Pre-operative Occurrence of First Bite Syndrome in Two Cases of Parotid Gland Tumour
Abstract
Introduction: First bite syndrome (FBS) is a gustatory-evoked painful condition that is characterized by the onset of severe electric-shock like pain in the periauricular region. In the majority of patients, FBS develops post-operatively. However, in rare instances it may present in a preoperative setting. Case description: Two cases of FBS developing preoperatively secondary to parotid gland tumour are presented. The patients, 54 and 30 years old, presented with complaints of electric-shock like pain localized over the periauricular region. In each case the pain was triggered following first bite of the meal. In both cases, pain lasted for a few seconds and with subsequent bites subsided only to return at the beginning of next meal. Practical implications: Preoperative occurrence of FBS in the absence of a history of trauma or surgery should necessitate a thorough investigation and follow up for an underlying salivary gland tumour.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the Journal of Cancer & Allied Specialties (JCAS) right-of-first publication. In addition, the work will be simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International license. This license allows others to share the work in whole or part (for non-commercial purpose), with an acknowledgement of the work’s authorship and initial publication in JCAS.
Furthermore, authors are free to enter into separate contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to share their work online or in medical or scientific conferences prior to or during submission process.
