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First bite syndrome after parotidectomy: a single-centre experience.

K Lammek1, D Tretiakow1, A Skorek1

  • 1Department of Otolaryngology, Medical University of Gdansk, Gdansk, Poland.

International Journal of Oral and Maxillofacial Surgery
|March 18, 2021
PubMed
Summary
This summary is machine-generated.

First bite syndrome (FBS) affects 6.3% of patients after parotid surgery. Female sex, younger age, specific tumor locations, and pre-existing symptoms increase FBS risk.

Keywords:
neoplasmspainpostoperative complicationssalivary glandssyndrome

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Pain Medicine

Background:

  • Parotidectomy, surgery to remove tumors from the parotid gland, can lead to various postoperative complications.
  • First bite syndrome (FBS) is a rare but debilitating condition characterized by pain when initiating eating after surgery.
  • Distinguishing FBS from general postoperative pain is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of first bite syndrome (FBS) in patients following parotidectomy.
  • To identify risk factors associated with the development of FBS after parotid surgery.
  • To understand the clinical characteristics and impact of FBS on patient quality of life.

Main Methods:

  • A cohort of 111 adult patients undergoing parotidectomy for benign parotid tumors were prospectively studied.
  • Postoperative assessment included evaluating the presence and nature of food-related pain and other complications.
  • Statistical analysis was performed to identify significant risk factors for FBS occurrence.

Main Results:

  • First bite syndrome (FBS) was diagnosed in 7 patients (6.3%) post-parotidectomy.
  • Significant risk factors for FBS included female sex (P=0.036), younger age (P=0.002), specific tumor locations (P=0.002), and pre-operative symptoms (P=0.009).
  • A trend towards increased cranial nerve VII paresis was observed in FBS patients (P=0.051).

Conclusions:

  • First bite syndrome (FBS) is an uncommon complication of parotidectomy, affecting approximately 6.3% of patients.
  • Risk factors such as female gender, younger age, tumor characteristics, and pre-existing symptoms should be considered.
  • Early recognition and appropriate management of FBS are essential to improve patient outcomes and quality of life.