Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey's syndrome. Cosmesis and quality of life. Issue 1 (4th February 2013)

• Record Type: Journal Article
• Authors: Barberá, Rafael; Castillo, Felipe; D'Oleo, Claudio; Benítez, Susana; Cobeta, Ignacio
• Is Part Of: Head & neck. Volume 36:Issue 1(2014:Jan.)
• Page Start: 130
• Page End: 136
• Publication Date: 2013-02-04
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23215
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23215-sec-0001" sec-type="section"> <title>Background</title> <p>Frey's syndrome (FS), facial depression, and noticeable scar may have an impact on patient's quality of life after a parotidectomy. The superficial musculoaponeurotic system (SMAS) flap has been used to ameliorate those effects.</p> </sec> <sec id="hed23215-sec-0002" sec-type="section"> <title>Methods</title> <p>Forty‐seven consecutive parotidectomies were analyzed; SMAS flap was performed in 26 of them. We investigated clinical FS, subclinical FS, and cosmetic satisfaction, and compared SMAS flap versus cases where this was not done.</p> </sec> <sec id="hed23215-sec-0003" sec-type="section"> <title>Results</title> <p>By performing the SMAS flap, the occurrence of clinical FS was reduced; however, there was no significant difference. Nonetheless, there was a significant difference in the perspiration intensity in favor of the group with SMAS flaps. In the cases we studied, the cosmetic satisfaction was high, even though facial contour‐filling techniques were not used.</p> </sec> <sec id="hed23215-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Provided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile. © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic><bold>36</bold>: 130–136, 2014</p> </sec> </abstract>