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An article by Paul Dulguerov et al¹ that was published in the August 1999 issue of the ARCHIVES requires a response. Their report titled "Prevention of Frey Syndrome During Parotidectomy" acknowledges an article that I wrote in 1974 with Peter Westphal and Adolf Mielhlke² concerning our experience with the use of a sternomastoid muscle flap to prevent the occurrence of the Frey syndrome. Dr Dulguerov and coworkers credit me with the "idea" for the use of the muscle as a barrier, but he and his coauthors did not read our article carefully.

Adolf Miehlke, then professor and chairman of the Ear, Nose, and Throat Department at the University of Göttingen in Germany, had been using the sternomastoid flap for some time and had learned the technique while studying with John Conley in New York some 40 years ago. Professor Miehlke believed that the flap was useful for preventing gustatory sweating . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Parotid Surgery and Frey Syndrome
Sood and Bradley
Arch Otolaryngol Head Neck Surg 2000;126:1168-1168.
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