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First bite syndrome caused by adenoid cystic carcinoma of the submandibular gland
Author(s) -
Guss Joel,
AshtonSager Amanda L.,
Fong Bryan P.
Publication year - 2013
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.23725
Subject(s) - adenoid cystic carcinoma , medicine , submandibular gland , presentation (obstetrics) , occult , lesion , malignancy , denervation , parotid gland , pathology , carcinoma , anatomy , surgery , alternative medicine
First bite syndrome is a well‐described sequelae of parapharyngeal space surgery, thought to result from sympathetic denervation of the parotid gland. We describe a case of first bite syndrome caused by an adenoid cystic carcinoma of the submandibular gland. The tumor was not clinically or radiographically apparent until 18 months after initial presentation despite repeated imaging. In patients with first bite syndrome and no surgical history, there must be high suspicion for a malignancy, which may be occult on presentation. The submandibular gland should be considered as a possible site of a lesion.