Document Detail


Frey's syndrome after parotid surgery.
MedLine Citation:
PMID:  952338     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The operative records of seventy-one patients who had parotid surgery carried out in the ten year period from 1964 to 1973 were reviewed. Forty-one (67%) of the operations were suprafacial parotidectomies. Of the fifty patients who agreed to reassessment in a special clinic, seventeen had a noticeable degree of Frey's syndrome, and of these fourteen were submitted to further investigations. Minor's test in these fourteen patients showed the greater auricular nerve to be involved in six patients, the ariculotemporal nerve in four, and both nerves in two. The results in two patients were inconclusive. Because the starch test reveals only the distribution of the gustatory sweating, a useful adjunct is described for investigating Frey's syndrome. By blocking of the contralateral greater auricular nerve in the neck and mapping out of the anesthetized area, its sensory distribution is demonstrated. We conclude that it is manifestly unwise to avulse the auriculotemporal nerve if the sweating occurs in the distribution of the greater auricular nerve.
Authors:
A B Gordon; R V Fiddian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  132     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1976 Jul 
Date Detail:
Created Date:  1976-10-02     Completed Date:  1976-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  54-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Child, Preschool
Female
Humans
Infant
Iodine / diagnostic use
Lidocaine / diagnostic use
Male
Middle Aged
Nerve Regeneration
Parasympathetic Nervous System / physiopathology
Parotid Gland / innervation,  surgery*
Postoperative Complications*
Spinal Nerves / physiopathology
Starch / diagnostic use
Sweating, Gustatory / etiology*,  physiopathology
Trigeminal Nerve / physiopathology
Chemical
Reg. No./Substance:
137-58-6/Lidocaine; 7553-56-2/Iodine; 9005-25-8/Starch

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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