First Bite Syndrome Presenting as Initial Symptom of Soft Tissue Mass in Base of Tongue and Pharyngeal Space Lead to Diagnosis of Squamous Cell Carcinoma Invading Trachea and Esophagus: A Rare Case Report

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ABSTRACT

First bite syndrome (FBS) is considered as a development of pain in the preauricular region triggered by gustatory stimuli. It has been mostly associated with surgery of the parapharyngeal space, parotid gland, and upper neck. This hypersensitivity is thought to elicit a supramaximal contraction of myoepithelial cells during the first bite of a meal that subsides with continued masticatory action. We are reporting a rare case of preauricular pain after first bite of meal that leads to the diagnosis of squamous cell carcinoma invading the trachea and esophagus.

How to cite this article

Jolly SS. First Bite Syndrome Presenting as Initial Symptom of Soft Tissue Mass in Base of Tongue and Pharyngeal Space Lead to Diagnosis of Squamous Cell Carcinoma Invading Trachea and Esophagus: A Rare Case Report. Int J Head Neck Surg 2022;13(2):77-79.

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Most cited references 13

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Vagal paraganglioma: a review of 46 patients treated during a 20-year period.

David C. Jackson, M E Glasscock, Michael R. Miller … (1998)

Vagal paragangliomas (VPs) arise from paraganglia associated with the vagus nerve. Approximately 200 cases have been reported in the medical literature. Because of their rarity, most information regarding these tumors has arisen from case reports and small clinical series. To detail the clinicopathologic features of 46 patients with VP with an emphasis on the role of a multidisciplinary skull base team in both the successful extirpation and rehabilitation. Retrospective review of 46 patients with VP managed by a single skull base team. An academic tertiary medical center. Forty-six patients were treated over a 20-year period (1978-1998). Ten (22%) demonstrated intracranial extension. There was a history of familial paragangliomas in 9 (20%) of the patients. The incidence of multicentric paragangliomas was 78% in patients with familial paragangliomas vs 23% in patients with nonfamilial paragangliomas. Management of this group of 46 patients consisted of surgery (n = 40), radiation therapy (n = 4), and observation (n = 2). The operative approach consisted of a transcervical excision often combined with a transtemporal or lateral skull base approach as dictated by the tumor extent. Postoperative cranial nerve deficits were common, and, as such, aggressive rehabilitation was a vital component in the management of these tumors. The management of VP and its associated cranial nerve deficits remains a difficult clinical problem. Options for treatment include surgical resection, radiation therapy, and, in selected cases, observation. Surgical extirpation requires a multidisciplinary skull base team to achieve complete tumor resection. Radiation therapy is reserved for elderly patients and patients at risk for bilateral cranial nerve deficits. Rehabilitation of cranial nerve deficits is an integral part of the management of VP.

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First bite syndrome: a complication of surgery involving the parapharyngeal space.

Alexander G Chiu, James I. Cohen, Alan Burningham … (2002)

First bite syndrome (FBS) is the development of pain in the parotid region after the first bite of each meal and can be seen after surgery of the parapharyngeal space. The cause is not clear but has been proposed to involve a loss of sympathetic nerve function to the parotid, causing a denervation supersensitivity of salivary gland myoepithelial cells. The purpose of this study was to review the records of 12 patients with FBS to determine any common features of the operations performed that would support this theory of parotid "sympathectomy" as an etiologic factor of FBS.

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Botulinum toxin in the treatment of first bite syndrome.

David W. Eisele, L Lustig, Habiba I. Ali … (2008)

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Author and article information

Journal

Journal ID (publisher): IJHNS

Title: International Journal of Head and Neck Surgery

Abbreviated Title: IJHNS

Publisher: Jaypee Brothers Medical Publishers

ISSN (Print): 0975-7899

ISSN (Electronic): 0976-0539

Publication date (Print): April-June 2022

Volume: 13

Issue: 2

Pages: 77-79

Affiliations

[1] Department of Oral and Maxillofacial Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Author notes

Satnam S Jolly, Department of Oral and Maxillofacial Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Phone: +91 9914287909, e-mail: satnamsurgeon@ 123456yahoo.co.in

Article

DOI: 10.5005/jp-journals-10001-1412

SO-VID: 70ee8696-c8fc-4769-b0db-eca4ad55c041

License:

© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.