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. |
