First-bite syndrome complicating carotid endarterectomy: a case report and literature review.

Abstract:

:First-bite syndrome (FBS) is an infrequently encountered complication of parapharyngeal space surgery. Patients experience excruciating pain in the ipsiltateral parotid gland region at the first bite of each meal, which improves with subsequent mastication. This is thought to be due to parotid gland sympathetic denervation from surgery with resultant hypersensitivity to parasympathetic impulses. There is no consensus on best treatment for FBS although symptoms tend to improve with time. There are only 2 case reports linking carotid endarterectomy and FBS so far. We report the third case of FBS after carotid endarterectomy to raise awareness among vascular surgeons of the possibility of this complication.

journal_name

Vasc Endovascular Surg

authors

Wong EH,Farrier JN,Cooper DG

doi

10.1177/1538574411407084

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

459-61

issue

5

eissn

1538-5744

issn

1938-9116

pii

1538574411407084

journal_volume

45

pub_type

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