Frey's syndrome and parotidectomy flaps: A retrospective cohort study

Gustatory sweating, also known as Frey's syndrome, is a recognized phenomen on after parotidectomy, The incidence of clinically significant gustatory s weating may be dependent on the thickness of the skin flap that is elevated at the time of surgery. Dissection in the subcutaneous level or the deeper sub-superficial musculoaponeurotic system level are 2 commonly used techni ques in the operation. Twenty-eight patients were prospectively evaluated f or Frey's syndrome after superficial parotidectomy, Thirteen patients under went subcutaneous and 15 patients sub-superficial musculoaponeurotic system flap elevation, The overall incidence of gustatory sweating was determined , and a comparison of the two surgical techniques was assessed subjectively by patient interview-questionnaire and objectively evaluated with starch-i odine testing.