c l i n i c a l f o l i o s : n a r r a t i v e





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Parotid Pleomorphic Adenoma: 40

A D V E R T I S E M E N T

   
 

The sternocleidomastiod slip and mobilized platysma are brought together over the defect both for cosmetic reasons and to provide a barrier that prevents parasympathetic fibers, which normally stimulate parotid secretion (ultimately via the auriculotemporal nerve), from regenerating toward and anomalously innervating sweat glands in the overlying facial skin, causing gustatory sweating (Frey's syndrome). This phenomenon is seen up to 50% of the time after parotidectomy.     

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Parotid Pleomorphic Adenoma: 41

A D V E R T I S E M E N T

   
 

A Penrose drain was placed in the defect.       

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Parotid Pleomorphic Adenoma: 42

A D V E R T I S E M E N T

   
 

The muscle layers were closed over the drain.       

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This page was last modified on 2/21/2000.