World Journal of Surgery

, Volume 28, Issue 4, pp 361–364 | Cite as

Sternocleidomastoid Muscle Flap Preventing Frey Syndrome following Parotidectomy

  • Wail Queiroz Filho
  • Rogério A. DedivitisEmail author
  • Abrão Rapoport
  • André V. Guimarães
Original Scientific Reports


Frey syndrome is one of the potential sequelae of parotidectomy. Various medical and surgical treatments have been used in an attempt to avoid this embarrassing condition. Recently, interposing barriers between the overlying skin flap and the parotid bed, such as the sternocleidomastoid muscle (SCM) flap, have been used to prevent this condition. The purpose of this study was to evaluate the impact of using this flap on Frey syndrome. A series of 138 patients who underwent subtotal or total parotidectomy from January 1995 to December 2001 were divided into two groups. One group had an SCM flap reconstruction (n = 24), and the other group did not (n = 19). A subjective clinical questionnaire and the objective Minor’s starch iodine test were used to evaluate the incidence of this syndrome. The postoperative period varied from 12 to 90 months. The frequency exact test of Fisher and the nonparametric test of Mann-Whitney were applied. The association with the absence of sweating and the presence of the SCM flap was significant (p = 0.0002). There was no association with flushing or pain and the flap. There was a significant association with the starch iodine test and the presence of the flap (p = 0.0016). The only significant association of the epidemiologic and clinical characterization of the patients with a negative or positive Minor’s test was between sweating and a positive Minor’s test (p = 0.0001). The only significant aspect in the diagnosis of Frey syndrome is gustatory sweating. There is a significant association with a negative Minor’s test and the presence of the SCM flap and with sweating and a positive Minor’s test. The SCM flap is an efficient method for preventing Frey syndrome following parotidectomy.


Parotid Gland Superior Thyroid Artery Yodo Total Parotidectomy Gustatory Sweating 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Société Internationale de Chirurgie 2004

Authors and Affiliations

  • Wail Queiroz Filho
    • 1
  • Rogério A. Dedivitis
    • 1
    Email author
  • Abrão Rapoport
    • 1
  • André V. Guimarães
    • 1
  1. 1.Postgraduation Course in Health SciencesHospital Heliópolis HosphelSão PauloBrazil

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