Frey Syndrome Unexpected Cheek Sweating Explained , скачать в хорошем качестве

Frey Syndrome Unexpected Cheek Sweating Explained ,

*Frey Syndrome* Frey syndrome (also known as auriculotemporal syndrome) is a condition characterized by sweating, flushing, and warmth over the cheek, temple, or auricular region while eating (gustatory sweating). It occurs due to aberrant regeneration of auriculotemporal nerve fibers after injury or surgery, leading to misdirected nerve signals. --- *Clinical Features* *Gustatory sweating:* Sweating and flushing of the cheek or temple while eating, especially with spicy or sour foods. *Facial flushing:* Redness of the skin in the affected area. *Burning or tingling sensation:* Some patients experience mild discomfort. *Unilateral symptoms:* Usually affects one side, especially after parotid gland surgery. --- *Diagnosis* *1. Clinical History & Examination* History of **parotidectomy, trauma, or facial surgery**. Symptoms triggered by food consumption. *2. Minor Starch-Iodine Test (Best Diagnostic Test)* *Procedure:* Apply iodine solution to the affected area. Let it dry, then sprinkle starch powder. Give the patient a gustatory stimulus (e.g., lemon juice). Sweating will turn the starch-iodine mixture dark blue/black, confirming the diagnosis. *3. Other Tests (if needed)* *Thermography:* Detects heat changes in the affected area. *Sweat tests:* Alternative methods to detect excessive sweating. --- *Treatment Plan* *1. Conservative Management* (For mild cases) *Avoid triggers:* Spicy, sour, or hot foods. *Topical antiperspirants:* *Aluminum chloride 20%* (similar to hyperhidrosis treatment). *Glycopyrrolate wipes or cream* (anticholinergic agent). *2. Medical Treatment* *Botulinum Toxin (Botox) Injections* (Most Effective & Preferred Treatment) Blocks nerve signals to sweat glands. Provides relief for **4-12 months**, requiring repeat injections. *3. Surgical Treatment* (For severe/refractory cases) *Tympanic neurectomy:* Disrupts the nerve pathway. *Fascia or fat grafts:* Barrier between skin and underlying nerves. *Revision surgery:* If caused by parotidectomy, additional surgical intervention may help. --- *Prognosis* *Mild cases* may not require treatment. *Botox injections* are highly effective but temporary. *Surgical options* are reserved for severe cases. Would you like a detailed treatment protocol or management plan?