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There is a 25-50% risk of facial weakness directly after parotidectomy and a 1-2% risk of permanent weakness. [4] Frey’s syndrome may occur in up to 90% of patients. [4] Risk of mortality is very low in reference to the surgery. [4] In a case of benign tumor, such as pleomorphic adenoma, a significant outcome is also the rate of tumor recurrence.
30–50% (after parotidectomy) Frey's syndrome (also known as Baillarger's syndrome , Dupuy's syndrome , auriculotemporal syndrome , [ 1 ] or Frey-Baillarger syndrome ) is a rare neurological disorder resulting from damage to or near the parotid glands responsible for making saliva , and from damage to the auriculotemporal nerve often from surgery.
After a parotidectomy, the nerves from the Auriculotemporal Nerve that previously innervated the parotid gland can reattach to the sweat glands in the same region. The result is sweating along the cheek with the consumption of foods (Frey's syndrome). Treatment involves the application of an antiperspirant or glycopyrrolate to the cheek ...
After surgical removal of the parotid gland (parotidectomy), the auriculotemporal nerve is liable to damage and upon recovery it fuses with sweat glands. This can cause sweating on the cheek on the side of the face of the affected gland. This condition is known as Frey's syndrome. [20]
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In this case the sialocele is the result of saliva draining out of remaining parotid tissue, and occurs about 5 to 10% of cases of superficial (partial) parotidectomy. [ 5 ] [ 6 ] It is usually not painful, [ 6 ] and a mild and self-limiting complication, [ 5 ] and is managed by repeated aspiration (draining) of the swelling via a needle after ...