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A Reevaluation of the Frey Syndrome Following Parotid Surgery
Comdr Alan D. Kornblut, MC;
Peter Westphal, MD;
Adolf Miehlke, MD
Arch Otolaryngol. 1977;103(5):258-261.
Abstract
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• The Frey syndrome, or gustatory sweating, is an accepted complication of parotid gland surgery that may occur with varying degrees of severity. Since misdirection of auriculotemporal secretomotor nerve fibers has been found to play an important role in the development of the syndrome, a study was initiated to attempt mechanical interference with the regenerating fibers of the nerve. A superiorly based muscle flap from the sternocleidomastoid muscle was developed to cover the operative wound after either partial or complete parotidectomy. Results in 35 patients with such a muscle flap were compared with those in 35 control patients for the presence of absence of the Frey syndrome; the muscle flap was shown to be ineffective in preventing occurrence of gustatory sweating. Moreover, gustatory sweating to varying degrees was present in 34 patients with the muscle flap and in 33 control patients. Also, only 23 of the 70 patients had subjective complaints related to the syndrome, none of whom was incapacitated or required additional measures for care.
(Arch Otolaryngol 103:258-261, 1977)
Author Affiliations
USNR
From the Department of Otolaryngology, National Naval Medical Center, Bethesda, Md (Comdr Kornblut); and the Hals-Nasen-Ohren Klinik, University of Göttingen (West Germany) (Drs Westphal and Miehlke).
Footnotes
Accepted for publication Sept 22, 1976.
Read before the joint meeting of the Society of Head and Neck Surgeons and the American Society for Head and Neck Surgery, San Diego, April 12, 1976.
Reprint requests to Department of Otolaryngology, National Naval Medical Center, Bethesda, MD 20014 (Comdr Kornblut).
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