Bilateral gustatory sweating in the submandibular region after bilateral neck dissection successfully treated with botulinum toxin

Br J Oral Maxillofac Surg. 2014 Oct;52(8):761-3. doi: 10.1016/j.bjoms.2014.06.008. Epub 2014 Jul 1.

Abstract

Gustatory sweating (or chorda tympani syndrome) in the submandibular region is a rare complication of cervical surgery. We report a 66-year-old patient who had been referred for the management of a squamous cell carcinoma of the mobile tongue. She was treated by bilateral neck dissection and bilateral resection of the submandibular glands. Bilateral gustatory sweating in the submandibular region developed 10 years later and was successfully treated with bilateral injections of botulinum toxin type A.

Keywords: Neck dissection; Syndrome; botulinum toxin; chorda tympani; gustatory sweating; submandibular region.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Botulinum Toxins, Type A / therapeutic use*
  • Carcinoma, Squamous Cell / surgery
  • Female
  • Follow-Up Studies
  • Glossectomy / methods
  • Humans
  • Neck Dissection / adverse effects*
  • Neuromuscular Agents / therapeutic use*
  • Submandibular Gland / surgery
  • Sweating, Gustatory / drug therapy*
  • Sweating, Gustatory / etiology
  • Tongue Neoplasms / surgery

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A