First-bite syndrome after resection of the styloid process

First-bite syndrome after resection of the styloid process

Author Cernea, Claudio R. Google Scholar
Hojaij, Flavio C. Google Scholar
De Carlucci, Dorival Google Scholar
Plopper, Caio Google Scholar
Vanderley, Felipe Google Scholar
Guerreiro, Carlos A. M. Google Scholar
Viana, Monica S. V. P. Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Albert Einstein Jewish Hosp
Universidade Estadual de Campinas (UNICAMP)
Abstract Background: First-bite syndrome (FBS) may occur after operations on parapharyngeal space. the main symptom is excruciating pain only after the first one or two bites of meals. Objective. the objective of this article is to report a case of FBS after resection of the styloid process (SP). Case Report. This 51-year-old woman had a 4-month history of pain on her left neck. Computed tomography scan showed a left hypertrophic SP. A diagnosis of Eagle syndrome (ES) was then established. She underwent excision of the left SP through a lateral cervicotomy. Postoperative recovery was uneventful with pain relief. However, 2 months postoperatively, intense pain appeared related to the first bite in every meal. She received 800 mg carbamazepine per day with good pain control. Medication was discontinued after 2 years with no further relapse. Conclusions. This is the first report on FBS after surgical treatment of ES. It is important to remember the possibility of the diagnosis and to maintain the patient under heavy specific medication, sometimes for longer periods.
Keywords first-bite syndrome
Eagle syndrome
parapharyngeal space tumors
head and neck tumors
Language English
Date 2007-01-01
Published in Laryngoscope. Philadelphia: Lippincott Williams & Wilkins, v. 117, n. 1, p. 181-182, 2007.
ISSN 0023-852X (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 181-182
Access rights Closed access
Type Article
Web of Science ID WOS:000243198900033

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