Fat injections for the management of post-parotidectomy Frey syndrome: A technical note

Torretta, Sara; Capaccio, Pasquale; Brevi, Alessandra; Mazzola, Riccardo F.

doi:10.1016/j.jcms.2011.03.007

Cited by 14 publications

(7 citation statements)

References 12 publications

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“…The variability may also be related to the surgical technique used, diagnostic method and length of follow-up. However, up to 90% of patients have been reported to have a positive starch iodine test (Minor’s test) 3 , 4 , 7 , 11 .…”

Section: Discussionmentioning

confidence: 99%

Lipofilling after total parotidectomy: a useful option to prevent functional and aesthetic sequelae

Crosetti

Arrigoni²,

Fantini

et al. 2022

Acta Otorhinolaryngol Ital

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SUMMARY Objective Parotidectomy is the main treatment for parotid tumours, but its functional and aesthetic sequelae can be very disturbing for patients. Methods 15 patients underwent total conservative parotidectomy, harvesting of a superficial musculoaponeurotic system (SMAS) flap and lipofilling between May 2014 and June 2020 for a benign parotid tumour. Aesthetic, functional sequelae and cosmetic results were assessed with the House-Brackmann scale, Luna-Ortiz’s classification and a semiquantitative questionnaire. Lipofilling resorption was analysed by maxillofacial and neck MRI imaging at 2 years after surgery. The results were compared to a group of 21 patients who underwent total parotidectomy without harvesting a SMAS flap and lipofilling. Results No complications were observed. No facial defects were seen during follow-up. Post-operative MRI showed fat resorption was less than 20% in 12 patients and from 20 to 30% in 3 patients. Cosmetic satisfaction was 100% in all cases. Only 1 patient (6%) complained of Frey’s syndrome. Conclusions Lipofilling is an excellent solution considering its efficacy, safety, simplicity, duration over time and economic costs. Donor site invasiveness is minimal, and reintervention is always possible. Face-lift incision and SMAS flap can improve aesthetic results and minimise the disfiguring impact of the surgical scar.

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Section: Discussionmentioning

confidence: 99%

Lipofilling after total parotidectomy: a useful option to prevent functional and aesthetic sequelae

Crosetti

Arrigoni²,

Fantini

et al. 2022

Acta Otorhinolaryngol Ital

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“…An open approach involving re-elevation of the cheek skin flap to place a dermal graft, dermal collagen implants, or a temporoparietal fascia flap has been reported [ 63 - 65 ]. Less invasive fat injection has also been reported avoiding the need to re-elevate the skin flap [ 66 ]. Despite the previously reported success of a single-layer barrier technique in preventing symptom recurrence, Dai et al were not able to achieve good results [ 67 ].…”

Section: Reviewmentioning

confidence: 99%

Frey’s Syndrome: A Review of Aetiology and Treatment

Mantelakis¹,

Lafford²,

Lee³

et al. 2021

Cureus

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First described by Polish Neurologist Łucja Frey in 1923, Frey’s syndrome (FS), or auriculotemporal syndrome, is a rare condition characterised by gustatory sweating, typically encountered as sequelae following invasive head and neck surgery. The pathophysiology of FS can be described by aberrant reinnervation of postganglionic parasympathetic neurons to the surrounding denervated sweat glands and cutaneous blood vessels. Multiple invasive procedures have been associated with FS ranging from salivary gland surgery to burn reconstruction and thoracoscopic sympathectomies. Rarely, FS can be secondary to trauma or non-surgical aetiologies, including diabetes and infection. Physical symptoms vary based on the severity and surface area affected by FS and range from mild symptoms to severe psychosocial morbidity for patients. Surgeons operating in the head and neck, including otolaryngologists, maxillofacial surgeons, and plastic surgeons, should be aware of this potential complication and be up to date with diagnosis and treatment strategies for FS. This review article summarises the literature relating to FS focusing on its aetiologies, symptomatology, prevention, and available treatments, aiming to provide an up-to-date review of this condition for surgeons operating in the head and neck region. Although various treatment options have been suggested, these are often limited to topical agents that require life-long administration for symptom control. Further research is recommended to identify the optimal treatment for this condition and the role of surgery as a treatment for severe or refractory cases.

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“…Torretta et al first described the use of fat injections in four patients of post-parotidectomy Frey's syndrome. 16 They reported a clinical and subjective improvement and concluded that while fat injections can be an effective remedy, multiple procedures may be needed to achieve a definitive result. Rubinstein first described the successful use of temporo-parietal fascial flap in the treatment of an established case of Frey's syndrome.…”

Section: Virmani N Et Al Int Surg J 2016 Aug;3(3):1677-1681mentioning

confidence: 99%

Tensor fascia lata interposition for treatment of Frey's syndrome: a forgotten surgical technique?

Virmani¹,

Priya²,

Dabholkar³

2016

Int Surg J

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Fat injections for the management of post-parotidectomy Frey syndrome: A technical note

Cited by 14 publications

References 12 publications

Lipofilling after total parotidectomy: a useful option to prevent functional and aesthetic sequelae

Lipofilling after total parotidectomy: a useful option to prevent functional and aesthetic sequelae

Frey’s Syndrome: A Review of Aetiology and Treatment

Tensor fascia lata interposition for treatment of Frey's syndrome: a forgotten surgical technique?

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