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Free fat grafting in superficial parotid surgery to prevent Frey's syndrome and improve aesthetic outcome

Published online by Cambridge University Press:  09 July 2013

L S Chan ,
M S Barakate  and
T E Havas
L S Chan*
Affiliation:
Department of Otolaryngology, The Prince of Wales Hospital, Randwick, New South Wales, Australia
M S Barakate
Affiliation:
Department of Otolaryngology, The Prince of Wales Hospital, Randwick, New South Wales, Australia
T E Havas
Affiliation:
Department of Otolaryngology, The Prince of Wales Hospital, Randwick, New South Wales, Australia
*
Address for correspondence: Dr Lyndon Chan, 20 Ducane St, Forrest, ACT, Australia2603 Fax: +61 2 4922 3344 E-mail: lyndonsch@gmail.com
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Abstract

Background:

Frey's syndrome and cosmesis are important considerations in parotid surgery. Placement of an interpositional barrier can prevent these complications; however, surgical technique and efficacy remain controversial.

Methods:

A prospective case series was collected comprising all patients undergoing primary superficial parotidectomy for benign pathology with abdominal free fat grafting between June 2007 and December 2010, performed by a single surgeon. A survey was also distributed to otorhinolaryngology consultants across Australia to assess current practice.

Results:

Twenty-eight patients were included. No patient had clinical symptoms of Frey's syndrome. Seventy-five per cent of patients were completely satisfied with their aesthetic outcome, 18 per cent scored 4/5 and the remaining 7 per cent (2 patients) scored 3/5. The survey revealed that 79 per cent of respondents did not use interpositional grafts.

Conclusion:

Abdominal free fat is ideal for grafting as it is an effective, safe, simple, accessible, fast and inexpensive method of providing an interpositional graft.

Keywords

Parotid GlandSweatingGustatoryAestheticsGraftingFatAbdominal
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Supplement S1 , January 2014 , pp. S44 - S49
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented as a poster at the Australian Society of Otolaryngology Head and Neck Surgery 2012 Annual Scientific Meeting, 1 April 2012, Adelaide, South Australia, Australia

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