Frey’s syndrome – can the troublesome syndrome be prevented?

Magdalena Antoszewska; Dorota M. Mehrholz; Wioletta Barańska-Rybak

doi:10.5114/dr.2020.101675

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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5/2020
vol. 107

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abstract:

Case report

Frey’s syndrome – can the troublesome syndrome be prevented?

Magdalena Antoszewska

¹

,

Dorota M. Mehrholz

¹

,

Wioletta Barańska-Rybak

¹

Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Gdansk, Poland

Dermatol Rev/Przegl Dermatol 2020, 107, 465-468

DOI: https://doi.org/10.5114/dr.2020.101675

Online publish date: 2020/12/29

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Introduction
Frey’s syndrome was first described by the Polish neurologist Łucja Frey in 1923. It occurs 2–12 months after injury to the parotid gland and it is clinically manifested by sweating, flushing, and a sense of warmth localized in the area of the auriculotemporal nerve, which occurs during eating meals.

Objective
This case report provides information about preventive methods to minimize the risk of developing Frey’s syndrome after parotidectomy.

Case report
The case concerns a 28-year-old patient with Frey’s syndrome after a partial superficial parotidectomy. Although treatment with botulinum toxin type A was recommended, the patient postponed the treatment due to pregnancy.

Conclusions
Different choices for the treatment have been proposed, although with no clear evidence of safety and efficacy. The risk of Frey’s syndrome can be reduced with the appropriate surgical methods, which enable filling the parotid bed. Thoughtful planning before surgery may prevent troublesome treatment.

keywords:

Frey’s syndrome – can the troublesome syndrome be prevented?

Magdalena Antoszewska 1 , Dorota M. Mehrholz 1 , Wioletta Barańska-Rybak 1

Frey’s syndrome, gustatory sweating, auriculotemporal nerve syndrome, auriculotemporal syndrome

Magdalena Antoszewska

¹

,

Dorota M. Mehrholz

¹

,

Wioletta Barańska-Rybak

¹