We read with interest the article by Dulguerov et al1 on the prevention of Frey syndrome during parotidectomy, as well as Dr Kornblut's2 comprehensive response. At University Hospital, Nottingham, England, we evaluated the use of a superiorly based sternocleidomastoid muscle flap rotated into surgical defects that resulted from superficial parotidectomy (benign neoplastic disease) in an attempt to reduce the patients' likelihood of experiencing postoperative Frey syndrome.3 Before completing this study, we reviewed the published literature on the association and treatments of Frey syndrome and parotid surgery4 and came to the conclusion that planned strategies to prevent the development of the syndrome at the time of surgery were more likely to be successful than attempts to treat the syndrome once it had become established.
Sood S, Bradley PJ. Parotid Surgery and Frey Syndrome. Arch Otolaryngol Head Neck Surg. 2000;126(9):1168. doi:10.1001/archotol.126.9.1168