Syndrom Freyové (aurikulotemporální syndrom) po parotidektomii a jeho prevence

Title in English Frey´s Syndrome (Auriculotemporal Syndrome) after Parotidectomy and its Prevention


Year of publication 2015
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Field ORL, ophthalmology, stomatology
Keywords Frey Syndrom; Auriculotemporal Syndrom; Sternocleidomastoid Muscle Fla; Parotidectomy
Description Introduction. Frey´s syndrome (auricotemporal syndrome) is frequent sequela of parotid gland surgery caused by inappropriate regrowth of parasympatic fibres of the auriculotemporal nerve into the sweat gland of the skin. Typically, syndrome is characterized by sweating, erythema and flushing of the skin of parotidy region, especially in response to taste stimuli. Placement of an interpositional barrier between the skin and the parotidy gland can prevent this complications. Aim. The purpose of this study was to evaluate the incidence of Frey syndrome and the impact of using sternocleidomastoid muscle (SCM) flap on this syndrome. Methods. In retrospective study a series of 167 patients who underwent partial or total parotidectomy between January 2007 and December 2011 were divided into two groups. One group had an SCM flap reconstruction (n=42), and the other group did not (n=125). A subjective clinical evaluation, the questionnaire and the objective Minor´s test were used to evaluate the incidence of this syndrome. Results. The overall incidence of Frey syndrome was 15% (25/167 patients), in non-SCM flap group 16% (22/125 patients), in SCM flap group 7%(3/42 patients). There was a statistically significant difference between the two groups acording to the Fisher´s frequency exact test (p <. 05). Conclusion. The SCM flap, used as an interposing barrier between the overlying skin and the parotid bed following parotidectomy, is a simple, fast and efficient method for preventing Frey´s syndrome following parotidectomy.

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