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Evaluating the Efficacy of a Sternocleidomastoid Flap via Galvanic Skin Responses in Superficial Parotidectomy

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Abstract

In the present study, we evaluated the efficacy of flaps via measurement of galvanic skin responses (GSR) in patients who had undergone superficial parotidectomy either with or without sternocleidomastoid (SCM) muscle flaps. Retrospective study design was used. The setting included University of Uludag School of Medicine Department of Otorhinolaryngology. Eleven patients who had undergone superficial parotidectomy for benign diseases in our clinic between June 2003 and August 2006 were included in the study. SCM muscle flaps were used in four patients. The GSR of the patients were measured using a MP 30 System. The Mann–Whitney U test was used for the analysis of data. There were complaints that resembled Frey’s syndrome in three patients in whom flaps had not been performed. Patients with flaps had no complaints. In patients with flaps, no significant GSR changes were observed between the control and operated sides (P > 0.05). In patients without flaps, the GSR levels were significantly higher on the operated side compared to the control side (P < 0.05). GSR values on the control side did not show any differences between patients with and without a flap. However, there were significantly higher GSR values for the operated side in patients without flaps compared to patients with flaps (P < 0.05). Application of a SCM flap is an efficient method by which to prevent Frey’s syndrome, and the GSR test is beneficial both in diagnosiing and determining the severity of the disease as well as evaluating the efficacy of surgical techniques used to prevent Frey’s syndrome.

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References

  1. Kerawala CJ, McAloney N, Stassen LFA (2002) Prospective randomised trial of benefits of a sternocleidomastoid flap after superficial parotidectomy. Br J Oral Maxillofac Surg 40:468–472

    Article  CAS  PubMed  Google Scholar 

  2. Ahmed OA, Kolhe PS (1999) Prevention of Frey’s syndrome and volume deficit after parotidectomy using the superficial temporal artery fascial flap. Br J Plast Surg 52:256–260

    Article  CAS  PubMed  Google Scholar 

  3. Taylor SM, Yoo J, Matthews TW et al (2000) Frey’s syndrome and parotidectomy flaps: a retrospective cohort study. Otolaryngol Head Neck Surg 122:201–203

    Article  CAS  PubMed  Google Scholar 

  4. Sood S, Quraishi MS, Bradley PJ (1998) Frey’s syndrome and parotid surgery. Clin Otolaryngol 23(4):291–301

    Article  CAS  PubMed  Google Scholar 

  5. Kocatürk S, İncesulu A, Çakır T et al (2004) Parotidektomi sonrası Frey Sendromu ve Hacim Eksikliğinin Önlenmesinde Sternokleidomastoid Kas Flebinin Etkinliği. Otoscope 1:11–16

    Google Scholar 

  6. Linder TE, Huber A, Schmid S (1997) Frey’s syndrome after parotidectomy: a retrospective and prospective analysis. Laryngoscope 107:1496–1501

    Article  CAS  PubMed  Google Scholar 

  7. Douglas Q (1985) An introduction to the numerical solution of differential equations, research studies. California University Press, New York, pp 61–64

    Google Scholar 

  8. Govindaraj S, Cohen M, Genden EM et al (2001) The use of acellular dermis in the prevention of Frey’s Syndrome. Laryngoscope 111:1993–1998

    Article  CAS  PubMed  Google Scholar 

  9. Kocatürk S, Özdemir N, Öztürk E et al (2003) Does flap thickness affect the incidence of Frey’s syndrome after superficial parotidectomy? KBB Forum 2(2):32–35

    Google Scholar 

  10. Cesteleyn L, Helman J, King S et al (2002) Temporoparietal fascia flaps and superficial musculoaponeurotic system plication in parotid surgery reduces Frey’s syndrome. J Oral Maxillofac Surg 60:1284–1297

    Article  PubMed  Google Scholar 

  11. Li DZ, Wu YH, Wang XL et al (2006) Prospective cohort study on prevention of Frey syndrome in parotid surgery. Zhonghua Wai Ke Za Zhi 44(15):1033–1035

    PubMed  Google Scholar 

  12. Angspatt A, Yangyuen T, Jindarak S et al (2004) The role of SMAS flap in preventing Frey’s syndrome following standard superficial parotidectomy. J Med Assoc Thai 87(6):624–627

    PubMed  Google Scholar 

  13. Allison GR, Rappaport I (1993) Prevention of Frey’s syndrome with superficial musculoaponeurotic system interposition. Am J Surg 166(4):407–410

    Article  CAS  PubMed  Google Scholar 

  14. Yu LT, Hamilton R (1992) Frey’s syndrome: prevention with conservative parotidectomy and superficial musculoaponeurotic system preservation. Ann Plast Surg 29(3):217–222

    Article  CAS  PubMed  Google Scholar 

  15. Casler JD, Conley J (1991) Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey’s syndrome. Larngoscope 101:95–100

    CAS  Google Scholar 

  16. Filho WQ, Dedivitis RA, Rapoport A et al (2004) Sternocleidomastoid muscle flap preventing Frey syndrome following parotidectomy. World J Surg 28:361–364

    Article  PubMed  Google Scholar 

  17. Asal K, Köybasioglu A, Inal E et al (2005) Sternocleidomastoid muscle flap reconstruction during parotidectomy to prevent Frey’s syndrome and facial contour deformity. Ear Nose Throat J 84(3):173–176

    PubMed  Google Scholar 

  18. Sood S, Quraishi MS, Jennings CR et al (1999) Frey’s syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap. Clin Otolaryngol 24:365–368

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Ear Nose and Throat, Uludag University Medical Faculty, 16069, Bursa, Turkey

    Oguz Basut & Ugur Demirci

  2. Department of Physiology, Uludag University Medical Faculty, Bursa, Turkey

    Behzat Noyan

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  1. Oguz Basut
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  2. Behzat Noyan
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  3. Ugur Demirci
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Correspondence to Ugur Demirci.

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Basut, O., Noyan, B. & Demirci, U. Evaluating the Efficacy of a Sternocleidomastoid Flap via Galvanic Skin Responses in Superficial Parotidectomy. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 242–245 (2014). https://doi.org/10.1007/s12070-011-0455-8

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  • DOI: https://doi.org/10.1007/s12070-011-0455-8

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