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Head Neck. 2014 Jan;36(1):130-6. doi: 10.1002/hed.23215. Epub 2013 Feb 4.

Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey's syndrome. Cosmesis and quality of life.

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1
Otolaryngology and Head and Neck Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.

Abstract

BACKGROUND:

Frey's syndrome (FS), facial depression, and noticeable scar may have an impact on patient's quality of life after a parotidectomy. The superficial musculoaponeurotic system (SMAS) flap has been used to ameliorate those effects.

METHODS:

Forty-seven consecutive parotidectomies were analyzed; SMAS flap was performed in 26 of them. We investigated clinical FS, subclinical FS, and cosmetic satisfaction, and compared SMAS flap versus cases where this was not done.

RESULTS:

By performing the SMAS flap, the occurrence of clinical FS was reduced; however, there was no significant difference. Nonetheless, there was a significant difference in the perspiration intensity in favor of the group with SMAS flaps. In the cases we studied, the cosmetic satisfaction was high, even though facial contour-filling techniques were not used.

CONCLUSIONS:

Provided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile.

KEYWORDS:

Frey's syndrome; gustatory sweating; musculoaponeurotic system flap; parotid neoplasm; parotidectomy

PMID:
23378265
DOI:
10.1002/hed.23215
[Indexed for MEDLINE]

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