Marchese Maria Raffaella, Rossi Federica, Settimi Stefano, Galli Jacopo
Otolaryngology Division, Department of Neurosciences, Sensory Organs and Thorax, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Rome, Italy.
Section of Otolaryngology, Head-Neck and Sense Organs Department, Catholic University of the Sacred Heart, 00168 Rome, Italy.
J Pers Med. 2024 Jan 16;14(1):96. doi: 10.3390/jpm14010096.
The treatment of choice for tumors located in the parotid gland is surgery. Nevertheless, postoperative complications are not infrequent. Regardless of the type of surgical procedure, the most common complication is Frey's syndrome (FS). Traditionally, FS includes unilateral gustatory sweating and flushing of the facial skin lining the parotid compartment. Recent research describes atypical discomfort associated with FS. The aim of this study was to assess the late prevalence and severity of both usual and atypical symptoms after parotidectomy for benign tumors.
We conducted a cross-sectional study involving 86 subjects who underwent superficial parotidectomy at least one year before the study. The questionnaire included the sweating-flushing-itch-paresthesia-pain (SFIPP) Frey scale supplemented by specific questions about symptoms.
Sixty-seven out of eighty-six (77.9%) cases reported almost one symptom. The most frequent symptom was itch (36/67-53.7%), followed by pain (35/67-52.2%), while 28/67 (41.8%) subjects complained of atypical symptoms without flushing or sweating. A desire to treat the discomfort was reported by 50/67 (74.6%) subjects.
Late postparotidectomy local discomfort is not infrequent and includes both usual and "unusual" symptoms almost equally. Our results suggest the importance of informing patients about the occurrence of the syndrome and the available treatment options during pre- and postoperative counseling.
位于腮腺的肿瘤的首选治疗方法是手术。然而，术后并发症并不罕见。无论手术方式如何，最常见的并发症是味觉出汗综合征（FS）。传统上，FS包括患侧味觉性出汗以及腮腺区面部皮肤潮红。最近的研究描述了与FS相关的非典型不适。本研究的目的是评估腮腺良性肿瘤切除术后常见和非典型症状的晚期发生率及严重程度。
我们进行了一项横断面研究，纳入了86名在研究前至少一年接受过腮腺浅叶切除术的受试者。问卷包括出汗-潮红-瘙痒-感觉异常-疼痛（SFIPP）味觉出汗综合征量表，并补充了关于症状的特定问题。
86例中有67例（77.9%）报告了至少一种症状。最常见的症状是瘙痒（36/67 - 53.7%），其次是疼痛（35/67 - 52.2%），而28/67（41.8%）的受试者抱怨有非典型症状，无潮红或出汗。50/67（74.6%）的受试者表示希望治疗这种不适。
腮腺切除术后晚期局部不适并不罕见，常见和“不常见”症状的发生率几乎相同。我们的结果表明，在术前和术后咨询期间告知患者该综合征的发生情况及可用治疗选择的重要性。
