Association between skin flap thickness and Frey's syndrome in parotid surgery. Issue 12 (8th March 2013)

• Record Type: Journal Article
• Authors: Durgut, Osman; Basut, Oguz; Demir, Uygar Levent; Özmen, Ömer A.; Kasapoglu, Fikret; Coskun, Hakan
• Is Part Of: Head & neck. Volume 35:Issue 12(2013:Dec.)
• Page Start: 1781
• Page End: 1786
• Publication Date: 2013-03-08
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23233
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23233-sec-0001" sec-type="section"> <title>Background</title> <p>Frey's Syndrome is a frequent complication of parotid surgery. The aim of this study was to evaluate the association between skin flap thickness and Frey's Syndrome in patients who underwent superficial parotidectomy.</p> </sec> <sec id="hed23233-sec-0002" sec-type="section"> <title>Methods</title> <p>Thirty adult patients were randomized into 2 groups: subcutaneous and subsuperficial musculoaponeurotic (sub‐SMAS) skin elevation. In both groups skin flap thickness was measured by a micrometer at defined points. The patients were queried for subjective Frey's Syndrome and Minor's test was performed for objective Frey's Syndrome.</p> </sec> <sec id="hed23233-sec-0003" sec-type="section"> <title>Results</title> <p>The thickness of skin flap in the subcutaneous group was significantly less than that in the sub‐SMAS group. There was no statistical significance between skin flap thickness and objective Frey's Syndrome, although the dimension of the colored area in the subcutaneous group was larger compared with that of the sub‐SMAS group: 7.5 cm<sup>2</sup> (0–48 cm<sup>2</sup>) and 0.5 cm<sup>2</sup> (0–18 cm<sup>2</sup>), respectively.</p> </sec> <sec id="hed23233-sec-0004" sec-type="section"> <title>Conclusions</title> <p>In conclusion, sub‐SMAS elevation of the skin flap in parotid surgery provides better results regarding Frey's Syndrome. © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic> 35: 1781–1786, 2013</p> </sec> </abstract>