Crocodile tears syndrome: Excessive lacrimation

induced by eating;it occurs due to injury of the

facial nerve inside the parotid.

Frey syndrome:

(also known as Baillarger’s syndrome, Dupuy’s syndrome, auriculotemporal syndrome, or Frey-Baillarger syndrome)

Excessive sweating induced by eating (gustatory neuralgia); it occurs due to injury of the auriculotemporal branch of the trigeminal nerve.

Sialolithiasis:

Salivary stones forming in the salivary

glands and ducts.Clinical picture:Pain and swelling

of the involved glandupon eating; especiallysour sub-

stances,e.g.,lemonjuice.Diagnosis:Sialogram.Treat-

ment:Sialogogues.Surgeryisreservedforseverecases.

lSialoadenitis:Infectionofthesalivaryglands.Cause:

Viruses,e.g.,mumps,orbacteria,e.g.,Staphylococcus

aureus.Clinical picture: Fever, swelling, and tender-

ness of the involved glandunrelated to meals. Treat-

ment of bacterial sialoadenitis: Penicillinase-resistant

penicillin,e.g.,dicloxacillin.Note:Postoperativepar-

otitis is common after any major surgery.

Sinusitis