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A Case of preoperative “first‐bite syndrome” associated with mucoepidermoid carcinoma of the parotid gland
Author(s) -
Diercks Gillian R.,
Rosow David E.,
Prasad Mukesh,
Kuhel William I.
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21282
Subject(s) - mucoepidermoid carcinoma , medicine , parotid gland , facial nerve , parapharyngeal space , surgery , carcinoma , radiology , dentistry , pathology
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. Laryngoscope, 2011