Rustemeyer Jan, Eufinger Harald, Bremerich Andreas
Department of Cranio-Maxillofacial Surgery, Klinikum Bremen Mitte, Bremen, Germany.
J Craniomaxillofac Surg. 2008 Jan;36(1):34-7. doi: 10.1016/j.jcms.2007.07.003. Epub 2007 Nov 19.
The incidence of Frey's syndrome after parotidectomy greatly varies in the literature. The aim of this study was to analyse the incidence with the help of a new series of patients and to discuss and review the results.
372 patients (age: 50.7+/-11.6 yrs) underwent unilateral parotidectomy. In 203 subjects the insertion of a sternocleidomastoideus flap in the parotid area was performed intraoperatively.
Patients were followed-up concerning the clinical presence of gustatory sweating and flushing after secretory stimulation, and were questioned about suffering in everyday life.
86 patients (23.5%) developed Frey's syndrome after an average of 12 months (12.3+/-9.9 months) following parotidectomy. Only 44% of the patients with Frey's syndrome were symptomatic. No benefit concerning Frey's syndrome following application of a sternocleidomastoideus flap was seen.
Gustatory sweating after parotidectomy must still be regarded as an unpleasant and common complication. Nevertheless, it is more the subjective suffering of the patients than the incidence that makes prevention important.
腮腺切除术后味觉出汗综合征（Frey综合征）的发生率在文献中差异很大。本研究的目的是借助一系列新患者分析其发生率，并对结果进行讨论和回顾。
372例患者（年龄：50.7±11.6岁）接受了单侧腮腺切除术。其中203例患者术中在腮腺区域植入了胸锁乳突肌瓣。
对患者进行随访，观察分泌刺激后味觉出汗和潮红的临床表现，并询问其日常生活中的不适情况。
86例患者（23.5%）在腮腺切除术后平均12个月（12.3±9.9个月）出现Frey综合征。只有44%的Frey综合征患者有症状。未观察到应用胸锁乳突肌瓣对Frey综合征有改善作用。
腮腺切除术后味觉出汗仍被视为一种令人不适的常见并发症。然而，预防的重要性更多在于患者的主观痛苦而非发生率。
