auriculotemporal syndrome

フライ症候群。耳介側頭神経症候群

WordNet

1. a pattern of symptoms indicative of some disease
2. a complex of concurrent things; "every word has a syndrome of meanings"

PrepTutorEJDIC

1. (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/06/03 17:53:45」(JST)

wiki en

[Wiki en表示]

Frey's syndrome
Classification and external resources
DiseasesDB	29310

Frey's syndrome (also known as Baillarger’s syndrome, Dupuy’s syndrome, Auriculotemporal syndrome or Frey-Baillarger syndrome) is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva, and from damage to the facial nerve often from surgery.

The symptoms of Frey's syndrome are redness and sweating on the cheek area adjacent to the ear. They can appear when the affected person eats, sees, dreams, thinks about or talks about certain kinds of food which produce strong salivation.^{[citation needed]} Observing sweating in the region after eating a lemon wedge may be diagnostic.

Signs and symptoms

Signs and symptoms include erythema (redness/flushing) and sweating in the cutaneous distribution of the auriculotemporal nerve, usually in response to gustatory stimuli. There is sometimes pain in the same area, often of a burning nature. Between attacks of pain there is sometimes numbness or other alterred sensations (anesthesia or paresthesia). This is sometimes termed "gustatory neuralgia".

Causes

Frey's syndrome often results as a side effect of surgeries of or near the parotid gland or due to injury to the auricotemporal nerve, which passes through the parotid gland in the early part of its course. The Auriculotemporal branch of the Trigeminal nerve carries sympathetic fibers to the sweat glands of the scalp and parasympathetic fibers to the parotid gland. As a result of severance and inappropriate regeneration, the parasympathetic nerve fibers may switch course, resulting in "gustatory Sweating" or sweating in the anticipation of eating, instead of the normal salivatory response. It is often seen with patients who have undergone endoscopic thoracic sympathectomy, a surgical procedure wherein part of the sympathetic trunk is cut or clamped to treat sweating of the hands or blushing. The subsequent regeneration or nerve sprouting leads to abnormal sweating and salivating. It can also include discharge from the nose when smelling certain food.

Rarely, Frey's syndrome can result from causes other than surgery, including accidental trauma,local infecitons, sympathetic dysfunction and pathologic lesions within the parotid gland.

Treatments

There is no effective treatment, but various options are described:

• Injection of Botulinum Toxin A
• Surgical transection of the nerve fibers (only a temporary treatment)^{[citation needed]}
• Application of an ointment containing an anticholinergic drug such as scopolamine^{[citation needed]}

Epidemiology

The condition is rare.

History

It is named after Łucja Frey-Gottesman.

References

External links

• 966393879 at GPnotebook

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 唾液腺腫瘍：限局性疾患の治療 salivary gland tumors treatment of locoregional disease
• 2. 原発性局所多汗症 primary focal hyperhidrosis
• 3. 成人の顔面紅潮に対するアプローチ approach to flushing in adults
• 4. 食物アレルギーの疑いがある患者における病歴および身体的診察 history and physical examination in the patient with possible food allergy
• 5. 耳介（耳）裂傷の評価およびマネージメント assessment and management of auricle ear lacerations

English Journal

• Analysis of the retroauricular transmeatal approach: a novel transfacial access to the mandibular skeleton.

• Arcuri F, Brucoli M, Benech A.SourceDepartment of Maxillo-Facial Surgery, Azienda Ospedaliera Maggiore della Carità University of Piemonte Orientale "Amedeo Avogadro", Novara, Italy.
• The British journal of oral & maxillofacial surgery.Br J Oral Maxillofac Surg.2011 Sep 15. [Epub ahead of print]
• In 2005 experimental work was published about the successful surgical management of fractures of the condylar head through a retroauricular approach. There were two reports in German, and later publications have not mentioned this route to open reduction and internal fixation of such fractures. The
• PMID 21924804

Japanese Journal

• 臨床 下顎骨関節突起骨折後に発症したFrey症候群

• 藤井 達也,合田 正和,松田 和徳 [他],宮崎 かつし,峯田 一秀,中川 宏治,武田 憲昭
• 耳鼻咽喉科臨床 106(1), 13-16, 2013
• … Frey's syndrome is a complication associated with parotid tumor operation. … We report herein on a 70-year-old man who developed Frey's syndrome after fracturing his mandibular condyle. … Although he underwent manipulative reduction, but not an operation, it is suggested that the dislocated condyle injured the auriculotemporal nerve, resulting in the development of Frey's syndrome. …
• NAID 130003373991

• 下顎骨関節突起骨折術後に発症した Frey 症候群の1例

• 坂下 英明,宮田 勝,宮本 日出,宮地 優子
• 日本口腔診断学会雑誌 = Japanese journal of oral diagnosis/oral medicine 9(1), 171-173, 1996-03-20
• NAID 10019009826

• A variation of the auriculotemporal syndrome

• STORRS T. J.
• Br. J. Oral Surg. 11, 236-242, 1974
• NAID 30012110330

Related Links

• Frey's syndrome - Wikipedia, the free encyclopedia

Frey's syndrome (also known as Baillarger's syndrome, Dupuy's syndrome, Auriculotemporal syndrome or Frey-Baillarger syndrome) is a food related syndrome which can be congenital or acquired specially after parotid surgery and can ...

Related Pictures

---

★リンクテーブル★

リンク元	「フライ症候群」
関連記事	「syndrome」

「フライ症候群」

　　[★]

英

Frey syndrome, Frey's syndrome

同

フレー症候群、味覚性発汗症候群 gustatory sweating syndrome、耳介側頭神経症候群 auriculotemporal nerve syndrome、耳介側頭症候群 auriculotemporal syndrome

関

術後Frey症候群

[show details]

フライ症候群 Frey : 41 件
フレー症候群 Frey : 13 件

フライ症候群 : 約 977 件
フレー症候群 : 35 件

「syndrome」

　　[★]

• n.

• 症候群