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Frey氏综合征即耳颞综合征(Auriculoptemporal syndrome),表现为摄食时同侧腮腺区域(耳前部与颊部)潮红、发热及出汗。大多在腮腺感染、外伤或腮腺术后出现。部分面神经炎患者亦可遗有Frey氏综合征,但临床报导很少。现将一例面神经炎后出现Frey氏综合征病例报告如下。病例摘要患者,男,40岁。于92年8月23日入院。于90年9月受凉后出现左周围性面瘫,听力正常。诊断面神经炎入院。治疗2个月后出院,遗有左睫毛征(+),左鼻唇沟浅。92年5月起出现进食时左耳颞部流汗不止,伴局部潮红发热,停止咀嚼后症状即消失。患者无腮腺外伤、手术及感染史。查腮腺部位无红肿压痛,腮腺导管口正常。诊断为面神经炎后遗症,Frey氏综合征。对症治疗2周无缓解自动出院。随访半年此症状仍存在。
Frey’s syndrome, or Auriculoptemporal syndrome, manifests as flushing, fever and sweating in the ipsilateral parotid gland area (frontal and cheek) on ingestion. Mostly in the parotid gland infection, trauma or parotid surgery appears. Some patients with facial neuritis can also leave Frey’s syndrome, but few clinical reports. Now a case of facial neuritis occurs after Frey’s syndrome cases are as follows. Case Summary Male, 40 years old. On August 23, 92 admission. After 90 years in September after the cold left peripheral facial paralysis, normal hearing. Diagnosis of facial neuritis admitted. After 2 months of treatment, left eyelash left (+), left nasolabial fold shallow. May 92, when appearing on the left ear, temporal sweat more than with the local flushing fever, stop chewing symptoms disappear. Patients without parotid injuries, surgery and infection history. Check the parotid gland tenderness tenderness, parotid duct mouth normal. Diagnosis of facial neuritis sequelae, Frey’s syndrome. Symptomatic treatment 2 weeks without relief automatically discharged. Follow-up six months this symptom still exists.