{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T01:43:03Z","timestamp":1774662183383,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,2,4]],"date-time":"2013-02-04T00:00:00Z","timestamp":1359936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Frey's syndrome (FS), facial depression, and noticeable scar may have an impact on patient's quality of life after a parotidectomy. The superficial musculoaponeurotic system (SMAS) flap has been used to ameliorate those effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010seven consecutive parotidectomies were analyzed; SMAS flap was performed in 26 of them. We investigated clinical FS, subclinical FS, and cosmetic satisfaction, and compared SMAS flap versus cases where this was not done.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>By performing the SMAS flap, the occurrence of clinical FS was reduced; however, there was no significant difference. Nonetheless, there was a significant difference in the perspiration intensity in favor of the group with SMAS flaps. In the cases we studied, the cosmetic satisfaction was high, even though facial contour\u2010filling techniques were not used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Provided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile. \u00a9 2013 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>36<\/jats:bold>: 130\u2013136, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23215","type":"journal-article","created":{"date-parts":[[2013,2,4]],"date-time":"2013-02-04T15:33:37Z","timestamp":1359992017000},"page":"130-136","source":"Crossref","is-referenced-by-count":37,"title":["Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey's syndrome. Cosmesis and quality of life"],"prefix":"10.1002","volume":"36","author":[{"given":"Rafael","family":"Barber\u00e1","sequence":"first","affiliation":[{"name":"Otolaryngology and Head and Neck Surgery Department Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Castillo","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Surgery Department Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"D'Oleo","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Surgery Department Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Ben\u00edtez","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Surgery Department Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Cobeta","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Surgery Department Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,2,4]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"92","article-title":"Le syndrome du nerf auriculo\u2010temporal","volume":"2","author":"Frey L","year":"1923","journal-title":"Rev Neurol"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199909000-00021"},{"key":"e_1_2_6_4_1","first-page":"447","article-title":"Le double r\u00e9flexe vaso\u2010dilateur et sudoral de la face cons\u00e9cutif aux blessures de la loge parotidienne","volume":"1","author":"Thomas A","year":"1927","journal-title":"Rev Neurol (Paris)"},{"key":"e_1_2_6_5_1","first-page":"405","article-title":"Auriculotemporal syndrome and other vasomotor disturbances about the head: \u201cauriculotemporal syndrome\u201d complicating diseases of parotid gland, angioedema of the brain","volume":"16","author":"Bassoe PN","year":"1932","journal-title":"Med Clin North Am"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31866-6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2003.12.040"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01652699"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2009.01364.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199711000-00013"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199101000-00019"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2003.10.005"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100060000251"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000135326.50939.C1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197811000-00010"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007-1323.2001.01982.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200212000-00004"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198010000-00008"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.8.833"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00024"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21684"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199311000-00012"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21722"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200402000-00009"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1998.0137"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200044050-00006"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000282036.04717.1d"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199209000-00005"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80343-5"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70239-7"},{"key":"e_1_2_6_31_1","first-page":"182","article-title":"Colgajo de SMAS en la prevenci\u00f3n del s\u00edndrome de Frey","volume":"28","author":"Moreno\u2010Garc\u00eda C","year":"2006","journal-title":"Rev Esp Cir Oral y Maxilofac"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3181581f94"}],"container-title":["Head &amp; 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