味觉出汗综合征  

Gustatory sweating syndrome

作　　者：张元鑫 张奎启[2] 

机构地区：[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

出　　处：《国际口腔医学杂志》2008年第2期119-121,共3页International Journal of Stomatology

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。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 postgan- glionic 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.

关 键 词：味觉出汗综合征 耳颞神经 肉毒杆菌毒素 

分 类 号：R782[医药卫生—口腔医学]