{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:52:00Z","timestamp":1761742320560},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,3,17]],"date-time":"2004-03-17T00:00:00Z","timestamp":1079481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Frey syndrome is one of the potential sequelae of parotidectomy. Various medical and surgical treatments have been used in an attempt to avoid this embarrassing condition. Recently, interposing barriers between the overlying skin flap and the parotid bed, such as the sternocleidomastoid muscle (SCM) flap, have been used to prevent this condition. The purpose of this study was to evaluate the impact of using this flap on Frey syndrome. A series of 138 patients who underwent subtotal or total parotidectomy from January 1995 to December 2001 were divided into two groups. One group had an SCM flap reconstruction (<jats:italic>n<\/jats:italic> = 24), and the other group did not (<jats:italic>n<\/jats:italic> = 19). A subjective clinical questionnaire and the objective Minor\u2019s starch iodine test were used to evaluate the incidence of this syndrome. The postoperative period varied from 12 to 90\u00a0months. The frequency exact test of Fisher and the nonparametric test of Mann\u2010Whitney were applied. The association with the absence of sweating and the presence of the SCM flap was significant (<jats:italic>p<\/jats:italic> = 0.0002). There was no association with flushing or pain and the flap. There was a significant association with the starch iodine test and the presence of the flap (<jats:italic>p<\/jats:italic> = 0.0016). The only significant association of the epidemiologic and clinical characterization of the patients with a negative or positive Minor\u2019s test was between sweating and a positive Minor\u2019s test (<jats:italic>p<\/jats:italic> = 0.0001). The only significant aspect in the diagnosis of Frey syndrome is gustatory sweating. There is a significant association with a negative Minor\u2019s test and the presence of the SCM flap and with sweating and a positive Minor\u2019s test. The SCM flap is an efficient method for preventing Frey syndrome following parotidectomy.<\/jats:p>","DOI":"10.1007\/s00268-003-7304-1","type":"journal-article","created":{"date-parts":[[2004,4,19]],"date-time":"2004-04-19T12:45:19Z","timestamp":1082378719000},"page":"361-364","source":"Crossref","is-referenced-by-count":46,"title":["Sternocleidomastoid Muscle Flap Preventing Frey Syndrome following Parotidectomy"],"prefix":"10.1002","volume":"28","author":[{"given":"Wail Queiroz","family":"Filho","sequence":"first","affiliation":[{"name":"Postgraduation Course in Health Sciences Hospital Heli\u00f3polis Hosphel Rua C\u00f4nego Xavier 276\u201310 Andar 04231\u2010030 S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio A.","family":"Dedivitis","sequence":"additional","affiliation":[{"name":"Postgraduation Course in Health Sciences Hospital Heli\u00f3polis Hosphel Rua C\u00f4nego Xavier 276\u201310 Andar 04231\u2010030 S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abr\u00e3o","family":"Rapoport","sequence":"additional","affiliation":[{"name":"Postgraduation Course in Health Sciences Hospital Heli\u00f3polis Hosphel Rua C\u00f4nego Xavier 276\u201310 Andar 04231\u2010030 S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 V.","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Postgraduation Course in Health Sciences Hospital Heli\u00f3polis Hosphel Rua C\u00f4nego Xavier 276\u201310 Andar 04231\u2010030 S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,3,17]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198010000-00008"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010199711000\u201000013"},{"key":"e_1_2_8_4_2","first-page":"431","article-title":"Observations sur les fistules du canal salivaire de Stenon. 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