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First Bite Syndrome as a Presenting Symptom of a Parapharyngeal Space Malignancy by Seth M. Lieberman; Gady Har‐El is a Medicine article available to read on EtoBox.

What is First Bite Syndrome as a Presenting Symptom of a Parapharyngeal Space Malignancy about?

## Abstract ## Background First bite syndrome is a known complication after parapharyngeal space surgery. This syndrome is usually encountered when the surgery is extensive but the parotid gland is preserved. A disruption in the balance between sympathetic and parasympathetic innervation to the parotid gland has been posited to play a role. ## Methods We report a 74‐year‐old woman with a parapharyngeal space malignancy who presented with first bite syndrome prior to any surgical intervention. The tumor and left parotid gland were resected via a transcervical approach. During the operation, the sympathetic chain was found to be directly involved with the tumor. ## Results The patient reported complete resolution of first bite syndrome immediately after the operation, and remained free of this symptom at 6 months' follow‐up. ## Conclusion To our knowledge, this is the first report of first bite syndrome presenting prior to any surgical intervention. Parotidectomy, if included in the surgical plan, may lead to the resolution of first bite syndrome. © 2010 Wiley Periodicals, Inc. Head Neck, 2010

Who reads First Bite Syndrome as a Presenting Symptom of a Parapharyngeal Space Malignancy?

Author

Seth M. Lieberman; Gady Har‐El

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 1043-3074)

Published

2011

Language

EN

Field

Medicine (Health Sciences)