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Perioral gustatory sweating: case report

Published online by Cambridge University Press:  02 March 2012

S C Käyser*
Affiliation:
Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, The Netherlands
K J A O Ingels
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Radboud University Nijmegen Medical Centre, The Netherlands
F J A van den Hoogen
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Radboud University Nijmegen Medical Centre, The Netherlands
*
Address for correspondence: S C Käyser, M.D. Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Huispost ELG 117, PO Box 9101, 6500 HB Nijmegen, The Netherlands Fax: +31 24 354 18 62, E-mail: sabinekayser@gmail.com

Abstract

Objective:

Presentation of a case of perioral Frey syndrome.

Design:

Case report.

Subject:

A 72-year-old woman with hyperhidrosis around the mouth and chin.

Results:

This patient suffered from bilateral perioral gustatory sweating following a mandibular osteotomy; such a case has not previously been described. Possible pathophysiological hypotheses are discussed in relation to the anatomy and innervation of the salivary glands.

Conclusion:

Perioral gustatory sweating is a rare complication of osteotomy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Rustemeyer, J, Eufinger, H, Bremerich, A. The incidence of Frey's syndrome. J Craniomaxillofac Surg 2008;36:34–7Google Scholar
2Laskawi, R, Ellies, M, Rodel, R, Schoenebeck, C. Gustatory sweating: clinical implications and etiologic aspects. J Oral Maxillofac Surg 1999;57:642–8CrossRefGoogle ScholarPubMed
3Malatskey, S, Rabinovich, I, Fradis, M, Peled, M. Frey syndrome – delayed clinical onset: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:338–40CrossRefGoogle ScholarPubMed
4Scully, C, Langdon, J, Evans, J. Marathon of eponyms: 6 Frey syndrome (gustatory sweating). Oral Dis 2009;15:608–9Google Scholar
5Mehta, M, Friedman, SG, Frankini, LA, Scher, LA, Setzen, M. Frey's syndrome after carotid endarterectomy. Ann Vasc Surg 1999;13:232–4Google Scholar
6Dizon, MV, Fischer, G, Jopp-McKay, A, Treadwell, PW, Paller, AS. Localized facial flushing in infancy. Auriculotemporal nerve (Frey) syndrome. Arch Dermatol 1997;133:1143–5CrossRefGoogle ScholarPubMed
7Sethuraman, G, Mancini, AJ. Familial auriculotemporal nerve (Frey) syndrome. Pediatr Dermatol 2009;26:302–5Google Scholar
8Hussain, N, Dhanarass, M, Whitehouse, W. Frey's syndrome: a masquerader of food allergy. Postgrad Med J 2010;86:62CrossRefGoogle ScholarPubMed
9Kreyden, OP, Scheidegger, EP. Anatomy of the sweat glands, pharmacology of botulinum toxin, and distinctive syndromes associated with hyperhidrosis. Clin Dermatol 2004;22:40–4CrossRefGoogle ScholarPubMed
10Moore, KL, Dalley, AF. Clinically Oriented Anatomy, 4th edn.London: Lippincott Williams & Wilkins, 1999Google Scholar
11Cummings, CW, Fredrickson, JM, Harker, LA, Krause, CJ, Richardson, MA, Schuller, DE. Otolaryngology, Head and Neck Surgery, 3rd edn.Maryland Heights, Missouri: Mosby, 1998Google Scholar
12Teague, A, Akhtar, S, Phillips, J. Frey's syndrome following submandibular gland excision: an unusual postoperative complication. ORL J Otorhinolaryngol Relat Spec 1998;60:346–8CrossRefGoogle ScholarPubMed
13Graham, RM, Baldwin, AJ. An unusual cause of Frey syndrome. Br J Oral Maxillofac Surg 2009;47:146–7Google Scholar
14Hong, KH, Yang, YS. Surgical results of the intraoral removal of the submandibular gland. Otolaryngol Head Neck Surg 2008;139:530–4CrossRefGoogle ScholarPubMed
15Soni, NK, Chatterji, P. Gustatory otorrhoea due to misdirection of regenerated nerve fibres. J Laryngol Otol 1981;95:859–62CrossRefGoogle ScholarPubMed
16Saito, H. Gustatory otalgia and wet ear syndrome: a possible cross-innervation after ear surgery. Laryngoscope 1999;109:569–72CrossRefGoogle ScholarPubMed