OBJECTIVE/HYPOTHESIS: Elevation of the superficial musculoaponeurotic system (SMAS) with or without fat graft interposition during superficial parotidectomy prevents a concave facial deformity and Frey's syndrome. STUDY DESIGN: Retrospective, case-control study. METHODS: Charts for 248 patients who underwent superficial parotidectomy were reviewed for pathologic, radiographic, clinical, and operative data. Sixteen patients who underwent SMAS elevation and 34 patients who underwent SMAS elevation with fat graft interposition were included in two study groups. Nonreconstructed controls were randomly selected from a pool of patients who had unilateral, superficial parotidectomy and were matched based on pathologic specimen volume. Patients were surveyed for their postoperative symptoms. RESULTS: Patients undergoing SMAS elevation alone (n = 16) compared with controls (n = 19) had greater facial symmetry (12% vs. 32%, P = .147) and a lower incidence of symptomatic Frey's syndrome (6.3% vs. 18.6%, P = .382). Patients undergoing SMAS elevation and fat graft interposition (n = 34) compared with controls (n = 38) had less facial asymmetry (9% vs. 39%, P = .002) and a lower incidence of symptomatic Frey's syndrome (6% vs. 28%, P = .04). Complications among the study and control groups were comparable. CONCLUSIONS: Simultaneous reconstruction of a superficial parotidectomy defect using SMAS elevation with or without fat grafting may improve postoperative facial symmetry and decrease the incidence of symptomatic Frey's syndrome without increasing complications.
OBJECTIVE/HYPOTHESIS: Elevation of the superficial musculoaponeurotic system (SMAS) with or without fat graft interposition during superficial parotidectomy prevents a concave facial deformity and Frey's syndrome. STUDY DESIGN: Retrospective, case-control study. METHODS: Charts for 248 patients who underwent superficial parotidectomy were reviewed for pathologic, radiographic, clinical, and operative data. Sixteen patients who underwent SMAS elevation and 34 patients who underwent SMAS elevation with fat graft interposition were included in two study groups. Nonreconstructed controls were randomly selected from a pool of patients who had unilateral, superficial parotidectomy and were matched based on pathologic specimen volume. Patients were surveyed for their postoperative symptoms. RESULTS:Patients undergoing SMAS elevation alone (n = 16) compared with controls (n = 19) had greater facial symmetry (12% vs. 32%, P = .147) and a lower incidence of symptomatic Frey's syndrome (6.3% vs. 18.6%, P = .382). Patients undergoing SMAS elevation and fat graft interposition (n = 34) compared with controls (n = 38) had less facial asymmetry (9% vs. 39%, P = .002) and a lower incidence of symptomatic Frey's syndrome (6% vs. 28%, P = .04). Complications among the study and control groups were comparable. CONCLUSIONS: Simultaneous reconstruction of a superficial parotidectomy defect using SMAS elevation with or without fat grafting may improve postoperative facial symmetry and decrease the incidence of symptomatic Frey's syndrome without increasing complications.
Authors: R F Mazzola; G Cantarella; S Torretta; A Sbarbati; L Lazzari; L Pignataro Journal: Acta Otorhinolaryngol Ital Date: 2011-04 Impact factor: 2.124
Authors: G Dell'Aversana Orabona; G Salzano; V Abbate; P Piombino; F Astarita; G Iaconetta; L Califano Journal: Acta Otorhinolaryngol Ital Date: 2015-12 Impact factor: 2.124
Authors: Cory Donovan Bovenzi; Peter Ciolek; Meghan Crippen; Joseph M Curry; Howard Krein; Ryan Heffelfinger Journal: J Otolaryngol Head Neck Surg Date: 2019-11-19
Authors: Brian G Rowan; Jeffrey M Gimble; Mei Sheng; Muralidharan Anbalagan; Ryan K Jones; Trivia P Frazier; Majdouline Asher; Eduardo A Lacayo; Paul L Friedlander; Robert Kutner; Ernest S Chiu Journal: PLoS One Date: 2014-02-28 Impact factor: 3.240
Authors: Yu-Jin Lee; Nancy J Fischbein; Uchechukwu Megwalu; Fred M Baik; Vasu Divi; Michael J Kaplan; Davud B Sirjani Journal: Heliyon Date: 2020-05-04