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KMID : 0390220000110010104
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 1 p.104 ~ p.108
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Effect of Sternocleidomastoid Muscle Flap in the Prevention of Frey's Syndrome after Parotidectomy
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왕수건/Soo Geun Wang
이병주/백무진/Byung Joo Lee/Moo Jin Baek
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Abstract
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Frey's syndrome is symptome complex consisting of floushing, sweating around preauricular and cheek skin
during mastication. It is also designated as gustatory sweating of auriculotemporal nerve syndrome.
Postoperative Frey's sydrome may occur with varying degree of symptom severity and the incidence after
parotidectomy is variable. Casler and Conley(1991) reported that 10% of post-parotidectomy patients
complained of gustatory sweating, 30% of patients were aware of their symptoms after being asked for their
symptoms and over 90% of patients showed positive starch-iodine test. Authors investigated the effect of
superiorly based sternoceidomateoid muscle(SCM) flap for the prevention of Frey's syndrome and depression
of retromandibular region after parotidectomy. Frey's syndrome was developed 18% in group using SCM flap
and 56% in group without SCM flap. Seventeen out of forty cases (42.5%) with SCM flap showed good
cosmetic results without retromandibular depression.
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KEYWORD
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