Frey’s syndrome after submandibular gland surgery is uncommon. We present herein on a rare case of a 60-year-old man with Frey’s syndrome after submandibular gland surgery. He noticed right submandibular skin moisturization during meals 6 years following surgical treatment for a recurrent submandibular pleomorphic adenoma. The iodine starch reaction test revealed Frey’s syndrome. The patient is currently treated with antiperspirants as needed.
Frey’s syndrome after submandibular gland surgery is extremely rare, but the possibility of Frey’s syndrome cannot be ruled out if submandibular gland excision is performed in a case where tissue damage around the submandibular gland has to be considered. When submandibular gland excision is performed in such cases, it is important to perform layer-to-layer closure and submandibular ganglion treatment to prevent Frey’s syndrome.
We should keep Frey’s syndrome in mind as one of the postoperative complications not only in parotid gland surgery but also in submandibular gland surgery.