Jacobson's neurectomy for frey's syndrome

Smith, Raymond O.; Hemenway, William G.; Stevens, Kenneth M.; Ratzer, Erick R.

doi:10.1016/s0002-9610(70)80010-1

Cited by 45 publications

(11 citation statements)

References 10 publications

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“…Transmeatal tympanic neurectomy aims to interrupt the parasympathetic fibres running in the tympanic branch of the glossopharyngeal nerve.The procedure can be technically difficult and reported rates of success vary from series to series with recurrence of symptoms also reported .24−26 Procedures which involve interposition of a tissue barrier (e.g. fascia lata or fat grafts) in order to interrupt the anastomotic communication between the secretomotor fibres and adjacent sweat glands have been reported to be successful although they carry a risk of damage to the facial nerve .27 , 28 Primary prophylactic procedures using various glaps following parotid surgery have the advantages of avoiding a possible second operation but also have some potential disadvantages which include possible additional bleeding during the procedure, damage to the accessory nerve and increased anaesthetic time.…”

Section: Discussionmentioning

confidence: 99%

Frey's syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap

et al. 1999

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The benefit of using a sternocleidomastoid flap following parotidectomy to reduce the incidence of symptomatic gustatory sweating (Frey's syndrome) was reviewed. A retrospective study was undertaken to review subjective and objective symptoms of Frey's syndrome in two groups of patients, one of whom had undergone superficial parotidectomy with a sternocleidomastoid flap rotated at the time of surgery and a second group of patients who had undergone a standard superficial parotidectomy. A total of 22 patients, randomly sampled and willing to attend, were evaluated postoperatively, at a median time from surgery of 42 months (range 23-82 months) in the non-flap group and 44 months (range 14-66 months) in the flap group, by Minor's starch iodine test. In the 11 patients who had a sternocleidomastoid flap rotated, two had evidence of gustatory sweating. Of the 11 that had not undergone sternocleidomastoid flap rotation, nine patients showed evidence of gustatory sweating (P < 0.05, chi 2 test). There were two patients in total who had clinical symptoms of Frey's syndrome and both of these had not undergone flap rotation at the time of parotidectomy.

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Section: Discussionmentioning

confidence: 99%

Frey's syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap

et al. 1999

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“…Only 10–15% of patients with Frey’s syndrome have symptoms severe enough to seek treatment, 35 , 75 with the most troublesome aspect being gustatory sweating 60 . The mainstay of treatment lies in reassurance and an explanation of the condition and this is currently considered to be sufficient treatment in the majority of patients.…”

Section: Treatmentmentioning

confidence: 99%

Frey's syndrome and parotid surgery

1998

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“…In this test, blue–purple colorization over iodine/starch–dusted areas, after sialogogue administration indicates FS . The treatment of FS consists of oral and topical medications, radiotherapy, surgery, and botulinum toxin type A injection, although fortunately only the minority of these patients require treatment . In addition, the efficacy of different procedures to prevent FS, such as thick skin flap elevation, subsuperficial muscular aponeurotic system (SMAS) dissection, placement of different barriers (dermofat graft, lyophilized dura, polyglactin, acellular dermal matrix) and sternocleidomastoid muscle, platysmal muscle, temporoparietal fascia, or SMAS interposition techniques were evaluated in previous studies …”

Section: Introductionmentioning

confidence: 99%

“…18,19 The treatment of FS consists of oral and topical medications, radiotherapy, surgery, and botulinum toxin type A injection, although fortunately only the minority of these patients require treatment. [20][21][22][23][24][25][26][27][28][29][30] In addition, the efficacy of different procedures to prevent FS, such as thick skin flap elevation, subsuperficial muscular aponeurotic system (SMAS) dissection, placement of different barriers (dermofat graft, lyophilized dura, polyglactin, acellular dermal matrix) and sternocleidomastoid muscle, platysmal muscle, temporoparietal fascia, or SMAS interposition techniques were evaluated in previous studies. [30][31][32][33][34][35][36][37][38][39] In previous studies that aimed to assess the association between skin flap thickness and FS, the skin thickness was determined subjectively and defined in accord with the depth of dissection, such as below the level of hair follicules, sub-SMAS, or subcutaneous.…”

Section: Introductionmentioning

confidence: 99%