Treatment of postparotidectomy Frey syndrome with the interposition of temporalis fascia and sternocleidomastoid flaps.
OBJECTIVE
This study was performed to evaluate the effectiveness of overlapping the temporalis fascia flaps (TFFs) and the sternocleidomastoid muscle flaps (SCMFs) as physical barriers to treat established Frey syndrome and concavity after parotidectomy.


METHODS
We retrospectively reviewed 17 patients who underwent corrective procedures with simultaneous TFF and SCMF interposition for the treatment of Frey syndrome. The affected areas of the cheek skin were identified with starch-iodine tests. The facial contours of the patients were classified as bilaterally symmetric (BS), with a slightly shallow (SS) contour on the surgical side, or with a conspicuously shallow (CS) contour on the surgical side.


RESULTS
The sample was followed up for a mean of 22 months. The average area of gustatory-sweating positive skin was reduced from 12.80 to 1.32 square centimeters postoperatively. The facial asymmetry secondary to parotidectomy was greatly improved.


CONCLUSIONS
The authors concluded that this technique was efficacious in ameliorating Frey syndrome and facial concavity secondary to parotidectomy.
Associate professor, Department of Plastic Surgery, Division of Maxillofacial Surgery, First Affiliated Hospital, Kunming Medical University, Yunnan Province, China.
Xiao-Ming
XM
Dai
Associate professor, Department of Oral and Maxillofacial Surgery, Fourth Affiliated Hospital, Kunming Medical University, Kunming City, Yunnan Province, China. Electronic address: liu-eileen@163.com.
Hua
H
Liu
Attending doctor, Department of Plastic Surgery, First Affiliated Hospital, Kunming Medical University, Kunming City, Yunnan Province, China.
Jia
J
He
Attending doctor, Department of Plastic Surgery, Division of maxillofacial surgery, First Affiliated Hospital, Kunming Medical University, Kunming City, Yunnan Province, China.
Min-Song
MS
Tu
Attending doctor, Department of Plastic Surgery, Division of maxillofacial surgery, the First Affiliated Hospital, Kunming Medical University, Kunming City, Yunnan Province, China.
Li-Fu
LF
Yu
Professor, Department of Plastic Surgery, First Affiliated Hospital, Kunming Medical University, Kunming City, Yunnan Province, China.
Liu
L
Liu
D000328:Adult; D000368:Aged; D005146:Facial Asymmetry / Q000209:etiology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D010305:Parotid Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013547:Sweating, Gustatory / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome