Prospective randomised trial of the benefits of a sternocleidomastoid flap after superficial parotidectomy
Parotid surgery can cause postoperative facial nerve dysfunction, cosmetic impairment, and Frey’s syndrome. Thirty-six patients listed for superficial parotidectomy were entered into a prospective randomised trial to find out if the use of a sternocleidomastoid flap could reduce the incidence of the...
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Veröffentlicht in: | British journal of oral & maxillofacial surgery 2002-12, Vol.40 (6), p.468-472 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Parotid surgery can cause postoperative facial nerve dysfunction, cosmetic impairment, and Frey’s syndrome. Thirty-six patients listed for superficial parotidectomy were entered into a prospective randomised trial to find out if the use of a sternocleidomastoid flap could reduce the incidence of these complications. Partial facial nerve paresis was seen at 3 months in five patients in whom flaps were raised compared with six among those who did not have flaps (
P=0.025). There was no difference between the two groups at 1 year. The flap was not associated with an improvement in either subjective (
P=0.13) or objective (
P=0.12) appearance measured on visual analogue scales. Eight patients in whom flaps were raised described symptoms suggestive of Frey’s syndrome, compared with nine patients in whom a flap was not raised (
P=0.31). Overall 19 of those who had a flap and 11 of those who did not had a positive starch-iodine test (
P=0.21). |
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ISSN: | 0266-4356 1532-1940 |
DOI: | 10.1016/S0266-4356(02)00194-8 |