Frey's syndrome: Treatment with temporoparietal fascial flap interposition

Rubinstein, Ran Y.; Rosen, Arie; Leeman, Dan

doi:10.1016/s0194-5998(97)80408-1

Cited by 21 publications

(26 citation statements)

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“…The most commonly used method consists of reelevation of the cheek skin flap and interposition of various tissue barriers like dermal graft and temporoparietal fascia between the cheek skin and the parotid gland. 35,36 Reelevation of the skin flap and excision of the involved skin followed by skin grafting have also been used. These procedures result in a donor site scar and harbor the risk of facial nerve injury.…”

Section: Treatmentmentioning

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: Treatmentmentioning

confidence: 99%

Management of frey syndrome

2007

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“…Rubinstein first described the successful use of temporo-parietal fascial flap in the treatment of an established case of Frey's syndrome. 17 There is, however, a risk to frontal branch of facial nerve with this technique because the nerve travels within the plane adjacent to the temporoparietal fascia flap. With the sternocleidomastoid rotation flap, there remains the risk of injury to accessory nerve.…”

Section: Virmani N Et Al Int Surg J 2016 Aug;3(3):1677-1681mentioning

confidence: 99%

Tensor fascia lata interposition for treatment of Frey's syndrome: a forgotten surgical technique?

Virmani¹,

Priya²,

Dabholkar³

2016

Int Surg J

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“…Parotidectomy soft-tissue defect augmentation has been performed by various techniques, including sternocleidomastoid or platysma muscle flaps, 12 temporoparietal fascia flaps, 13 superficial musculoaponeurotic system transposition flaps, 14 autogenous free fat grafts, 15 and acellular human dermal matrix graft (Alloderm; LifeCell Corporation). 16 Regional muscular and fascia flaps lack sufficient bulk for adequate reconstruction of total parotidectomy defects and risk atrophy, neural injury, and secondary soft-tissue defects.…”

Section: Commentmentioning

confidence: 99%