A Case of preoperative "first-bite syndrome" associated with mucoepidermoid carcinoma of the parotid gland

Gillian R. Diercks, David E. Rosow, Mukesh Prasad, William I. Kuhel

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

First-bite syndrome, characterized by excruciating pain in the parotid region after the first few bites of food, can be seen after surgery of the parapharyngeal space. Herein we describe a patient with no prior surgical history who presented with facial pain consistent with first-bite syndrome. Imaging and ultrasound-guided FNA revealed a nonpalpable mucoepidermoid carcinoma of the parotid gland, which was removed surgically with facial nerve preservation. After surgical intervention, the patient's symptoms resolved. An extensive literature review demonstrated that this is the first description of a preoperative first-bite syndrome, or first-bite syndrome associated with the presence a parotid mass.

Original languageEnglish (US)
Pages (from-to)760-762
Number of pages3
JournalLaryngoscope
Volume121
Issue number4
DOIs
StatePublished - Apr 1 2011
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology

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