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Frey’s Syndrome Prevention, Treatment Following Parotid Surgery

by Robert L. Witt, MD, and Edmund A. Pribitkin, MD • July 1, 2014

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Trio Best PracticeBackground

After parotid surgery, traumatized auriculotemporal, postganglionic, parasympathetic nerve fibers reinnervate the sweat glands and subcutaneous vessels resulting in gustatory sweating and facial flushing. Because Frey’s syndrome (FS) does not spontaneously resolve, multiple prevention and treatment strategies have been proposed. The literature supports evidence-based best practices for procedures in selected patients directed at the prevention and treatment of FS who are likely to have improved long-term quality of life after parotidectomy.

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Explore This Issue
July 2014

Best Practice

FS is reduced by parotid parenchyma-sparing procedures and interpositional grafts in selected patients. The treatment of choice for FS is intradermal botulinum toxin type A injections. Read the full article in the Laryngoscope.

Filed Under: Head and Neck, Practice Focus, TRIO Best Practices Tagged With: parotid surgeryIssue: July 2014

You Might Also Like:

  • Aesthetic Parotid Surgery for Benign Parotid Neoplasms
  • Does the Use of Steroids Perioperatively in Parotid Surgery Affect Facial Nerve Outcomes?
  • Lucja Frey, MD – The Physician Behind Frey’s Syndrome
  • Extracapsular Dissection a Valid Option for Benign Parotid Tumors

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