Association between skin flap thickness and Frey's syndrome in parotid surgery

Durgut, Osman; Basut, Oğuz; Demir, Uygar; Özmen, Özlem; Kasapoğlu, Fikret; Çoşkun, Hakan

doi:10.1002/hed.23233

Cited by 25 publications

(22 citation statements)

References 66 publications

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“…10,11 Although flap thickness did not decrease the incidence of Frey syndrome in these studies, it did show a decrease in the total skin surface area affected and perhaps the overall severity of the disease. 11 …”

Section: Surgical Methods For the Prevention Of Frey Syndromementioning

confidence: 65%

Auriculotemporal Syndrome (Frey Syndrome)

Motz

Kim

2016

Otolaryngologic Clinics of North America

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Section: Surgical Methods For the Prevention Of Frey Syndromementioning

confidence: 65%

Auriculotemporal Syndrome (Frey Syndrome)

Motz

Kim

2016

Otolaryngologic Clinics of North America

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“…Parotid gland tumors account for nearly 70% of all major salivary gland neoplasms . Parotidectomy is the mainstay of treatment for tumors arising from the parotid gland .…”

Section: Introductionmentioning

confidence: 99%

“…Parotidectomy is the mainstay of treatment for tumors arising from the parotid gland . This surgery has several adverse effects, including facial depression, facial nerve paresis, salivary fistulas, noticeable scars, skin anesthesia, and Frey's syndrome (FS) …”

Section: Introductionmentioning

confidence: 99%

Effects of free fat grafting on the prevention of Frey's syndrome and facial depression after parotidectomy: A prospective randomized trial

Wang

Li²,

Chen

et al. 2015

The Laryngoscope

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“…Since FS develops due to the aberrant re-innervation between the residual deep parotid tissue and skin sweat glands, the avoidance of the attachment of these two structures is the main aim in the prevention of FS (21). The pathophysiology of FS was first defined as autonomic re-innervation between the skin and parotid gland by Lucja Frey in the early twentieth century (22,23).…”

Section: Discussionmentioning

confidence: 99%

The Effects of Superficial Musculoaponeurotic System Flap on the Development of Frey’s Syndrome and Cosmetic Outcomes After Superficial Parotidectomy

Bayır

Çelik

Saylam

et al. 2017

Turk Arch Otorhinolaryngol

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Objective: To investigate the outcomes of superficial musculoaponeurotic system (SMAS) flap and classic techniques in superficial parotidectomy in terms of Frey's syndrome (FS) and cosmetic satisfaction. Methods:In this study, a retrospective chart review of patients that underwent superficial parotidectomy was performed. These patients were divided into two subgroups: group 1 included patients in which the SMAS flap was harvested and group 2 comprised the remaining patients on whom classic superficial parotidectomy was performed. All the patients were evaluated clinically and with Minor's starch-iodine test for FS. For the evaluation of the cosmetic results, the patient's satisfaction was queried according to the incision scar and surgical field skin retraction/facial symmetry. Both groups were compared in terms of complications and numbness of surgical area.Results: Fifty-five patients (31 male and 24 female) with a mean age of 50.19 years were included in the study. Thirty-two patients were in group 1 and 23 in group 2. Thirteen patients (23.7%) described as having FS and six of them were in group 1, while seven were in group 2. Minor's starch-iodine test was positive in nine patients in group 1 (28.1%) and six patients in group 2 (26.1%) (p=1.000). With regard to cosmetic satisfaction, eight patients (25%) stated mild discomfort from the incision scar and two patients (6.3%) stated cosmetic dissatisfaction for facial asymmetry in group 1. In group 2 for the same factors the number of patients were 11 (47.8%) and 2 two (8.7%), respectively (p=0.027). There were no statistically significant differences in means of complication and numbness (p>0.05). Conclusion:According to our study results, there was no superiority between both the groups in terms of FS and incision scar satisfaction. We determined that there was a significant benefit of SMAS flap application in the prevention of volume loss and surgical area retraction.

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Association between skin flap thickness and Frey's syndrome in parotid surgery

Abstract: In conclusion, sub-SMAS elevation of the skin flap in parotid surgery provides better results regarding Frey's Syndrome.

Cited by 25 publications

References 66 publications

Auriculotemporal Syndrome (Frey Syndrome)

Auriculotemporal Syndrome (Frey Syndrome)

Effects of free fat grafting on the prevention of Frey's syndrome and facial depression after parotidectomy: A prospective randomized trial

The Effects of Superficial Musculoaponeurotic System Flap on the Development of Frey’s Syndrome and Cosmetic Outcomes After Superficial Parotidectomy

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