Frey syndrome prevalence after partial parotidectomy.

نویسندگان

  • Regiane Cristina Santos
  • Jose Francisco de Salles Chagas
  • Thiago Freire Pinto Bezerra
  • Jose Eli Baptistella
  • Marcos Alberto Pagani
  • Alexandre Rocha Melo
چکیده

INTRODUCTION Frey syndrome is a sequela observed after parotidectomy and the reported incidence varies enormously in the literature. Diagnosis is evaluated by presence of the classic triad of gustatory sweating, heating and flushing while feeding and documented by Minor starch-iodine test. AIM To evaluate the incidence of this syndrome in patients submitted to partial parotidectomy at Centro Otorrinolaringológico de Limeira, from 1994 to 2004, including presence of signs and symptoms and the surgical technique. MATERIAL AND METHOD Fourteen patients undergoing partial parotidectomy with sternocleidomastoid muscle flap answered a questionnaire and were classified as positive or negative by Minor starch-iodine test in a clinical retrospective study. RESULTS 21% of the patients presented symptoms and positive iodine test. CONCLUSION Only the patients presenting clinical symptoms had a positive test and the adopted surgical technique was efficient due to low incidence of the syndrome.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Sternocleidomastoid Muscle Flap after Parotidectomy

Introduction Most patients after either superficial or total parotidectomy develop facial deformity and Frey syndrome, which leads to a significant degree of patient dissatisfaction. Objective Assess the functional outcome and esthetic results of the superiorly based sternocleidomastoid muscle (SCM) flap after superficial or total parotidectomy. Methods A prospective cohort study for 11 patient...

متن کامل

AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis

Although Frey syndrome is not life-threatening, it is identified as the most serious and widely recognized sequela of parotidectomy and has significant potential negative social and psychological implications. Several studies have investigated whether AlloDerm® implants prevent Frey syndrome effectively and safely, however, the conclusions are inconsistent. We aimed to evaluate the precise effe...

متن کامل

The superficial musculoaponeurotic system flap in the prevention of Frey syndrome: A meta-analysis.

OBJECTIVES/HYPOTHESIS Evaluate the difference of the incidence in clinical Frey syndrome in studies comparing classical parotidectomy and parotidectomy with superficial musculoaponeurotic system (SMAS) flap elevation and suturing through meta-analysis methodology. STUDY DESIGN Meta-analysis of controlled studies with and without SMAS flap. METHODS Database search with the following key word...

متن کامل

Prevention of Frey syndrome during parotidectomy.

OBJECTIVE To evaluate the incidence of Frey syndrome (auriculotemporal nerve syndrome) after parotidectomy with and without placement of a subcutaneous implant and to examine the relationship between different implants and postoperative wound complications (hematoma, seroma, salivary fistula). DESIGN A prospective nonrandomized controlled trial. SETTING A primary care and referral universit...

متن کامل

Use of allogenic acellular dermal matrix in prevention of Frey's syndrome after parotidectomy.

OBJECTIVE To evaluate the use of an allogenic acellular dermal matrix (ADM) as an interpositional graft to prevent Frey's syndrome after parotidectomy. METHOD We studied a total of 168 patients with benign parotid gland tumours, including 89 patients with pleomorphic adenoma; 45 with Warthin tumour; 17 with basal cell adenoma; and 17 with miscellaneous tumours. The patients were divided into ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Brazilian journal of otorhinolaryngology

دوره 72 1  شماره 

صفحات  -

تاریخ انتشار 2006