Head and Neck Surgery, Geneva University Hospital, Switzerland.
The Laryngoscope
|September 28, 1999
Summary
The first documented case of Frey syndrome, characterized by gustatory sweating, was reported in 1853 by Baillarger, not earlier as previously suggested. Duphenix's 1757 case is likely a parotid fistula.
Area of Science:
- Neurology
- Medical History
- Otolaryngology
Background:
- Frey syndrome, a condition involving gustatory sweating and facial flushing after parotid gland surgery or injury, has a debated publication history.
- Previous literature often cited early 20th-century publications as the origin of understanding this syndrome.
Discussion:
- This review meticulously examined pre-1950 publications referencing gustatory sweating and parotid gland issues.
- The analysis focused on identifying cases consistent with the modern definition of Frey syndrome, differentiating them from other conditions like traumatic parotid fistulas.
Key Insights:
- The 1757 case by Duphenix, while describing facial sweating, is re-evaluated as a probable traumatic parotid fistula, not Frey syndrome.
- The earliest documented case aligning with Frey syndrome's clinical presentation is attributed to Baillarger in 1853.
Outlook:
- Revisiting historical medical literature is crucial for accurately tracing the origins of recognized medical conditions.
- Establishing the correct timeline for Frey syndrome enhances our understanding of its historical context and diagnostic evolution.