Frey's syndrome after superficial parotidectomy: role of the sternocleidomastoid muscle flap: a prospective nonrandomized controlled trial

Grosheva, Maria; Horstmann, L.; Volk, Gerd Fabian; Holler, Claudia; Ludwig, Laura; Weiß, Verena; Finkensieper, Mira; Wittekindt, Claus; Klußmann, Jens Peter; Guntinas‐Lichius, Orlando; Beutner, Dirk

doi:10.1016/j.amjsurg.2016.01.020

Cited by 26 publications

(59 citation statements)

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“…Histologic findings were as follows: pleomorphic adenomas in 51 patients (39%); Warthin tumors in 47 patients (36%); and other benign lesions (ie, lymphadenitis, cyst, basal cell adenoma, etc.) in 32 patients (25%) …”

Section: Resultsmentioning

confidence: 98%

Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial

et al. 2017

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Section: Resultsmentioning

confidence: 98%

Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial

et al. 2017

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“…All patients underwent parotidectomy in an in‐patient setting under general anesthesia, as previously described . Surgeons of comparable education level, at least 5th educational year in 5‐year residency program, performed all surgeries.…”

Section: Methodsmentioning

confidence: 99%

“…The volume (vol.) of the removed specimen was measured intraoperatively as previously described . Sternocleidomastoid muscle (SCM) flap was dissected in patients, who underwent extensive resection of parotid tissue (volume of specimen ≥25 mL) .…”

Section: Methodsmentioning

confidence: 99%

Impact of extent of parotidectomy on early and long‐term complications: A prospective multicenter cohort trial

et al. 2019

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Background In this prospective nonrandomized multicenter trial, we analyze the incidence of early and late complications after parotidectomy in correlation to the extent of dissection. Methods A total of 148 patients underwent a parotidectomy for a benign lesion in the superficial lobe. The number of intraoperatively dissected main facial nerve branches was photo‐documented and defined the extent of tissue dissection. Early postoperative complications including sialocele were evaluated until 4 weeks after surgery. Late complications as facial nerve palsy, Frey's syndrome (FS) and the outcome of the scar and substance loss were furthermore assessed after 6 and 12 months. Results Early complications occurred in 22 patients (14%) and did not depend on the extent of facial nerve dissection (all P > .05). However, patients with higher number of intraoperatively dissected facial nerve branches showed significantly higher palsy scores on the first postoperative day (P = .026). FS occurred with incidence of 69% and correlated significantly to the extent of dissection (P = .003). Appearance of the scar and substance loss improved significantly during the follow‐up (P < .001 and P < ,005, respectively) without significant correlation to the extent of dissection (P > .05 for both variables after 12 months). Conclusions Less extensive tissue dissection resulted in better postoperative facial nerve function on the first postoperative day and in lower incidence of FS after 12 months. However, incidence of early complications did not depend on the extent of surgery. The study was registered in the German Clinical Trials Register prior to conducting the research. DRKS‐ID: DRKS00008967, URL:http://apps.who.int/trialsearch/.

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“…Other methods for prevention of Frey syndrome include recreating barriers between the nerve fibers by using nearby muscle tissue. These include interposition grafts with a superficial musculoaponeurotic system or sternocleidomastoid muscle . Another common method of barrier reconstruction is use of acellular human dermal matrix .…”

Section: Discussionmentioning

confidence: 99%

Temporoparietal frey syndrome: An uncommon variant of a common syndrome

Wood

Netterville

2018

The Laryngoscope

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Objectives/Hypothesis To describe a previously unreported variant of Frey syndrome. Gustatory sweating is a common complication of parotidectomy and typically directly overlies the surgical site or parotid bed. In some instances, the sweating may occur beyond the parotid bed or involve tissue that was undisturbed during the procedure. Study Design Retrospective case series. Methods All cases of temporoparietal Frey syndrome in a single surgeon's experience were reviewed. Results Seven patients were found to have temporoparietal Frey syndrome. Three patients had concomitant first bite syndrome. Three patients had some form of reconstruction at time of surgery. The mean time to onset of symptoms was 11.5 months, with a range of 7 to 21 months. Four patients did not require any treatment for their symptoms, but two patients required intradermal Botox injections for symptomatic relief. Discussion This study describes a previously unreported variant of Frey syndrome with symptoms occurring distal to the parotid gland. This likely develops either by regeneration of severed postganglionic fibers into sympathetic targets distally along the course of the auriculotemporal nerve or by regeneration into fibers of the sympathetic plexus traveling along the superficial temporal artery. Level of Evidence Laryngoscope, 129:2071–2075, 2019

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Frey's syndrome after superficial parotidectomy: role of the sternocleidomastoid muscle flap: a prospective nonrandomized controlled trial

Cited by 26 publications

References 20 publications

Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial

Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial

Impact of extent of parotidectomy on early and long‐term complications: A prospective multicenter cohort trial

Temporoparietal frey syndrome: An uncommon variant of a common syndrome

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