Prevention of Frey’s syndrome and volume deficit after parotidectomy using the superficial temporal artery fascial flap

Ahmed, Omar A.; Kolhe, Pralhad S.

doi:10.1054/bjps.1998.0137

Cited by 61 publications

(63 citation statements)

References 12 publications

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“…20 The temporoparietal fascial (TPF) flap has also been used for prevention of Frey syndrome and asymmetry. Ahmed and Kolhe 45 reported effective use of the TPF flap to prevent both Frey syndrome and facial contour deformity. It provides a broad, well-vascularized flap that can be accessed by extension of the incision into the temporal scalp.…”

Section: Commentmentioning

confidence: 99%

“…The primary risks of this flap are injury to the frontal branch of the facial nerve, alopecia, atrophy of the temporalis, and some fullness over the zygomatic arch can accentuate the facial defect. 45 Cestelyn et al 37 reported a cohort of 146 patients treated with TPF flap and SMAS plication, in which the incidence of Frey syndrome was 4% (with a 33% incidence in a control group). There were no frontal branch injuries reported.…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Meta-analysis of Surgical Techniques for Preventing Parotidectomy Sequelae

Curry¹,

King²,

Reiter³

et al. 2009

Arch Facial Plast Surg

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Meta-analysis of Surgical Techniques for Preventing Parotidectomy Sequelae

Curry¹,

King²,

Reiter³

et al. 2009

Arch Facial Plast Surg

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show abstract

“…Ahmed and Kohle 19 included also the incidence (occasional -every meal) and social embarrassment. Beerens and Snow 20 introduced the Frey questionnaire card for answering the question \Did you, for the past 2 weeks, have annoying flushing or perspiration of the cheek during meals?"…”

Section: Quality Of Lifementioning

confidence: 99%

Management of frey syndrome

2007

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Almost all patients who undergo parotidectomy will to some extent develop Frey syndrome (auriculotemporal syndrome or gustatory sweating) after surgery, because of aberrant regeneration of cut parasympathetic fibers between otic ganglion and subcutaneous vessels. However, only the minority of these patients needs treatment. The syndrome consists of gustatory sweating, flushing, and warming over the preauricular and temporal areas. Thick skin flap and partial superficial parotidectomy are the most important techniques to minimize the risk of developing symptomatic Frey syndrome. Intracutaneous injection of botulinum toxin A is an effective, long-lasting, and well-tolerated treatment of Frey syndrome. If recurrence occurs, the treatment can be repeated.

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“…8 Therapy using intradermic botulinum toxin type A is currently growing in importance. 6,8 If 9,11,[13][14][15] One is the preservation and raising of a superficial musculoaponeurotic system SMAS flap. [16][17][18][19][20][21][22] If carried out by a surgeon with experience, the surgical act will be extended slightly 16 16 …”

Section: Discussionmentioning

confidence: 99%