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Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study

INTRODUCTION: Superficial parotidectomy is an effective management for benign and malignant tumours of the superficial lobe of the parotid gland. Frey's syndrome is one of the most common complications observed after parotidectomy. The objective of our study was to find the incidence of Frey�...

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Autores principales: Patro, Srikant, Swain, Narendra Nath, Mohapatra, Kailash Chandra, Barik, Haramohan, Sahoo, Ashish Kumar, Pattnayak, Prasanjit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848698/
https://www.ncbi.nlm.nih.gov/pubmed/35265496
http://dx.doi.org/10.4103/ams.ams_21_21
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author Patro, Srikant
Swain, Narendra Nath
Mohapatra, Kailash Chandra
Barik, Haramohan
Sahoo, Ashish Kumar
Pattnayak, Prasanjit
author_facet Patro, Srikant
Swain, Narendra Nath
Mohapatra, Kailash Chandra
Barik, Haramohan
Sahoo, Ashish Kumar
Pattnayak, Prasanjit
author_sort Patro, Srikant
collection PubMed
description INTRODUCTION: Superficial parotidectomy is an effective management for benign and malignant tumours of the superficial lobe of the parotid gland. Frey's syndrome is one of the most common complications observed after parotidectomy. The objective of our study was to find the incidence of Frey's syndrome 6 months and 1 year postoperatively after doing posterior belly of the digastric flap during superficial parotidectomy. MATERIALS AND METHODS: This is an observational prospective study done in the Department of General Surgery of the Institute from November 2018 to December 2020. Thirty-eight patients with parotid swellings (both due to benign or malignant causes) were evaluated preoperatively and planned for superficial parotidectomy with a posterior belly of digastric muscle (PBDM) flap to prevent the occurrence of Frey's syndrome. They were followed up in 6 months and 1 year. Minor's test was done in each visit to look for the occurrence of Frey's syndrome. RESULTS: Two patients (5.2%) out of 38 patients developed asymptomatic Frey's syndrome after 6 months postoperatively out of which one patient (2.6%) developed symptomatic Frey's syndrome after 9 months postoperatively with symptoms such as sweating, flushing, and redness over the parotid area during chewing. DISCUSSION: PBDM flap following superficial parotidectomy in a single-stage surgery is an effective and easy method to prevent Frey's syndrome. This procedure is easy to perform and requires no complex dissection. There have not been many studies regarding the use of this flap; hence, this study may be considered as a pilot study.
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spelling pubmed-88486982022-03-08 Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study Patro, Srikant Swain, Narendra Nath Mohapatra, Kailash Chandra Barik, Haramohan Sahoo, Ashish Kumar Pattnayak, Prasanjit Ann Maxillofac Surg Original Article - Prospective Study INTRODUCTION: Superficial parotidectomy is an effective management for benign and malignant tumours of the superficial lobe of the parotid gland. Frey's syndrome is one of the most common complications observed after parotidectomy. The objective of our study was to find the incidence of Frey's syndrome 6 months and 1 year postoperatively after doing posterior belly of the digastric flap during superficial parotidectomy. MATERIALS AND METHODS: This is an observational prospective study done in the Department of General Surgery of the Institute from November 2018 to December 2020. Thirty-eight patients with parotid swellings (both due to benign or malignant causes) were evaluated preoperatively and planned for superficial parotidectomy with a posterior belly of digastric muscle (PBDM) flap to prevent the occurrence of Frey's syndrome. They were followed up in 6 months and 1 year. Minor's test was done in each visit to look for the occurrence of Frey's syndrome. RESULTS: Two patients (5.2%) out of 38 patients developed asymptomatic Frey's syndrome after 6 months postoperatively out of which one patient (2.6%) developed symptomatic Frey's syndrome after 9 months postoperatively with symptoms such as sweating, flushing, and redness over the parotid area during chewing. DISCUSSION: PBDM flap following superficial parotidectomy in a single-stage surgery is an effective and easy method to prevent Frey's syndrome. This procedure is easy to perform and requires no complex dissection. There have not been many studies regarding the use of this flap; hence, this study may be considered as a pilot study. Wolters Kluwer - Medknow 2021 2022-02-01 /pmc/articles/PMC8848698/ /pubmed/35265496 http://dx.doi.org/10.4103/ams.ams_21_21 Text en Copyright: © 2022 Annals of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article - Prospective Study
Patro, Srikant
Swain, Narendra Nath
Mohapatra, Kailash Chandra
Barik, Haramohan
Sahoo, Ashish Kumar
Pattnayak, Prasanjit
Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title_full Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title_fullStr Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title_full_unstemmed Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title_short Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
title_sort posterior belly of digastric muscle transposition flap in preventing frey's syndrome after superficial parotidectomy- a prospective study
topic Original Article - Prospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848698/
https://www.ncbi.nlm.nih.gov/pubmed/35265496
http://dx.doi.org/10.4103/ams.ams_21_21
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