The authors have no financial disclosures for this article.
Head and Neck
Article first published online: 22 FEB 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 4, pages 760–762, April 2011
How to Cite
Diercks, G. R., Rosow, D. E., Prasad, M. and Kuhel, W. I. (2011), A Case of preoperative “first-bite syndrome” associated with mucoepidermoid carcinoma of the parotid gland. The Laryngoscope, 121: 760–762. doi: 10.1002/lary.21282
The authors have no conflicts of interest to disclose.
- Issue published online: 23 MAR 2011
- Article first published online: 22 FEB 2011
- Manuscript Accepted: 22 JUL 2010
- Manuscript Received: 14 JUN 2010
First-bite syndrome, characterized by excruciating pain in the parotid region after the first few bites of food, can be seen after surgery of the parapharyngeal space. Herein we describe a patient with no prior surgical history who presented with facial pain consistent with first-bite syndrome. Imaging and ultrasound-guided FNA revealed a nonpalpable mucoepidermoid carcinoma of the parotid gland, which was removed surgically with facial nerve preservation. After surgical intervention, the patient's symptoms resolved. An extensive literature review demonstrated that this is the first description of a preoperative first-bite syndrome, or first-bite syndrome associated with the presence a parotid mass. Laryngoscope, 2011