Treatment options of Frey’s syndrome
Intradermal Botulinum injection reduces redding and sweating in the
affected area and increases the quality of life; repeated injections are
effective, but 27 to 92% of patients complain about recurrent symptoms
in 1 to 3 years.[3]
Surgical therapy in established Frey’s has a likely benefit, big cohorts
and clinical data to support that is missing and should be questioned in
prospective studies, further SMAS, SCM, or TPFF reconstruction increases
the risk of facial nerve injury. [3, 11]