First bite syndrome – An 11-year experience

Avınçsal, Mehmet Özgür; Hiroshima, Yurie; Shinomiya, Hitomi; Shinomiya, Hirotaka; Otsuki, Naoki; Nibu, Ken‐ichi

doi:10.1016/j.anl.2016.07.012

Cited by 39 publications

(48 citation statements)

References 6 publications

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“…Thus, maintenance of vocal cord tonus was likely due to, at least in part, the preservation of the continuity of nerve fibers via intracapsular enucleation, which could be beneficial compared to total resection that completely resects the involved nerve. Furthermore, in sympathetic chain schwannoma, the incidence of first bite syndrome, a known complication of surgeries involving the PPS, was significantly lower after intracapsular enucleation than after total resection. This is also likely a result of successful preservation of the sympathetic chain fibers traveling from the superior cervical ganglion to the parotid gland by reducing the damage to the nerve fibers around the external carotid artery.…”

Section: Discussionmentioning

confidence: 96%

“…Type and incidence of postoperative complications immediately after and 6 months after surgery were evaluated. Neurological deficit of the sympathetic chain was defined as the development of Horner's syndrome and/or first bite syndrome . The two‐tailed Fisher's exact test was applied to assess diagnostic performance by using contingency table analysis, and to examine correlations among categorical variables.…”

Section: Methodsmentioning

confidence: 99%

“…Neurological deficit of the sympathetic chain was defined as the development of Horner's syndrome and/or first bite syndrome. [17][18][19][20][21] The two-tailed Fisher's exact test was applied to assess diagnostic performance by using contingency table analysis, and to examine correlations among categorical variables. P values <0.05 were considered statistically significant.…”

Section: P a Ti Ent S A Nd M Etho Dsmentioning

confidence: 99%

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Clinical diagnosis and treatment outcomes for parapharyngeal space schwannomas: A single‐institution review of 21 cases

et al. 2017

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Section: Discussionmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

Section: P a Ti Ent S A Nd M Etho Dsmentioning

confidence: 99%

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Clinical diagnosis and treatment outcomes for parapharyngeal space schwannomas: A single‐institution review of 21 cases

et al. 2017

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“…The external carotid artery supplies both arterial blood sympathetic nerve bundles of the parotid gland [12]. Because of the proximity of the anatomical structures (Figs.…”

Section: Commentsmentioning

confidence: 99%

First-Bite syndrome and Eagle syndrome

Gauthier¹,

Ségolène²,

Courtois³

2018

J Oral Med Oral Surg

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--Introduction: Eagle Syndrome (ES) is caused by the ossification/calcification of the stylohyoid ligament and is associated with many different symptoms such as otalgia, restricted mouth opening, or an intrapharyngeal foreign body sensation. First-bite syndrome (FBS) is characterized by pain in the parotid and retromandibular region, when taking the first bite in a meal and occurs more or less invariably. Observation: A 50-year-old female patient presented complaining of right retromandibular pain, that irradiated to the right side of the mandible and right shoulder, only when eating for the first time a day and at the first bite. Medical history and clinical examination did not reveal any signs of cervical surgery or cervical trauma. Palpation was painful at a specific point in right retromandibular point region, the rest of the intraoral and extraoral examinations were normal. The right and left condylar X-rays (open mouth and closed mouth) revealed an elongation of both the right and left stylohyoid ligaments. Discussion: Usually, FBS occurs after cervical surgery, for example after resection of the stylohyoid ligament for ES. Our case report shows, on the contrary, FBS that was associated with ES. The pathophysiological explanation of FBS depends on an irritative or traumatic factor in the sympathetic nerve fibers of the parotid gland. Conclusion: This association allows us to present both syndromes and to carry out an up to date pathophysiological examination and therapeutic proposals concerning FBS.

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“…The syndrome is classically described as a postoperative complication of parapharyngeal space surgery, and is believed to be secondary to disruption of the sympathetic plexus along the carotid system during surgery. [2][3][4][5] The pain generally first presents 1 week after surgery and may require surgical or medical intervention (anticonvulsants and tricyclic antidepressants) or other methods, such as Botox, for the cyclic prandial pain, with the possibility of an incurable state of disease. 6,7 Parotid gland cancers are relatively uncommon cancers compromising <5% of all head and neck cancers.…”

Section: Introductionmentioning

confidence: 99%