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- Title
First-Bite Syndrome Complicating Carotid Endarterectomy: A Case Report and Literature Review.
- Authors
Wong, Eugene H. C.; Farrier, Jerry N.; Cooper, David G.
- 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.
- Subjects
CAROTID artery surgery; ENDARTERECTOMY; FACIAL pain; MASTICATION; PAROTID glands; SURGICAL complications; INNERVATION
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 5, p459
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411407084