Purpose: The aim of this study was to clinically evaluate the application of superficial temporal fascia (STF) as inter positioning barrier between the overlying skin flap and the parotid bed following superficial parotidectomy (SP) for prevention of Frey’s syndrome (FS).

Materials and methods: Forty eight cases of SP carried out for parotid tumours and refractory chronic sialadenitis (CS) were divided into 2 groups. Group I ( n = 25) comprises of cases where SP along STF inter positioning was done between the skin flap and the parotid bed after extending the modified Blair’s incision in the temporal region and group II ( n = 23) where SP was done using Modified Blair’s incision without any inter positioning. Both the groups were compared for the incidence of FS using starch iodine test postoperatively.

Results: In group I, only one case out of 25 (4%) had developed mild FS. In group II, 9 cases (39.13%) developed FS of varying severity. There was no case of facial palsy in either group. In group I local area of alopecia was imperceptible in the temporal extension of the incision in all the cases.

Conclusion: The use of STF as inter positioning barrier between the overlying skin flap and the parotid bed following SP is a safe and effective procedure for prevention of FS.