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

Copyright © 2016 Elsevier Inc. All rights reserved..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:212

Enthalten in:

American journal of surgery - 212(2016), 4 vom: 14. Okt., Seite 740-747.e1

Sprache:

Englisch

Beteiligte Personen:

Grosheva, Maria [VerfasserIn]
Horstmann, Luisa [VerfasserIn]
Volk, Gerd Fabian [VerfasserIn]
Holler, Claudia [VerfasserIn]
Ludwig, Laura [VerfasserIn]
Weiß, Verena [VerfasserIn]
Finkensieper, Mira [VerfasserIn]
Wittekindt, Claus [VerfasserIn]
Klussmann, Jens Peter [VerfasserIn]
Guntinas-Lichius, Orlando [VerfasserIn]
Beutner, Dirk [VerfasserIn]

Links:

Volltext

Themen:

Controlled Clinical Trial
Frey's syndrome
Journal Article
Multicenter Study
Prospective trial
Sternocleidomastoid muscle flap
Superficial parotidectomy

Anmerkungen:

Date Completed 20.03.2017

Date Revised 27.08.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.amjsurg.2016.01.020

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM259445894