Document Detail

A reevaluation of the Frey syndrome following parotid surgery.
MedLine Citation:
PMID:  857787     Owner:  NLM     Status:  MEDLINE    
The Frey syndrome, or gustatory sweating, is an accepted complication of parotid gland surgery that may occur with varying degrees of secerity. Since misdirection of auriculotemporal secretomotor nerve fibers has been found to play an important role in the development of the syndrome, a study was initiated to attempt mechanical interference with the regenerating fibers of the nerve. A superiorly based muscle flap from the sternocleidomastoid muscle was developed to cover the operative wound after either partial or complete parotidectomy. Results in 35 patients with such a muscle flap were compared with those in 35 control patients for the presence of absence of the Frey syndrome; the muscle flap was shown to be ineffective in preventing occurrence of gustatory sweating. Moreover, gustatory sweating to varying degrees was present in 34 patients with the muscle flap and in 33 control patients. Also, only 23 of the 70 patients had subjective complaints related to the syndrome, none of whom was incapacitated ore required additional measures for care.
A D Kornblut; P Westphal; A Miehlke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of otolaryngology (Chicago, Ill. : 1960)     Volume:  103     ISSN:  0003-9977     ISO Abbreviation:  Arch Otolaryngol     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-06-11     Completed Date:  1977-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376526     Medline TA:  Arch Otolaryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  258-61     Citation Subset:  AIM; IM    
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MeSH Terms
Muscles / surgery
Nerve Regeneration
Parotid Gland / innervation,  surgery*
Postoperative Complications / prevention & control
Sweating, Gustatory / etiology*,  prevention & control

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