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June 1970

Gustatory Sweating After Radical Neck Dissection

Author Affiliations

Philadelphia; New York
From the Department of Otolaryngology, Hospital of the University of Pennsylvania, Philadelphia (Dr. Myers), and Pack Medical Group and St. Vincent's Hospital, New York (Dr. Conley).

Arch Otolaryngol. 1970;91(6):534-542. doi:10.1001/archotol.1970.00770040764009

The syndrome of gustatory sweating following radical neck dissection appeared in six patients, five of whom had sweating occur on the neck skin, and one, on the facial skin. The most typical location is in the submandibular area on the upper skin flap. The aberrant regeneration of autonomic nerve fibers after injury best explains the abnormal sweating. The fact that nerves to the sweat glands are functionally cholinergic although anatomically sympathetic is the critical factor in establishing this abnormal pathway and allowing neurohumoral transmission of nerve impulses.

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