| Superficial musculoaponeurotic system elevation and fat graft reconstruction after superficial parotidectomy. | |
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MedLine Citation:
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PMID: 18030169 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE/HYPOTHESIS: Elevation of the superficial musculoaponeurotic system (SMAS) with or without fat graft interposition during superficial parotidectomy prevents a concave facial deformity and Frey's syndrome. STUDY DESIGN: Retrospective, case-control study. METHODS: Charts for 248 patients who underwent superficial parotidectomy were reviewed for pathologic, radiographic, clinical, and operative data. Sixteen patients who underwent SMAS elevation and 34 patients who underwent SMAS elevation with fat graft interposition were included in two study groups. Nonreconstructed controls were randomly selected from a pool of patients who had unilateral, superficial parotidectomy and were matched based on pathologic specimen volume. Patients were surveyed for their postoperative symptoms. RESULTS: Patients undergoing SMAS elevation alone (n = 16) compared with controls (n = 19) had greater facial symmetry (12% vs. 32%, P = .147) and a lower incidence of symptomatic Frey's syndrome (6.3% vs. 18.6%, P = .382). Patients undergoing SMAS elevation and fat graft interposition (n = 34) compared with controls (n = 38) had less facial asymmetry (9% vs. 39%, P = .002) and a lower incidence of symptomatic Frey's syndrome (6% vs. 28%, P = .04). Complications among the study and control groups were comparable. CONCLUSIONS: Simultaneous reconstruction of a superficial parotidectomy defect using SMAS elevation with or without fat grafting may improve postoperative facial symmetry and decrease the incidence of symptomatic Frey's syndrome without increasing complications. |
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Authors:
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Joseph M Curry; Kyle W Fisher; Ryan N Heffelfinger; Marc R Rosen; William M Keane; Edmund A Pribitkin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Laryngoscope Volume: 118 ISSN: 0023-852X ISO Abbreviation: Laryngoscope Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-27 Completed Date: 2008-03-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: United States |
Other Details:
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Languages: eng Pagination: 210-5 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. joseph.curry@jefferson.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Fat
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transplantation* Adult Aged Case-Control Studies Esthetics Facial Asymmetry / epidemiology Facial Nerve / pathology, surgery Fascia / pathology, surgery Female Humans Male Middle Aged Muscle, Skeletal / pathology, surgery* Neoplasm Invasiveness Parotid Neoplasms / pathology, surgery* Patient Satisfaction Postoperative Period Questionnaires Reconstructive Surgical Procedures / methods* Retrospective Studies Subcutaneous Tissue / pathology, surgery* Sweating, Gustatory / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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