Title |
Frey's syndrome after superficial parotidectomy: role of the sternocleidomastoid muscle flap: a prospective nonrandomized controlled trial
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Published in |
American Journal of Surgery, March 2016
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DOI | 10.1016/j.amjsurg.2016.01.020 |
Pubmed ID | |
Authors |
Maria Grosheva, Luisa Horstmann, Gerd Fabian Volk, Claudia Holler, Laura Ludwig, Verena Weiß, Mira Finkensieper, Claus Wittekindt, Jens Peter Klussmann, Orlando Guntinas-Lichius, Dirk Beutner |
Abstract |
The prevalence of Frey's syndrome (FS) after superficial parotidectomy in correlation to the sternocleidomastoid muscle flap (SCMMF) interposition is analyzed. A prospective nonrandomized controlled multicenter trial included 130 patients. During superficial parotidectomy, SCMMF was dissected, if excised specimens' volume exceeded 25 mL (SCMMF group). Follow-up examinations took place after 6, 12, and 24 months and included a Minor's test. SCMMF was dissected in 30 (23.1%) patients. A total of 104, 80, and 68 patients completed the 1st, 2nd, and the 3rd follow-up, respectively. FS was detectable with nonvarying prevalence (46.3%, 45.6%, and 43.4%, respectively) during follow-up. The prevalence was higher in the SCMMF group (59.9%) than in the non-SCMMF group (41.8%; P = .92). The sweating area increased during follow-up (P = .12). Overall, 89.5% of patients characterized FS as not disturbing after 2 years. FS occurred with a steady and high prevalence after superficial parotidectomy. In particular, SCMMF did not lower the risk of FS. |
X Demographics
Geographical breakdown
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 32 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 4 | 13% |
Researcher | 3 | 9% |
Student > Doctoral Student | 3 | 9% |
Student > Bachelor | 3 | 9% |
Other | 2 | 6% |
Other | 7 | 22% |
Unknown | 10 | 31% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 20 | 63% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Chemistry | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Unknown | 9 | 28% |