Frey’s Syndrome as an Unusual Consequence of Surgery for TMJ Ankylosis

Abstract

Frey’s syndrome is a rare, unwanted complication of surgery/injury to the parotid gland, occasionally seen following surgery in the temporomandibular joint region, neck dissection and faces lift procedures. It is characterised by sweating, flushing and a sense of warmth over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus. As a result this can be a source of great discomfort and embarrassment to the patient. Here, we present a case of Frey’s Syndrome which developed after an inter positional arthroplasty in the right TMJ region. In the follow up period he reported to us with complaints suggestive of gustatory sweating. A positive Minor’s Starch Iodine test confirmed the diagnosis. We reassured him and also mentioned the treatment options available. The symptoms being mild, he decided on no further interventions. The literature does not speak much of such a complication arising after surgery for TMJ ankylosis. This case should be an eye opener for many surgeons as to the possibilities of Frey’s syndrome developing after such surgeries and the means to manage them.