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J Laryngol Otol. 2014 Jan;128 Suppl 1:S44-9. doi: 10.1017/S0022215113001394. Epub 2013 Jul 9.

Free fat grafting in superficial parotid surgery to prevent Frey's syndrome and improve aesthetic outcome.

Author information

1
Department of Otolaryngology, The Prince of Wales Hospital, Randwick, New South Wales, Australia.

Abstract

BACKGROUND:

Frey's syndrome and cosmesis are important considerations in parotid surgery. Placement of an interpositional barrier can prevent these complications; however, surgical technique and efficacy remain controversial.

METHODS:

A prospective case series was collected comprising all patients undergoing primary superficial parotidectomy for benign pathology with abdominal free fat grafting between June 2007 and December 2010, performed by a single surgeon. A survey was also distributed to otorhinolaryngology consultants across Australia to assess current practice.

RESULTS:

Twenty-eight patients were included. No patient had clinical symptoms of Frey's syndrome. Seventy-five per cent of patients were completely satisfied with their aesthetic outcome, 18 per cent scored 4/5 and the remaining 7 per cent (2 patients) scored 3/5. The survey revealed that 79 per cent of respondents did not use interpositional grafts.

CONCLUSION:

Abdominal free fat is ideal for grafting as it is an effective, safe, simple, accessible, fast and inexpensive method of providing an interpositional graft.

PMID:
23835255
DOI:
10.1017/S0022215113001394
[Indexed for MEDLINE]

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