J Korean Assoc Maxillofac Plast Reconstr Surg.  2013 Nov;35(6):376-380.

Frey Syndrome after Retromandibular Approach for Condyle Fracture Reduction

• Lee JM
• Ki EJ
• Cheon HM
• Choi MG

Abstract

Frey syndrome is a disease characterized by abnormal sweating, facial redness, and rare pain by stimulation of taste sense on the limited area dominated by the auriculotemporal nerve and great auricular nerve. Although the developmental mechanism and histopathologic cause of Frey syndrome are still being debated, the most reliable theory is based on injury of the parathympathetic nerve connected to the auriculotemporal nerve continuing to abnormal regeneration. The other theory is that the sweat glands develop an increased sensitivity after degeneration of sympathetic fibers. Therapy of Frey syndrome includes drugs, radiographic treatment, and surgical treatment; however, in most cases, treatment is not satisfactory. This is a case report on a 24-year-old male patient with Frey syndrome caused by the fracture reduction with retromandibular approach after multiple facial traumas and spontaneous healing without any special treatment.

Keyword

Frey syndrome; Mandibular condyle; Gustatory sweating

MeSH Terms

Adrenergic Fibers
Humans
Male
Mandibular Condyle
Regeneration
Sweat
Sweat Glands
Sweating
Sweating, Gustatory*
Young Adult