Intratympanic Surgical Treatment of Frey's Syndrome

Blumenfeld, R.J.; Friedman, Jerry E.

doi:10.1001/archotol.1967.00760050004002

Cited by 38 publications

(7 citation statements)

References 12 publications

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“…Transmeatal tympanic neurectomy aims to interrupt the parasympathetic fibres running in the tympanic branch of the glossopharyngeal nerve.The procedure can be technically difficult and reported rates of success vary from series to series with recurrence of symptoms also reported .24−26 Procedures which involve interposition of a tissue barrier (e.g. fascia lata or fat grafts) in order to interrupt the anastomotic communication between the secretomotor fibres and adjacent sweat glands have been reported to be successful although they carry a risk of damage to the facial nerve .27 , 28 Primary prophylactic procedures using various glaps following parotid surgery have the advantages of avoiding a possible second operation but also have some potential disadvantages which include possible additional bleeding during the procedure, damage to the accessory nerve and increased anaesthetic time.…”

Section: Discussionmentioning

confidence: 99%

Frey's syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap

et al. 1999

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The benefit of using a sternocleidomastoid flap following parotidectomy to reduce the incidence of symptomatic gustatory sweating (Frey's syndrome) was reviewed. A retrospective study was undertaken to review subjective and objective symptoms of Frey's syndrome in two groups of patients, one of whom had undergone superficial parotidectomy with a sternocleidomastoid flap rotated at the time of surgery and a second group of patients who had undergone a standard superficial parotidectomy. A total of 22 patients, randomly sampled and willing to attend, were evaluated postoperatively, at a median time from surgery of 42 months (range 23-82 months) in the non-flap group and 44 months (range 14-66 months) in the flap group, by Minor's starch iodine test. In the 11 patients who had a sternocleidomastoid flap rotated, two had evidence of gustatory sweating. Of the 11 that had not undergone sternocleidomastoid flap rotation, nine patients showed evidence of gustatory sweating (P < 0.05, chi 2 test). There were two patients in total who had clinical symptoms of Frey's syndrome and both of these had not undergone flap rotation at the time of parotidectomy.

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Section: Discussionmentioning

confidence: 99%

Frey's syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap

et al. 1999

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“…in 1966 who reported relief in one patient at 1‐year follow‐up; 100 and Blumenfield and Friedman in 1967 who described near total relief of gustatory sweating in three patients at 18 months follow‐up. 101 In this group the small residual area which remained symptomatic after sectioning of Jacobson’s nerve was thought to be due to some of the parasympathetic fibres reaching the otic ganglion via the chorda tympani nerve. Associated section of the chorda tympani nerve has been advocated to improve results, 102 although this produces denervation of salivary glands on that side and may lead to problems with xerostomia and altered taste sensation.…”

Section: Treatmentmentioning

confidence: 96%

Frey's syndrome and parotid surgery

1998

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“…Several nonsurgical treatment approaches, including systemic or topical application of various anticholinergic drugs like scopolamine,4 glycopyrrolate,16 or diphemnanil‐methylsulfate,17 as well as local application of aluminum chloride,18 have been proposed. Surgical treatment approaches included cervical sympathectomy,19 resection of the tympanic plexus,20 and resection of the glossopharyngeal nerve 21. None of the mentioned treatment approaches met with the pretreatment expectations.…”

Section: Discussionmentioning

confidence: 99%