Cesteleyn Luc, Helman Joseph, King Steven, Van de Vyvere Gaétan
Department of Craniomaxillofacial Surgery, St Lucas Hospital, Gent, Belgium.
J Oral Maxillofac Surg. 2002 Nov;60(11):1284-97; discussion 1297-8. doi: 10.1053/joms.2002.35725.
The purpose of this retrospective study was to evaluate the incidence of Frey's syndrome after parotid gland surgery with elevation of a skin flap versus the interposition of musculoaponeurotic tissue between the skin and the facial nerve.
The standard skin flap was used in 122 patients (1981 to 1989), whereas interposition of temporoparietal galea or superficial musculoaponeurotic system was performed in 146 consecutive patients (1989 to 1998).
The incidence of Frey's syndrome was reduced from 33% to 4% with the use of a musculoaponeurotic layer, and the mean duration of postoperative facial nerve paresis decreased from 3 months to 6 weeks.
Consideration should be given to the use of an interpositional layer of tissue between the facial nerve and the skin flap to reduce the incidence of Frey's syndrome after parotid gland surgery.
本回顾性研究的目的是评估与在皮肤和面神经之间置入肌筋膜组织相比，采用皮瓣掀起术进行腮腺手术后Frey综合征的发生率。
1981年至1989年期间，122例患者采用标准皮瓣掀起术，而1989年至1998年期间，146例连续患者采用颞顶帽状腱膜或颞浅筋膜系统置入术。
采用肌筋膜层后，Frey综合征的发生率从33%降至4%，术后面神经麻痹的平均持续时间从3个月降至6周。
腮腺手术后，应考虑在面神经和皮瓣之间使用组织置入层，以降低Frey综合征的发生率。
