title: Botulinum toxoid in the management of gustatory sweating (Frey's syndrome) after superficial parotidectomy.
abstract: Botulinum toxin has been successfully used to treat Frey's syndrome occurring in a 31-year-old patient following superficial parotidectomy for pleomorphic adenoma. An initial injection of 7.5 U (0.3 ml over 6 cm2 of cheek) resulted in 3 months' resolution of gustatory sweating and flushing and a second injection 12 months' symptomatic improvement. The symptoms recurred after further facial surgery.
authors.affiliation: Department of Plastic Surgery, Leicester Royal Infirmary, UK.
authors.forename: J F
authors.initials: JF
authors.lastname: Birch
authors.forename: S K
authors.initials: SK
authors.lastname: Varma
authors.forename: A A
authors.initials: AA
authors.lastname: Narula
mesh_terms: D008949:Adenoma, Pleomorphic / Q000601:surgery; D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D010307:Parotid Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy*; D013547:Sweating, Gustatory / Q000209:etiology / Q000628:therapy*
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A