Acta Scientific Dental Sciences

Case Report Volume 9 Issue 7

Deep Cervical Fascia Rotational Flap for Prevention of Frey’s Syndrome Following Partial Superficial Parotidectomy A Case Report and Review

Ankit Sharma1, Rajesh B Dhirawani2, Ranjitha Ramamoorthy3*, Manish Tiwari4 and Chamandeep Kaur Deve5

1Consultant, Oral oncologist and Maxillofacial Surgeon, Jabalpur Hospital and Research Center, Madhya Pradesh, India
2Consultant and Head, Maxillofacial and Oral Surgeon, Jabalpur Hospital and Research Center, Madhya Pradesh, India
3OMFS, Puducherry, India
4Consultant, Head and Neck Surgery, Karkinos Healthcare Pvt. Ltd, Mumbai, India
5Consultant, Oral and Maxillofacial Surgeon, Disha Hospital, Mumbai, India

*Corresponding Author: Ranjitha Ramamoorthy OMFS, Puducherry, India.

Received: June 12, 2025; Published: June 24, 2025

Abstract

Aim: In this article, we present an innovative technique by utilizing the investing layer of deep cervical fascia as a biological barrier following partial superficial parotidectomy. The aim is to prevent the onset of Frey's syndrome (FS) after parotidectomy.

Technique: Our article focuses on using the Superficial layer of deep cervical fascia [SLDCF] flap technique following partial superficial parotidectomy. This method aims to facilitate healing without complications and specifically works to prevent FS in post-parotidectomy patients.

Diagnosis: The case discussed in this study includes a benign salivary gland tumor confirmed by fine-needle aspiration cytology.

Outcome: The article showcases the effective use of a pioneering technique and provides an extensive review of Frey's syndrome, covering its occurrence, mechanisms, variations, and preventive measures.

Clinical Significance: Using the deep cervical fascia investing layer as a biological barrier after partial superficial parotidectomy shows promise in preventing FS in post-parotidectomy patients.

Keywords:Frey Syndrome; Pleomorphic Adenoma; Post Operative Complications; Surgical Flaps

References

  1. Melong Jonathan C., et al. "Prospective outcomes following drainless superficial parotidectomy with sternocleidomastoid flap reconstruction”. Journal of Otolaryngology-Head and Neck Surgery1 (2020): 72.
  2. Mantelakis, Angelos, et al. "Frey’s syndrome: a review of aetiology and treatment”. Cureus12 (2021).
  3. Han Y., et al. "Analysis of predictors for Frey syndrome after parotidectomy”. Lin Chuang er bi yan hou tou Jing wai ke za zhi= Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery9 (2019): 854-857.
  4. Feigl Georg, et al. "The intercarotid or alar fascia, other cervical fascias, and their adjacent spaces–a plea for clarification of cervical fascia and spaces terminology”. Journal of Anatomy1 (2020): 197-207.
  5. Wenzel GI and W Draf. "Unusually long latency before the appearance of Frey's syndrome after parotidectomy”. HNO52 (2004): 554-556.
  6. Sivapathasundharam B., et al. "Tumors of Salivary Gland”. Shafer's Textbook of Oral Pathology E-book(2020): 265.
  7. Redleaf Miriam. "The Auriculotemporal Nerve Syndrome, Lucja Frey, and the Holocaust”. Ear, Nose and Throat Journal(2023): 01455613231199357.
  8. Ganesan Anuradha and Bounika E Rao. "Frey's Syndrome: A Misdirected Reflex Action!!–A Case Report”. Journal of Indian Academy of Oral Medicine and Radiology4 (2021): 484-486.
  9. Salih Abdulwahid M., et al. "Pattern of facial nerve palsy during parotidectomy: a single-center experience”. Journal of International Medical Research7 (2022): 03000605221108930.
  10. Malatskey Shelton., et al. "Frey syndrome-delayed clinical onset: a case report”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology3 (2002): 338-340.
  11. Roh Jong-Lyel. "Frey syndrome after conservative parotidectomy: Importance of closing the remnant parotid parenchyma”. Journal of Plastic, Reconstructive and Aesthetic Surgery85 (2023): 149-154.

Citation

Citation: Ranjitha Ramamoorthy., et al. “Deep Cervical Fascia Rotational Flap for Prevention of Frey’s Syndrome Following Partial Superficial Parotidectomy A Case Report and Review". Acta Scientific Dental Sciences 9.7 (2025): 18-22.

Copyright

Copyright: © 2025 Ranjitha Ramamoorthy., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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