Otolaryngology and Head and Neck Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Head Neck. 2014 Jan;36(1):130-6. doi: 10.1002/hed.23215. Epub 2013 Feb 4.
Frey's syndrome (FS), facial depression, and noticeable scar may have an impact on patient's quality of life after a parotidectomy. The superficial musculoaponeurotic system (SMAS) flap has been used to ameliorate those effects.
Forty-seven consecutive parotidectomies were analyzed; SMAS flap was performed in 26 of them. We investigated clinical FS, subclinical FS, and cosmetic satisfaction, and compared SMAS flap versus cases where this was not done.
By performing the SMAS flap, the occurrence of clinical FS was reduced; however, there was no significant difference. Nonetheless, there was a significant difference in the perspiration intensity in favor of the group with SMAS flaps. In the cases we studied, the cosmetic satisfaction was high, even though facial contour-filling techniques were not used.
Provided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile.
耳颞部综合征（FS）、面部凹陷和明显的疤痕可能会影响腮腺切除术后患者的生活质量。目前已经使用 SMAS 皮瓣来改善这些影响。
分析了 47 例连续腮腺切除术，其中 26 例采用 SMAS 皮瓣。我们研究了临床 FS、亚临床 FS 和美容满意度，并比较了 SMAS 皮瓣与未行此操作的病例。
通过 SMAS 皮瓣的操作，临床 FS 的发生减少了，但差异无统计学意义。然而，在出汗强度方面，SMAS 皮瓣组有显著差异。在我们研究的病例中，即使没有使用面部轮廓填充技术，美容满意度也很高。
如果术后出汗强度是影响患者生活质量的主要因素，那么进行 SMAS 皮瓣手术是值得的。
