A Reevaluation of the Frey Syndrome Following Parotid Surgery

Kornblut, Alan D.; Westphal, Peter; Miehlke, A.

doi:10.1001/archotol.1977.00780220052003

Cited by 42 publications

(20 citation statements)

References 26 publications

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“…This allows the muscle to be used as superiorlyor inferiorly-based flap. Kornblut et al 27 were the first to report on the use of a superiorly-based sternocleidomastoid muscle flap to prevent Frey syndrome. In their initial series, the sternocleidomastoid muscle flap was useful for cosmetic filling out of a cheek or upper neck depression created by the parotid surgery, but it was ineffective in preventing the occurrence of gustatory sweating.…”

Section: Quality Of Lifementioning

confidence: 99%

Management of frey syndrome

2007

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Almost all patients who undergo parotidectomy will to some extent develop Frey syndrome (auriculotemporal syndrome or gustatory sweating) after surgery, because of aberrant regeneration of cut parasympathetic fibers between otic ganglion and subcutaneous vessels. However, only the minority of these patients needs treatment. The syndrome consists of gustatory sweating, flushing, and warming over the preauricular and temporal areas. Thick skin flap and partial superficial parotidectomy are the most important techniques to minimize the risk of developing symptomatic Frey syndrome. Intracutaneous injection of botulinum toxin A is an effective, long-lasting, and well-tolerated treatment of Frey syndrome. If recurrence occurs, the treatment can be repeated.

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Section: Quality Of Lifementioning

confidence: 99%

Management of frey syndrome

2007

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“…Incidence of Frey's syndrome can be reduced by smaller partial resections. [19][20][21] Most of the patients experienced dryness of mouth and pareathesia on the side of surgery which got subsided in time. None of the patients had silavaty fistula formation or recurrence of tumour during follow up.…”

Section: Discussionmentioning

confidence: 99%

Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Biswal¹,

Sebastian²

2018

AIMDR

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Background: The retrograde dissection for doing parotidectomy is technically easier and surgeon can limit the dissection to 1 or 2 branches of facial nerve if required and hence avoids injury to the trunk or other branches of facial nerve, aiming at removal of only the parotid parenchymal area that bears the tumour. Objectives: To compare our results with those of similar studies in the recent literature. To compare nerve recovery rates when zygomatic branch is used as landmark with that of other techniques from literature. Methods: In this study 40 patients with pleomorphic adenoma of parotid gland underwent superficial parotidectomy at V.S.S Medical College hospital Burla and S.C.B medical college Cuttack in a 4 year period between 2013 and 2016. All 40 patients underwent retrograde superficial parotidectomy. We compared our results with results of similar studies in the recent literature. Results: Although all 40 patients experienced paresis immediately after surgery, 25% patients completely recovered and 75% patients had facial nerve weakness at the end of first week. Among this 60% patients were having H.B-2 weakness, 7.5% had H.B-3 weakness, 5% had H.B-4 and 2.5% had H.B-5 weakness. Any injury equal to or more than H.B-3 was considered serious. 15% patients were having serious injury. None of the patients had H.B-6 (severe) facial nerve weakness. Conclusion: Transient nerve weakness after retrograde parotidectomy is common but recovery will be faster than that of ante grade technique and within 6 months to 1 year all patients should recover nerve function completely.

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“…4,8,9 Resection of the chorda tympani nerve in addition to Jacobson's nerve has been reported to increase effectiveness to 90%, but this will add dry mouth sequelae. 10 Several authors 3,6,8,[11][12][13] also believed that they could treat or prevent Frey's syndrome by interposing a graft between the parotid bed and the overlying skin. These techniques have the added advantage of filling the parotidectomy defect, thus preventing the contour deformities created by the parotidectomy procedures.…”

Section: Discussionmentioning

confidence: 99%

“…6,[9][10][11]13 Although few reported cases of fascia lata grafts and dermal fat grafts were successful, the need for a separate incision is an obvious disadvantage. Kornblut et al 3 have deemed the SCM flap to be good for contour reconstruction, but without any affect on the prevention of Frey's syndrome. Casler and Conley 11 modified the procedure and observed significant improvement in the prevention of Frey's syndrome with symptoms being present in only 12.5% of their cases.…”

Section: Discussionmentioning

confidence: 99%

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Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy

Kim

Mathog

1999

Head Neck

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Background Parotidectomy is useful in the treatment of benign and malignant neoplasms of the parotid gland, but often leads to sequelae of facial deformity and Frey's syndrome. This paper presents a retrospective review of parotidectomy results in 21 consecutive patients treated with either traditional techniques or with the rotation and advancement of combined platysma muscle‐cervical fascia‐sternocleidomastoid flap (PCS). Methods The surgical procedures utilized for removal and reconstruction are described. Information on appearance and function was obtained by analysis of hospital and office records and telephone questionnaire for patients with and without the flap. Results Of the 21 patients eligible for this study, only 9 of 10 patients with the PCS flap and 10 of 11 patients without the flap provided sufficient data for analysis. In the flap group all 9 patients either noted a mild fullness on the operated side or no difference between sides. In the nonflap group, 4 patients felt they had a moderate depression, 2 patients noted a mild depression, and 4 patients noted no difference between sides. Frey's syndrome was classified as mild in 2 patients in the PCS group, whereas in the nonflap group, 4 patients thought it was mild and 1, severe. Complications were rare in either group. Conclusion The PCS flap prevents deformity and contributes to patient satisfaction following parotidectomy. The flap helps to prevent Frey's syndrome and is not associated with an increase in postoperative complications. The flap is recommended following removal of nonrecurrent or low‐grade malignant parotid tumors. © 1999 John Wiley & Sons, Inc. Head Neck 21: 428– 433, 1999.

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A Reevaluation of the Frey Syndrome Following Parotid Surgery

Cited by 42 publications

References 26 publications

Management of frey syndrome

Management of frey syndrome

Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy

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