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

Authors:
Maria Grosheva
Maria Grosheva
University of Cologne
Köln | Germany
Luisa Horstmann
Luisa Horstmann
University of Cologne
Gerd Fabian Volk
Gerd Fabian Volk
Jena University Hospital
Germany
Claudia Holler
Claudia Holler
Laboratory for Immunological and Molecular Cancer Research
Laura Ludwig
Laura Ludwig
University of Cologne
Mira Finkensieper
Mira Finkensieper
Jena University Hospital
Germany
Claus Wittekindt
Claus Wittekindt
University Hospital Giessen and Marburg

Am J Surg 2016 Oct 19;212(4):740-747.e1. Epub 2016 Mar 19.

Department of Otolaryngology, Head and Neck Surgery, University of Cologne, Kerpener Straße 62, Cologne 50937, Germany.

Background: The prevalence of Frey's syndrome (FS) after superficial parotidectomy in correlation to the sternocleidomastoid muscle flap (SCMMF) interposition is analyzed.

Methods: A prospective nonrandomized controlled multicenter trial included 130 patients. During superficial parotidectomy, SCMMF was dissected, if excised specimens' volume exceeded 25 mL (SCMMF group). Follow-up examinations took place after 6, 12, and 24 months and included a Minor's test.

Results: SCMMF was dissected in 30 (23.1%) patients. A total of 104, 80, and 68 patients completed the 1st, 2nd, and the 3rd follow-up, respectively. FS was detectable with nonvarying prevalence (46.3%, 45.6%, and 43.4%, respectively) during follow-up. The prevalence was higher in the SCMMF group (59.9%) than in the non-SCMMF group (41.8%; P = .92). The sweating area increased during follow-up (P = .12). Overall, 89.5% of patients characterized FS as not disturbing after 2 years.

Conclusions: FS occurred with a steady and high prevalence after superficial parotidectomy. In particular, SCMMF did not lower the risk of FS.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2016.01.020DOI Listing
October 2016
10 Reads

Publication Analysis

Top Keywords

superficial parotidectomy
16
nonrandomized controlled
8
parotidectomy scmmf
8
prospective nonrandomized
8
sternocleidomastoid muscle
8
frey's syndrome
8
scmmf dissected
8
scmmf group
8
syndrome superficial
8
muscle flap
8
scmmf
6
completed 1st
4
patients completed
4
104 patients
4
3rd follow-up
4
nonvarying prevalence
4
prevalence 463%
4
detectable nonvarying
4
follow-up detectable
4
2nd 3rd
4

Similar Publications

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

Clin Otolaryngol Allied Sci 1999 Aug;24(4):365-8

Department of Otolaryngology Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.

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. Read More

View Article
August 1999

Usefulness of platysma muscle flap following superficial parotidectomy.

J Craniomaxillofac Surg 2013 Jan 12;41(1):10-4. Epub 2012 Jul 12.

Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Kunming Medical University, Kunming, Yunnan 650031, China.

Objective: The purpose of this study was to demonstrate a novel technique of a platysma muscle flap following superficial parotidectomy and to evaluate the impact of using this flap on Frey's syndrome and postoperative appearance.

Methods: In this retrospective study, there were 55 patients who had had superficial parotid gland tumors removed, 28 patients were restored by the platysma muscle flap, and the remaining 27 patients were not restored by the technique. The area of the flap was measured using Image-Pro plus 6. Read More

View Article
January 2013

Prophylaxis against Frey's syndrome in parotid surgery.

Ann Plast Surg 2000 May;44(5):498-501

Institute of Aesthetic Surgery and Medicine, Northern Westchester Hospital Center, Mount Kisco, NY, USA.

In 1990 the authors reported their preliminary study of the prevention of Frey's syndrome in 55 patients utilizing a superficial musculoaponeurotic system (SMAS) flap in parotid gland surgery. During the past 10 years, numerous studies have supported their original thesis that interposition of living tissue between the resected gland bed and the skin could prevent the development of this complication. The authors have expanded their own patient population and now consider this a definitive study on the prevention of Frey's syndrome. Read More

View Article
May 2000

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

Head Neck 2013 Dec 8;35(12):1781-6. Epub 2013 Mar 8.

Department of Otolaryngology, Uludağ University Medical School, Nilufer-Bursa, Turkey.

Background: Frey's Syndrome is a frequent complication of parotid surgery. The aim of this study was to evaluate the association between skin flap thickness and Frey's Syndrome in patients who underwent superficial parotidectomy.

Methods: Thirty adult patients were randomized into 2 groups: subcutaneous and subsuperficial musculoaponeurotic (sub-SMAS) skin elevation. Read More

View Article
December 2013