Purpose: The purpose of this retrospective study was to evaluate the incidence of Frey's syndrome after parotid gland surgery with elevation of a skin flap versus the interposition of musculoaponeurotic tissue between the skin and the facial nerve.
Materials And Methods: The standard skin flap was used in 122 patients (1981 to 1989), whereas interposition of temporoparietal galea or superficial musculoaponeurotic system was performed in 146 consecutive patients (1989 to 1998).
Results: The incidence of Frey's syndrome was reduced from 33% to 4% with the use of a musculoaponeurotic layer, and the mean duration of postoperative facial nerve paresis decreased from 3 months to 6 weeks.
Conclusions: Consideration should be given to the use of an interpositional layer of tissue between the facial nerve and the skin flap to reduce the incidence of Frey's syndrome after parotid gland surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1053/joms.2002.35725 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Selective Deep-Lobe Parotidectomy for Benign Parotid Gland Tumors.
Niger J Clin Pract
November 2024
Department of Pathology, Kayseri City Training and Research Hospital, Kayseri, Turkey.
Background: Deep-lobe tumors have been shown to possess a significantly thicker capsule with less tumor penetration compared to superficial tumors. Thus, more conservative surgical approaches, rather than aggressive methods, have been proposed for treating benign deep-lobe tumors of the parotid gland.
Aim: To evaluate the surgical outcomes and oncological safety of selective deep-lobe parotidectomy (SDLP) in patients with benign lesions located in the deep lobe of the parotid gland.
Management of Aesthetical and Functional Complications after Total Parotidectomy. First Long-Term Experiences with Dermal Matrix Surgimend ® in Patient Affected by Malignant Parotid Tumors.
J Maxillofac Oral Surg
December 2024
Maxillofacial Surgery UnitDepartmentof Medicine and SurgeryDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Sergio Pansini 5, 80131 Naples, Italy.
Background: This is an observational cohort study on patients affected by malignant parotid tumors treated with total parotidectomy. The aim of our work is to analyze and compare the effects and complications after parotidectomy, using or not SurgiMend ®.
Methods: 40 patients were retrospectively enrolled between September 2014 and June 2020.
Restoring form and function: The role of free dermal fat graft (FDFG) in post-parotidectomy reconstruction. A systematic review and meta-analysis of expected outcomes and patient satisfaction.
J Stomatol Oral Maxillofac Surg
November 2024
Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany.
Article Synopsis
- - The study evaluates the effectiveness and safety of free dermal fat graft (FDFG) reconstruction after parotidectomy by analyzing clinical complications and patient satisfaction.
- - Researchers conducted a systematic review of 20 studies involving 922 reconstructions and found low rates of complications like hematoma and infection, with most donor site issues being under 1%.
- - Results show that FDFG is a safe and effective method for correcting facial contour deformities, with high patient satisfaction and low incidence of complications such as Frey's syndrome.
Comparative analysis of free SMAS fold flap and ADM in facial depression after parotidectomy.
BMC Surg
November 2024
General Practice, People's Hospital of Anshun City, Guizhou, 561000, China.
Background: This study aimed to analyze the effects of anterior descending mandible (ADM) and free superior mesenteric artery (SMAS) folding flaps on post-parotidectomy facial depression.
Methods: This retrospective study examined the effects of sex, age, surgical sample size, method, duration, and blood loss on postoperative complications in 65 patients.
Results: No significant differences involving sex, age, or sample size for surgical resection were observed between the two groups.
Gustatory Hyperhidrosis after Parotid Surgery.
N Engl J Med
September 2024
Tri-Service General Hospital, Taipei, Taiwan
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!