Frey’s syndrome (syndrome of the auriculotemporal nerve) which may develop after parotidectomy is characterized by a triad of symptoms - perspiration, reddening and increased sensation of heat in the temporal and preauricular region. The syndrome develops due to the aberrant growth of postganglionic, parasympathetic secretomotor fibres into the sheaths of denervated sweat glands. In 1991 to 1997 at the ENT department of the hospital in Frýdek Místek and ENT department of the Vítkovice hospital in Ostrava 167 operations of the parotid gland were performed. In 90% conservative superficial parotidectomy (CSPE) was performed, in the remaining patients conservative total parotidectomy (CTPE) or total radical parotidectomy (TRPE). Seventy-five per cent patients were operated on account of a benign tumour, 15% on account of chronic inflammation, 10% on account of a malignant tumour. In December 1998 the patients were sent questionnaires focused on complaints described by Frey. 116 patients replied (70%). Quite free from Frey’s syndrome were 48 patients (42%). The criteria of Frey’s syndrome were met by 41 patients (35%) which is consistent with data in the literature. Twenty-two patients with Frey’s syndrome were subjected to a baseline examination, incl. Minor’s test. Twelve patients had local treatment with aluminium chloride. Treatment involved daily application of a 15% solution of aluminium chloride to the affected area for a period of eight months. In one instance the complaints receded, in nine instances they improved and in two patients the condition did not change. According to Minor’s test the areas of pathological secretion were reduced by at least 50% in all patients. Local treatment is the method of therapeutic choice in patients suffering from Frey’s syndrome after surgery of the parotid gland.

        Key words: parotidectomy, Frey’s syndrome, auriculotemporal nerve, aluminium chloride solution, Minor’s test.