通过一项新测试——皮肤电反应，评估胸锁乳突肌瓣对味觉出汗综合征的疗效。
The Efficiacy of Sternocleidomastoid Muscle Flap on Frey's Syndrome via a Novel Test: Galvanic Skin Response.
作者信息
Demirci Ugur, Basut Oguz, Noyan Behzat, Demir Uygar Levent, Afsin Ozmen O, Kasapoglu Fikret, Hakan Coskun H, Onart Selcuk
机构信息
Department of Ear, Nose and Throat, Uludag University Medical Faculty, 16069 Bursa, Turkey.
Department of Physiology, Uludag University Medical Faculty, Bursa, Turkey.
出版信息
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):291-8. doi: 10.1007/s12070-012-0492-y. Epub 2012 Jan 31.
The aim of this study was to evaluate the effects of sternocleidomastoid (SCM) muscle flap on preventing Frey's syndrome by using, Galvanic skin responses (GSR). Fourty-three patients who underwent superficial parotidectomy were randomly divided into two groups and their GSR were recorded. SCM muscle flap was applied over the surgical area only in one group. Six months after the surgery, GSRs were remeasured. In addition, the patients completed a questionnaire regarding their complaints about clinical Frey's syndrome. Four patients had symptoms of clinical Frey's syndrome. Postoperative GSR measurements revealed no significant difference between two sides in flap group (p = 0.426) but higher in without flap group (p = 0.003). The patients with clinical Frey syndrome had significantly higher GSR values than the remaining patients. The SCM muscle flap was an effective method in preventing Frey's syndrome. Moreover, GSR test was highly sensitive and specific for diagnosis.
本研究的目的是通过使用皮肤电反应（GSR）评估胸锁乳突肌（SCM）肌瓣对预防味觉出汗综合征的效果。43例行腮腺浅叶切除术的患者被随机分为两组，并记录其皮肤电反应。仅在一组患者的手术区域应用胸锁乳突肌肌瓣。术后6个月，重新测量皮肤电反应。此外，患者完成了一份关于他们对临床味觉出汗综合征投诉的问卷。4例患者有临床味觉出汗综合征的症状。术后皮肤电反应测量显示，肌瓣组两侧之间无显著差异（p = 0.426），但无肌瓣组更高（p = 0.003）。患有临床味觉出汗综合征的患者的皮肤电反应值明显高于其余患者。胸锁乳突肌肌瓣是预防味觉出汗综合征的有效方法。此外，皮肤电反应测试对诊断具有高度敏感性和特异性。
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