Acellular dermal matrix (Insuregraf) in the prevention of Frey’s syndrome and surgical site depression after parotidectomy
Open Access
- 20 June 2019
- journal article
- Published by Korean Cleft Palate-Craniofacial Association in Archives of Craniofacial Surgery
- Vol. 20 (3), 176-180
- https://doi.org/10.7181/acfs.2019.00248
Abstract
Parotidectomy is the treatment of choice in many parotid tumors. Due to the extensive nature of the procedure, unfavorable complications such as gustatory sweating, surgical site depression are common. Various techniques using fascia, muscle or AlloDerm have been developed but debate still remains regarding its availability and affordability. We applied a newly developed acellular dermal matrix (Insuregraf) to the parotidectomy field to act as a physical barrier and to provide adequate filling effect for prevention of functional and aesthetic complications. From March 2010 to March 2017, 30 patients with parotid tumors underwent superficial parotidectomy. Twenty patients underwent only superficial parotidectomy. Ten patients had Insuregraf applied to the surgical site after superficial parotidectomy. We evaluated the incidence of Frey's syndrome, surgical site depression, and patient satisfaction rate in both groups. The incidence of Frey's syndrome was lower in the Insuregraf group (0 vs. 2). Surgical site depression was also lower in the Insuregraf group (2 vs. 20). Satisfaction score for facial contour in Insuregraf group was 9.2 out of 10, which was comparable to 6.2 out of 10 in the control group. Application of Insuregraf after superficial parotidectomy is an effective surgical procedure to prevent complications such as Frey's syndrome and surgical site depression. This technique is affordable and safe with no immune reactions. Above all this surgical method should be considered as an option for patients who are concerned about the contour of the face after surgery.Keywords
This publication has 24 references indexed in Scilit:
- The sternocleidomastoid muscle flap for the prevention of Frey syndrome and cosmetic deformity following parotidectomy: A systematic review and meta-analysisOncology Letters, 2013
- The use of human acellular dermal matrix in the prevention of infra-auricular depressed deformities and Frey's syndrome following total parotidectomyOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2012
- Long‐term results of morbidity after parotid gland surgery in benign diseaseThe Laryngoscope, 2010
- Use of allogenic acellular dermal matrix in prevention of Frey's syndrome after parotidectomyBritish Journal of Oral and Maxillofacial Surgery, 2008
- Management of frey syndromeHead & Neck, 2007
- The Use of Acellular Dermis in the Prevention of Frey's SyndromeThe Laryngoscope, 2001
- Freyʼs Syndrome: Prevention with Temporoparietal Fascial Flap InterpositionAnnals of Plastic Surgery, 1995
- Dermis-Fat Graft after Parotidectomy to Prevent Freyʼs Syndrome and the Concave DeformityAnnals of Plastic Surgery, 1993
- Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndromeThe Laryngoscope, 1991
- Tumors of the major salivary glandsThe Laryngoscope, 1977