Vascularised fatty tissue: its role in prevention of the symptoms of Frey syndrome after parotidectomy

Publication date: Available online 15 October 2018

Source: British Journal of Oral and Maxillofacial Surgery

Author(s): A. Ghassemi, A. Modabber, P.O. Brzoska, M. Sababi

Abstract

We studied 37 consecutive patients who had parotidectomies between 2008 and 2017 and who had vascular fat flaps inserted to replace the excised parotid tissue and prevent Frey syndrome. They were followed up for 1–9 years to check for the relevant symptoms. We studied 17 female and 20 male patients, mean age 52 (range 19–78) years. The flaps took a maximum of 17 minutes to dissect. There was no donor site morbidity, the vascular fat flap was stable in all cases for up to nine years, and none of the patients complained of symptoms of Frey syndrome.

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