Abstract
Frey's syndrome is the occurrence of hyperesthesia, flushing and warmth or sweating over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus. Frey's syndrome is also known as auriculotemporal syndrome and gustatory sweating. We present a case of Frey's syndrome after a condylar fracture and its treatment by internal rigid fixation. A review of the literature is provided along with mention of a simple test (Minor's test) that can help in the diagnosis of this syndrome.
Highlights
The signs and symptoms of Frey’s syndrome were first described in 1757 [1], and in 1853 and 1897, the same clinical symptoms were reported after parotid gland infections [1] and with lymphatic nodule abscesses [2], respectively. It was only in 1923 that a Frenchwoman named Lucie Frey described this syndrome as occurring after direct damage to the auriculotemporal nerve [3]
This syndrome is characterized by the occurrence of hyperesthesia, flushing and warmth or sweating over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus
A 23-year-old Afro-American man was referred to the Department of Oral Maxillofacial Surgery and Periodontology (FORP, USP) by his dental practitioner. He complained of acute pain of the mandibular condyle on the left side and the contra-lateral body while eating, with limited opening of the mouth and altered bite
Summary
Frey’s syndrome is the occurrence of hyperesthesia, flushing and warmth or sweating over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus. Frey’s syndrome is known as auriculotemporal syndrome and gustatory sweating. We present a case of Frey’s syndrome after a condylar fracture and its treatment by internal rigid fixation. A review of the literature is provided along with mention of a simple test (Minor’s test) that can help in the diagnosis of this syndrome
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