Sternocleidomastoid Flap in Parotid Surgery: A Case Series

AbstractSuperficial and deep parotidectomies are known treatments for benign and malignant neoplasms of parotid glands. Due to the gland ’s proximity to facial nerve and other vital structures, this surgery carries the highest risk of facial nerve palsy. Another frequently overlooked complication, which can be detrimental to patient’s life style is Frey’s syndrome, or gustatory sweating. Other complications include flap necrosi s and various contour deformities. We conducted this study on a group of 40 patients of parotid swellings to assess usage of sternocleidomastoid flap in prevention of Frey’s syndrome, contour deformities, flap necrosis, salivary fistula and drain related injuries. We divided the patients in two gr oups based on the usage of sternomastoid flap. In Group A, the patients underwent superficial or total parotidectomies with a partial thickness, superiorly based sternomastoid flap. In Group B, no sternomastoid flap was placed. The incidence of Frey’s syndrome was seen to be 3 times in Group B, wh ile a visible contour deformity was seen in a third of patients in Group B, with Group A reporting no incidence. Also Group A, did not see any cases of flap necrosis or salivary fistula, while Group B saw 3 and 2 cases respectively. Also, among the two revision cases done in Group A, the one with pr eviously placed sternomastoid flap (done by us 3 years back) had an excellent plane preserved, while another revision case without sternomastoid flap saw a co...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research