Effect of Sternocleidomastoid Muscle Flap in the Prevention of Frey’s Syndrome after Parotidectomy

We studied the incidence of Frey's syndrome and facial contour deformity in two groups of patients who had undergone superficial parotidectomy. One group was made up of 12 patients who were randomized to undergo reconstruction of the surgical defect with a sternocleidomastoid muscle flap; the other 12 patients did not receive a flap. All 24 patients were evaluated via a short questionnaire, the starch-iodine test, and a visual examination. On the questionnaire, none of the 24 patients said they experienced abnormal facial sweating, flushing, or warmth while eating, although 6 of the 12 patients in the nonflap group had a mildly positive starch-iodine test. No patient in the flap group had a positive test. The difference between the two groups was statistically significant (p < 0.05). No statistically significant difference was seen between the two groups with respect to cosmetic results.

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Frey's syndrome following parotidectomy: prevention using a sternocleidomastoid muscle flap

Clinical Otolaryngology ◽

10.1046/j.1365-2273.1999.00254-16.x ◽

1999 ◽

Vol 24 (4) ◽

pp. 377-383

Author(s):

S. Sood ◽

C. R. Jennings ◽

S. M. Quraishi ◽

P. J. Bradley

Keyword(s):

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Frey’S Syndrome ◽

Frey's Syndrome ◽

Sternocleidomastoid Muscle Flap

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Frey's syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap

Clinical Otolaryngology ◽

10.1046/j.1365-2273.1999.00283.x ◽

1999 ◽

Vol 24 (4) ◽

pp. 365-368 ◽

Cited By ~ 31

Author(s):

S. Sood ◽

M. S. Quraishi ◽

C. R. Jennings ◽

P. J. Bradley

Keyword(s):

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Frey’S Syndrome ◽

Frey's Syndrome ◽

Sternocleidomastoid Muscle Flap

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Assessment of functional outcome after parotidectomy reconstruction

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181871 ◽

2018 ◽

Vol 4 (3) ◽

pp. 780 ◽

Cited By ~ 1

Author(s):

Jitendra Kumar ◽

Sunil Kumar ◽

H. P. Singh ◽

Veerendra Verma ◽

Anupam Mishra

Keyword(s):

Muscle Flap ◽

Neck Surgery ◽

Sternocleidomastoid Muscle ◽

Frey’S Syndrome ◽

Patient’S Satisfaction ◽

Number Of Patients ◽

Parotid Surgery ◽

Frey's Syndrome ◽

Group A ◽

Group B

Background: Total or superficial parotidectomy, when a reconstructive technique is not used, usually leads to Frey’s syndrome, preauricular and retromandibular depression. These together with the scar from a classic or modified Blair incision limit the final aesthetic outcome. The superiorly based sternocleidomastoid muscle (SCM) flap or superficial musculo-aponeurotic system (SMAS) flap can be used for reconstruction of the defect to achieve better facial contour restoration. The aim and objective of the study was to evaluate the functional and cosmetic outcome of patients after reconstruction in parotid surgeries.Methods: This study was done in the department of Otorhinolaryngology & Head-Neck Surgery. Total number of patients with parotid tumours were 24 in each group namely- Group A: Patients undergoing parotid surgery without reconstruction. Group B: Patients undergoing parotid surgery with reconstruction using superiorly based sternocleidomastoid muscle flap. All patients were followed and analyzed on 6 weeks, 6 months and 1 year postoperatively on the basis of patient’s satisfaction, cosmesis, subjective Frey’s syndrome, retromandibular and pre-auricular depression using visual analogue scale. Results: In Group A, subjective Frey’s syndrome was present in 8.3% patients from 6 month to 1 year. In contrast, in Group B, it remain absent in all patients at all periods. In Group A, preauricular depression was present in 79.2% patients in immediate postop and 95.8% patients from 6 week to 1 year. In contrast, in Group B, it was present in only 4.2% patients at all periods. In Group A, retromandibular depression was present in 70.8% patients while in Group B, it was absent in all patients.Conclusions: The superiorly based SCM flap for reconstruction of defect following superficial or total parotidectomy improves the final outcome in terms of the facial deformity (pre-auricular, retro-auricular depression) and lowers the incidence of Frey’s syndrome.

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Use of a sternocleidomastoid muscle flap to protect the carotid artery during laryngectomy

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001249 ◽

2021 ◽

pp. 1-4

Author(s):

J C Fleming ◽

A R Fuson ◽

H Jeyarajan ◽

C M Thomas ◽

B Greene

Keyword(s):

Carotid Artery ◽

Marked Reduction ◽

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Simple Method ◽

Initial Surgery ◽

Great Vessels ◽

Prevertebral Fascia ◽

Sternocleidomastoid Muscle Flap ◽

Salvage Laryngectomy

Abstract Objectives This paper describes a simple method of securing tissue coverage of the great vessels at the initial surgery by rotating the divided sternal heads of the sternocleidomastoid muscle, a routine step during laryngectomy, and approximating them to the prevertebral fascia. The paper presents an illustrated case example where this technique in a salvage laryngectomy repair resulted in a protected vascular axis following a salivary leak. Results Since utilising this technique, there has been a marked reduction in the requirement of subsequent flap procedures to protect vessels, and no episodes of threatened or actual carotid blowout.

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