대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제23권2호
  • /
  • Pages.142-146
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  • 2007
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

Frey씨 증후군의 진단에 있어서 Thermography의 유용성

The Effectiveness of Thermography in Diagnosis of Frey's Syndrome Following Parotidectomy

  • 김현수 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박범정 (한림대학교 의과대학 이비인후-두경부외과학교실)
  • Kim, Hyun-Su (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Park, Bum-Jung (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine)
  • 발행 : 2007.11.30
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초록

Objectives and Backgrounds : After parotidectomy, some of patients complain gustatory sweating, facial flushing and discomfort in the same area. A series of these symptoms are supposed to be caused by the aberrant regeneration of the secretory parasympathetic fibers to sweat glands and blood vessels of the skin following parotidectomy. In this study, we want to compare the efficacy of thermography to the Minor's starch-iodine test for determining the presence of Frey's syndrome. Materials and Methods : 48 patients who underwent total or superficial parotidectomy from March 2002 to December 2004 were selected for this study. A subjective clinical questionnaire and the objective Minor's starchiodine test were performed to evaluate the incidence of this syndrome. Total 21 patients were confirmed as positive Frey's syndrome and infrared thermography was performed for them. Result : Frey's syndrome occurred in 21 patients(43.8%). The average temperature of parotidectomy site and normal opposite area were $27.65^{\circ}C\;and\;26.41^{\circ}C$ respectively. Thermography showed temperature difference in 20 patient(95.2%) and the difference of temperature was statistically significant above $1.0^{\circ}C$(p<0.001). The severity of symptoms were related with the difference of temperature(p<0.05). Conclusion : Thermography is useful, non-invasive, simple and quantifying method to diagnose Frey's syndrome. Additionally, this geographic diagnosis is available to show the accurate area for botulinum toxin injection.

키워드

참고문헌

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