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
Citation Information :
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):71-73.
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.
Haubrich WS. The first-bite syndrome. Henry Ford Hosp Med J 1986;34(4):275–278.
Netterville JL, Jackson CG, Miller FR, et al. Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg 1998;124(10):1133–1140. DOI: 10.1001/archotol.124.10.1133
Kawashima Y, Sumi T, Sugimoto T, et al. First-bite syndrome: a review of 29 patients with parapharyngeal space tumor. Auris Nasus Larynx 2008;35(1):109–113. DOI: 10.1016/j.anl.2007.06.005
Chiu AG, Cohen JI, Burningham AR, et al. First bite syndrome: a complication of surgery involving the parapharyngeal space. Head Neck 2002;24(11):996–999. DOI: 10.1002/hed.10162
Reddy CE, Gupta AK. Clinical features of first bite syndrome. Otolaryngol Head Neck Surg 2009;141(3 Suppl 1):147–148.
Cernea CR, Nishio S, Hajaji FC, et al. First bite syndrome after resection of styloid process. Otolaryngol Head Neck Surg 2005;133(2):215.
Kamal A, Abd El-Fattah AM, Tawfik A, et al. Cervical sympathetic schwannoma with postoperative first bite syndrome. Eur Arch Otorhinolaryngol 2007;264(9):1109–1111. DOI: 10.1007/s00405-007-0308-y
Mandel L, Syrop SB. First bite syndrome after parapharyngeal surgery for cervical schwannoma. J Am Dent Assoc 2008;139(11):1480–1483. DOI: 10.14219/jada.archive.2008.0073
Albasri H, Eley KA, Saeed NR. Chronic pain related to first bite syndrome: report of two cases. Br J Oral Maxillofac Surg 2011;49(2):154–156. DOI: 10.1016/j.bjoms.2009.10.035
Deganello A, Meccariello G, Busoni M, et al. First bite syndrome as presenting symptom of parapharyngeal adenoid cystic carcinoma. J Laryngol Otol 2011;125(4):428–431. DOI: 10.1017/S002221511000294X
Phillips TJ, Farquhar-Smith WP. Pharmacological treatment of a patient with first-bite syndrome. Anaesthesia 2009;64(1):97–98. DOI: 10.1111/j.1365-2044.2008.05804.x
Casserly P, Kiely P, Fenton JE. Cervical sympathetic chain schwannoma masquerading as carotid body tumour with a postoperative complication of first-bite syndrome. Eur Arch Otorhinolaryngol 2009;266(10):1659–1662. DOI: 10.1007/s00405-008-0902-7
Ali MJ, Orloff LA, Lustig LR, et al. Botulinum toxin in the treatment of first bite syndrome. Otolaryngol Head Neck Surg 2008;139(5):742–743. DOI: 10.1016/j.otohns.2008.08.015
