638 C.-H. Baek et al.

20. Donovan DT, Conley JJ. Capsular significance in parotid tumorsurgery: reality and myths of lateral lobectomy. Laryngoscope1984;94:324e9.

21. Henriksson G, Westrin KM, Carlsoo B, et al. Recurrent primarypleomorphic adenomas of salivary gland origin: intrasurgicalrupture, histopathologic features, and pseudopodia. Cancer1998;82:617e20.

22. Guntinas-Lichius O, Klussmann JP, Wittekindt C, et al. Paroti-dectomy for benign parotid disease at a university teachinghospital: outcome of 963 operations. Laryngoscope 2006;116:534e40.

23. Govindaraj S, Cohen M, Genden EM, et al. The use of acellulardermis in the prevention of Frey’s syndrome. Laryngoscope2001;111:1993e8.

Figure 1

24. Dulguerov P, Quinodoz D, Cosendai G, et al. Prevention of Freysyndrome during parotidectomy. Arch Otolaryngol Head NeckSurg 1999;125:833e9.

25. Arad-Cohen A, Blitzer A. Botulinum toxin treatment for symp-tomatic Frey’s syndrome. Otolaryngol Head Neck Surg 2000;122:237e40.

26. Dulguerov P, Quinodoz D, Cosendai G, et al. Frey syndrometreatment with botulinum toxin. Otolaryngol Head Neck Surg2000;122:821e7.

27. Laccourreye O, Akl E, Gutierrez-Fonseca R, et al. Recurrentgustatory sweating (Frey syndrome) after intracutaneousinjection of botulinum toxin type A: incidence, management,and outcome. Arch Otolaryngol Head Neck Surg 1999;125:283e6.

SURGICAL TIP

Surgical Hammock

Figure 2

We would like to suggest the following method to helpprevent expensive microsurgery instruments from beingdropped during microsurgery procedures, which canrender them irreparable.

A square sterile towel is clipped to the patient and thesurgeon (Figure 1) using four towel clips. This functionsas a hammock, catching instruments before they reachthe floor (Figure 2).

We also have found this useful for keeping instrumentsto hand without needing to leave them on the patientwhere they can easily slide away. In addition, it obviatesthe need for a magnetic mat which magnetises themicro-instruments making them difficult and frustratingto use with micro-suture needles.

It is important however for the surgeon to rememberthat (s)he is attached to the patient at the conclusion ofthe procedure before standing up, as the hammock caneasily be turned into a trampoline.

M.A. HussainM. VenusS. SinghV. Vijh

L. EvansDepartment of Plastic and Reconstructive Surgery,

Selly Oak Hospital, Birmingham, UKE-mail address: alihussain1976@yahoo.co.uk

ª 2008 Published by Elsevier Ltd on behalf of British Associationof Plastic, Reconstructive and Aesthetic Surgeons.

doi:10.1016/j.bjps.2008.06.085