1989 Volume 38 Issue 1 Pages 299-312
Four cases of parotid gland tumors, three pleomorphic adenomas and one mucoepidermoid carcinoma, were presented. The three pleomorphic adenomas were treated by superficial parotidectomy, and in two of the cases the exposed facial nerve was covered with sternomastoid muscular flap to prevent the Frey syndrome, which often occurred after parotidectomy.
The mucoepidermoid carcinoma was treated by total parotidectomy with preservation of the facial nerve. In this operation, a sternomastoid muscular flap was also used.
The pleomorphic adenoma case which was operated without muscular flap, and the mucoepiermoid carcinoma case that complatined of Frey syndrome, but the other two cases were free from Frey syndrome.
The use of sternomastoid muscular flap can prevent the Frey syndrome, postoperative facial deformity. and salivary fistula that may occur after parotidectomy.
