Laryngoscope Investig Otolaryngol. 2021 Apr 08;6(3):420-424. doi: 10.1002/lio2.559. eCollection 2021 Jun.
Frey's syndrome: A review of the physiology and possible role of neurotrophic factors.
Laryngoscope investigative otolaryngology
Sarah M Hignett, Owen Judd
Affiliations
Affiliations
- School of Medicine University of Leeds Leeds UK.
- Department of Otolaryngology Royal Derby Hospital Derby UK.
PMID: 34195362
PMCID: PMC8223467 DOI: 10.1002/lio2.559
Abstract
OBJECTIVES: Frey's syndrome (FS) describes the phenomenon of gustatory sweating and is a cause of significant social embarrassment for sufferers. It has been attributed to aberrant growth of parasympathetic salivatory fibers in the auriculotemporal nerve toward overlying sweat glands. However, the exact mechanism behind this growth is unknown. This review aims to expand and elucidate the theory of aberrant regeneration in FS.
METHODS: A review of the recent literature on nerve regeneration was conducted in order develop further insights into the etiology of both adult onset and pediatric FS.
RESULTS: Neurturin, a neurotrophic factor released by both salivary and sweat glands, was identified as a possible key player in the etiology of FS.
CONCLUSION: Further research into the role of neurturin could help to elucidate the pathogenic mechanisms underlying the condition and might reveal neurturin to be a potential target for pharmacological intervention.
LEVEL OF EVIDENCE: NA (Basic Science Review).
© 2021 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.
Keywords: Frey's syndrome; auriculotemporal nerve; neurology; neurotrophic factor; neurturin
Conflict of interest statement
There are no conflicts of interest to declare.
References
- Acta Otolaryngol. 1958 Sep-Oct;49(5):363-74 - PubMed
- Clin Auton Res. 2002 Jun;12(3):179-84 - PubMed
- Oral Oncol. 2004 May;40(5):501-5 - PubMed
- Otolaryngol Clin North Am. 2016 Apr;49(2):501-9 - PubMed
- Curr Opin Neurobiol. 2000 Feb;10(1):103-10 - PubMed
- Laryngoscope. 2021 Jan 27;: - PubMed
- Neuroscience. 2008 Oct 2;156(2):310-8 - PubMed
- Nat Clin Pract Neurol. 2005 Nov;1(1):54-9 - PubMed
- Auton Neurosci. 2012 Dec 24;172(1-2):26-30 - PubMed
- Head Neck. 2007 Aug;29(8):773-8 - PubMed
- J Neurosci. 1987 Aug;7(8):2493-501 - PubMed
- Eur J Neurosci. 2000 Nov;12(11):3944-52 - PubMed
- J Neurosci. 2006 Sep 20;26(38):9646-55 - PubMed
- Arch Otolaryngol Head Neck Surg. 1993 Sep;119(9):940-4 - PubMed
- Obstet Gynecol. 2013 May;121(5):1032-1039 - PubMed
- Pediatr Dermatol. 2000 Mar-Apr;17(2):126-8 - PubMed
- Proc Natl Acad Sci U S A. 1997 Apr 15;94(8):4149-54 - PubMed
- Laryngoscope. 2004 Dec;114(12):2205-9 - PubMed
- J Neurosci. 1994 Nov;14(11 Pt 2):6825-33 - PubMed
- J Pediatr. 2001 Feb;138(2):294 - PubMed
- Trends Neurosci. 2004 Aug;27(8):482-8 - PubMed
- Am J Surg. 1961 Dec;102:777-80 - PubMed
- Laryngoscope Investig Otolaryngol. 2019 Mar 22;4(2):222-226 - PubMed
- J Pediatr. 2016 Jul;174:211-217.e2 - PubMed
- Brain Res Dev Brain Res. 1991 May 20;60(1):19-27 - PubMed
- Annu Rev Neurosci. 2005;28:191-222 - PubMed
- J Oral Maxillofac Surg. 1999 Jun;57(6):642-8; discussion 648-9 - PubMed
- Neural Dev. 2018 Sep 13;13(1):20 - PubMed
- Biotechnol Bioeng. 2010 Aug 15;106(6):970-9 - PubMed
- Mol Cell Neurosci. 2002 Apr;19(4):528-38 - PubMed
- Organogenesis. 2013 Jul-Sep;9(3):199-205 - PubMed
- Mol Ther Methods Clin Dev. 2018 Feb 23;9:172-180 - PubMed
- Surgeon. 2008 Jun;6(3):178-81 - PubMed
- Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):1-8 - PubMed
- Brain Dev. 1996 Sep-Oct;18(5):362-8 - PubMed
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