SMAS Advancement Flap for Reconstruction of Superficial Parotidectomy Defect
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Benign parotid lesions are generally removed by superficial parotidectomy without reconstruction of the parotid bed. However, the disadvantage of this procedure is frequently a conspicuous hollow contour around the angle of the mandible in addition to Frey's syndrome. This non-randomized, uncontrolled, prospective study was designed to evaluate the aesthetic outcome and frequency of development of Frey's syndrome after superficial parotidectomy with superficial musculoaponeurotic system (SMAS) advancement flap. The study included 20 patients assigned for superficial parotidectomy with reconstruction of the parotid bed using SMAS flap. Patients were observed for the development of Frey's syndrome and the aesthetic outcome with mean follow-up period of 21.3±6.2 months. The mean patients' satisfaction score about the aesthetic appearance was 7.9±1; range: 5-9. Only two females (10%) were partially satisfied. No patient developed Frey's syndrome. This technique is simple. reliable and improves the aesthetic and functional sequelae following superficial parotidectomy.