gustatory sweating syndrome, auriculotemporal nerve, botulinum toxin,"/> 味觉出汗综合征
国际口腔医学杂志

国际口腔医学杂志 ›› 2008, Vol. 35 ›› Issue (2): 119-121.

• 综述 • 上一篇    下一篇

味觉出汗综合征

ZHANG Yuan- xin1, ZHANG Kui- qi2   

  1. 1. Dept. of Prosthodontics, Dalian Stomatological Hospital, Dalian 116021, China；2. Dept. of Basic Stomatology, College of Stomatology, Dalian Medical University, Dalian 116044, China
  • 收稿日期:2007-05-06 修回日期:2007-11-12 出版日期:2008-03-20 发布日期:2008-03-20
  • 通讯作者: 张奎启

Gustatory sweating syndrome

1.大连市口腔医院修复科 辽宁 大连 116021
2.大连医科大学口腔医学院口腔基础教研室 辽宁大连 116044   

  1. 1. Dept. of Prosthodontics, Dalian Stomatological Hospital, Dalian 116021, China<
  • Received:2007-05-06 Revised:2007-11-12 Online:2008-03-20 Published:2008-03-20
  • Contact: ZHANG Kui- qi

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摘要：

味觉出汗综合征是在腮腺或颌下腺手术或损伤数月之后，患者耳前下区皮肤在进餐时出现血管扩张、潮红、出汗现象。其机理是腮腺手术损伤了交感神经和副交感神经的节后纤维，副交感神经的节后纤维错位再生并长入汗腺和皮肤血管壁；在进餐时，副交感神经兴奋，释放乙酰胆碱，促发了汗腺的病理性分泌和皮肤血管的扩张、潮红。味觉出汗综合征的治疗方法主要有局部应用抗胆碱能药物，手术切断相关的副交感神经和用肉毒杆菌毒素A 浸润注射味觉出汗区。

关键词: 味觉出汗综合征, 耳颞神经, 肉毒杆菌毒素

Abstract:

Gustatory sweating syndrome occurs several months to a few years after parotid gland surgery or submandibular gland surgery or radical neck dissection，and is characterized by sweating and flushing of the skin of the ear during meals. The pathogenesis of gustatory sweating is that the sympathetic and parasympathetic postganglionic fibers are damaged by surgical operation of parotid gland, and they regenerate and grow into sweat gland and blood vessel wall of skin. When the sufferers take food, parasympathetic nerve is excited and released acetylcholine, impelling sweat and blood vessel dilated and flush. Treatment method of gustatory sweat mainly includes anti- cholinergic drugs locally applied, and related parasympathetic nerve cut by surgical operation, and botulinum toxin A injected in sweating area.

Key words: gustatory sweating syndrome')">gustatory sweating syndrome, auriculotemporal nerve, botulinum toxin

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