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Management of Frey's Syndrome

Management of Frey's Syndrome To the Editor.— The QUESTIONS AND ANSWERS section regarding Frey's syndrome in The Journal1 brought to light another rarely encountered automatic dysfunction. The profuse unilateral facial sweating response to gustatory stimulation may indeed become milder with passage of time, but the victim of such a distressing situation may perceive it as being endless. Topical applications of 20% aluminum chloride in an alcohol solution as recommended by Dr K. Sato may provide significant relief, but his comments suggest only brief improvement and imply the need for daily treatments. When we administer stellate ganglion blocks, usually for reflex sympathetic dystrophy or causalgia of an upper extremity, we observe the development of a Horner's syndrome, consisting of unilateral dryness of the face, stuffiness of the nostril, and miosis. The beneficial pain relief usually lasts beyond the pharmacologic duration of the local anesthetic and when a series of sympathetic blocks is administered, the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Management of Frey's Syndrome

JAMA , Volume 254 (24) – Dec 27, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1985.03360240032008
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— The QUESTIONS AND ANSWERS section regarding Frey's syndrome in The Journal1 brought to light another rarely encountered automatic dysfunction. The profuse unilateral facial sweating response to gustatory stimulation may indeed become milder with passage of time, but the victim of such a distressing situation may perceive it as being endless. Topical applications of 20% aluminum chloride in an alcohol solution as recommended by Dr K. Sato may provide significant relief, but his comments suggest only brief improvement and imply the need for daily treatments. When we administer stellate ganglion blocks, usually for reflex sympathetic dystrophy or causalgia of an upper extremity, we observe the development of a Horner's syndrome, consisting of unilateral dryness of the face, stuffiness of the nostril, and miosis. The beneficial pain relief usually lasts beyond the pharmacologic duration of the local anesthetic and when a series of sympathetic blocks is administered, the

Journal

JAMAAmerican Medical Association

Published: Dec 27, 1985

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