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[Diagnostic image (147) A man with gustatory sweating. Frey's syndrome]
F J van den Hoogen1, H A Marres
1Universitair Medisch Centrum St Radboud, afd. Keel-, Neus- en Oorheelkunde en Hoofd-Halschirurgie, Postbus 9101, 6500 HB Nijmegen. f.vandenhoogen@kno.umcn.nl
Nederlands Tijdschrift Voor Geneeskunde
|August 2, 2003
Summary
Frey's syndrome, characterized by gustatory sweating, can occur after submandibular gland surgery. This condition was effectively managed using botulinum A toxin injections, offering a novel treatment for this nerve injury complication.
Area of Science:
- Otorhinolaryngology
- Neurology
- Dermatology
Background:
- Submandibular gland removal, a surgical procedure, can lead to post-operative complications.
- Gustatory sweating, known as Frey's syndrome, is a rare neurological complication involving aberrant nerve regeneration.
Observation:
- A 73-year-old male patient presented with symptoms of gustatory sweating.
- The patient had a history of submandibular gland excision surgery.
Findings:
- Frey's syndrome was diagnosed based on the patient's clinical presentation.
- Intracutaneous injections of botulinum A toxin were administered as a therapeutic intervention.
- The treatment resulted in successful resolution of the gustatory sweating symptoms.
Implications:
- Botulinum A toxin represents a viable and effective treatment option for Frey's syndrome.
- This case highlights the importance of recognizing and managing iatrogenic nerve injuries.
- Further research into neuroregenerative complications and their management is warranted.