[Total or partial parotidectomies in the treatment of pleomorphic adenomas of the parotid gland].
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After 263 operations on the parotid fourteen developed the auriculo-temporal syndrome. It occurs more often after extensive procedures with dissection of the facial nerve than after simple extracapsular shelling out. A method of establishing the diagnosis of the syndrome objectively by measuring the electrical resistance is described. The aetiology ist attributed to parasympathetic nerve fibres regenerating in the wrong direction after surgery.
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After a survey of the literature about etiological and physiopathological data or hypothesis, the different therapeutic possibilities are quoted. According to our experience we describe the occurrence of the Auriculotemporal Syndrome in a total of 157 parotidectomies performed in our clinic during the past seven years. One single post-traumatic case is commented. About 30% of our post-parotidectomic patients were incommodated by the syndrome, more specifically as an aggravating transpiration in the temporal region during meals. The greater number of patients experienced a distinct improvement applying a simple Scopolamin-salve; as a result we prefer this conservative therapy to a more aggressive treatment. However, whether we could prevent the appearance of the syndrome by using a more subtle surgical technique particularly in the region of the preauricular blood vessels, remains an open question.
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