Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2000; 11(1):104-108

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2000.11.1.104

원저

이하선수술시 Frey 증후군의 예방을 위한 흉쇄유돌근피판의 효과

왕수건¹^,^*, 이병주¹, 백무진²

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

Soo-Geun Wang¹^,^*, Byung-Joo Lee¹, Moo-Jin Baek²

¹부산대학교 의과대학 이비인후과학교실

²인제대학교 의과대학 부산백병원 이비인후과학교실

¹Department of Otolaryngology, College of Medicine, Pusan National University, Pusan

²Department of Otolaryngology, Head and Neck Surgery, Inje University, Pusan Paik Hospital, Pusan, Korea

^*교신저자: 왕수건, 602-739 부산광역시 서구 아미동 1-10 부산대학교 의과대학 이비인후과학교실 전화： (051) 240-7335· 전송： (051) 246-8668 E-mail： Wangsg@hyowon.cc.pusan.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 10, 2000; Accepted: Mar 30, 2000

Published Online: May 31, 2020

ABSTRACT

Frey’s syndrome is symptom complex consisting of flushing, sweating around preauricular and cheek skin during mastication. It is also designated as gustatory sweating or auriculotemporal nerve syndrome. Postoperative Frey’s syndrome may occur with varying degree of symptom severity and the incidence after parotidectomy is variable. Casler and Conley (1991) reported that 10% of post-parotidectomy patients complained of gustatory sweating, 30% of patients were aware of their symptoms after being asked for their symptoms and over 90% of patients showed positive starch-iodine test. Authors investigated the effect of superiorly based sternocleidomastoid muscle (SCM) flap for the prevention of Frey’s syndrome and depression of retromandibular region after parotidectomy. Frey’s syndrome was developed 18% in group using SCM flap and 56% in group without SCM flap. Seventeen out of forty cases (42.5%) with SCM flap showed good cosmetic results without retromandibular depression. (J Clinical Otolaryngol 2000;11:104–108)

Keywords: Frey 증후군; 흉쇄유돌근피판

Keywords: Frey’s syndrome; Sternocleidomastoid muscle flap