Symptomatic gustatory sweating can have obvious negative social, physical, and psychological implications. Several treatments exist that have proven longterm success in treating Frey syndrome. The prevention of potential complications is a fundamental concept in any surgical treatment plan. The use of a shorter incision in temporomandibular joint surgery may be one avenue for reducing the likelihood of developing Frey syndrome. The reduced surgical access and potential for increased force when retracting while using a shorter incision which may result in facial nerve injury should be carefully considered before choosing this approach.


  • 1. Duphenix M. Observations sur les fistules du canal salivaire de Stenon. I Sur une playe com- pliquee a la joue ou le canal salivaire fut dechire. Mem Acad Royal Chir. 1757;3:431-7.
  • 2. Baillarger M. Memoire sur l’obliteration du canal de Stenon. Gazette Medicale de Paris. 1853;23:194-7.
  • 3. Weber FP. Clinical cases, V: a case of localized sweating and blushing on eating, possibly due to temporary compression of vasomotor fibers. Trans Clin Soc London. 1897;31:277-80.
  • 4. Frey L. Le syndrome du nerf auriculo-temporal. Rev Neurol. 1923;2:92-104.
  • 5. Clayman M, Clayman S, Seagle M. A review of the surgical and medical treatment of frey syndrome. Ann Plast Surg. 2006;57(5):581-4.
  • 6. Motta-Junior J, Aita G, Pererira-Stabile C, et al. Congenital frey’s syndrome associated with nontraumatic bilateral trifid mandibular condyle. Int J Oral Maxillofac Surg. 2013;42:237-9.
  • 7. Blackwood H. The double-headed mandibular condyle. Am J Phys Anthropol. 1957;15(1):1-8.
  • 8. Linder T, Huber A, Schmid S. Frey’s syndrome after parotidectomy: a restrospective and prospective analysis. Laryngoscope. 1997;107(11):1496-501.
  • 9. Dolwick M, Kretzschmar D. Morbidity associated with the preauricular and perimeatal approaches to the temporomandibular joint. J Oral Maxillofac Surg. 1982;40:699.
  • 10. Kryshtalskyj B, Weinberg S. An assessment for auriculotemporal syndrome following temporomandibular joint surgery through the preauricular approach. J Oral Maxillofac Surg. 1989;47:3-6.
  • 11. Swanson K, Laskin D, Campbell R. Auriculotemporal syndrome following the preauricular approach to temporomandibular joint surgery. J Oral Maxillofac Surg. 1991;49:680-2.
  • 12. Minor V. Ein neues Verfahren zu der klinischen Untersuchung der Schweissabsonderung. Dtsch Z Nervenheilkd. 1927;101:302-3.
  • 13. Harris D. Quantitative chemical analysis. 7th ed. New York: W.H. Freeman and Company; 2007.
  • 14. Drobik D, Laskawi R. Frey’s Syndrome: treatment with botulinum toxin. Acta Otolaryngol. 1995;115(3):459-61.
  • 15. Cantarella G, et al. Treatment of frey’s syndrome with botulinum toxin type B. Otolaryngol Head Neck Surg. 2010;143:214-8.
  • 16. Kornblut A, Westphal P, Miehlke A. The effectiveness of a sternocleidomastoid muscle flap in preventing post-parotidectomy occurrence of the Frey syndrome. Acta Otolaryngol. 1974;77:368-73.
  • 17. Casler J, Conley J. Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey’s syndrome. Laryngoscope. 1991;101:95-100.
  • 18. Cesteleyn L, et al. Temporoparietal fascia flaps and superficial musculoaponeurotic system plication in parotid surgery reduces Frey’s syndrome. J Oral Maxillofac Surg. 2002;60:1284-97.
  • 19. Zeng X, et al. AlloDerm implants for prevention of Frey syndrome after parotidectomy: a systematic review and meta-analysis. Mol Med Rep. 2012;5(4):974-80.
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