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Titolo:
The use of acellular dermis in the prevention of Frey's syndrome
Autore:
Govindaraj, S; Cohen, M; Genden, EM; Costantino, PD; Urken, ML;
Indirizzi:
CUNY, Mt Sinai Med Ctr, Dept Otolaryngol, New York, NY 10029 USA CUNY NewYork NY USA 10029 Ctr, Dept Otolaryngol, New York, NY 10029 USA St Lukes Roosevelt Hosp, Dept Otolaryngol, Ctr Cranial Base Surg, New York, NY USA St Lukes Roosevelt Hosp New York NY USA nial Base Surg, New York, NY USA
Titolo Testata:
LARYNGOSCOPE
fascicolo: 11, volume: 111, anno: 2001,
parte:, 1
pagine: 1993 - 1998
SICI:
0023-852X(200111)111:11<1993:TUOADI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
TOXIN TYPE-A; TOPICAL GLYCOPYRROLATE; FLAP INTERPOSITION; FASCIAL FLAP; PAROTIDECTOMY; GRAFT;
Keywords:
Frey's Syndrome; acellular dermis; gustatory sweating;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Govindaraj, S CUNY, Mt Sinai Med Ctr, Dept Otolaryngol, 1 Gustave L Levy Pl,Box 1189, New York, NY 10029 USA CUNY 1 Gustave L Levy Pl,Box 1189 New York NY USA 10029 USA
Citazione:
S. Govindaraj et al., "The use of acellular dermis in the prevention of Frey's syndrome", LARYNGOSCOP, 111(11), 2001, pp. 1993-1998

Abstract

Educational Objective. At the conclusion of this presentation, the participant should be able to discuss the indications and advantages of using acellular dermis in the prevention of post-parotidectomy gustatory sweating (Frey's Syndrome). Introduction: Gustatory sweating is a common postoperative problem and a challenge to treat. The purpose of this study was to evaluatethe role of acellular dermis in preventing post-parotidectomy gustatory sweating. Methods: Sixty-four patients were randomly assigned to two groups. Group I consisted of 32 patients who underwent a superficial lobe parotidectomy. Group II consisted of 32 patients who underwent a superficial lobe parotidectomy and underwent intraoperative placement of acellular dermis within the parotid bed, between the skin flap and the remaining parotid tissue. The implanted volume of acellular dermis was determined by the amount required to aesthetically restore lateral facial contour. All 64 patients were evaluated for gustatory sweating by identical phone and mail questionnaires. Thirty randomly chosen patients (group I = 15, group II = 15) were evaluated using a modified Minor's Starch-Iodine Test (MSIT). In all 30 patients,the MSIT was administered to both sides of the face. Results. The responses to questionnaires (N = 64) demonstrated the subjective presence of gustatory sweating in 3 of 32 patients (9.3%) in group I, whereas group II demonstrated a subjective incidence in I of 32 patients (3.1%). The objective incidence determined by those who underwent the MSIT (n = 30) revealed a 40%, (6) and 0% incidence of Frey's Syndrome in groups I and II, respectively. The complication rate in group I was 9% (3 seromas) and in group II it was 25% (7 seromas and 1 wound infection). Conclusions. Acellular dermis appearsto be an effective method for preventing post-parotidectomy gustatory sweating, despite its higher complication rate.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 09:48:49