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 Surgjournal_title
Vascular and endovascular surgeryauthors
Wong EH,Farrier JN,Cooper DGdoi
10.1177/1538574411407084subject
Has Abstractpub_date
2011-07-01 00:00:00pages
459-61issue
5eissn
1538-5744issn
1938-9116pii
1538574411407084journal_volume
45pub_type
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