ArticleCureus2025
First Bite Syndrome: A Rare Post-Surgical Complication Following a Carotid Body Tumor Excision.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- [Analysis of clinical characteristics of 12 cases of first bite syndrome].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025Article
- Temperature-related atypical first-bite syndrome: a rare case report.Frontiers in oral health · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
First bite syndrome (FBS) is characterized by intense pain in the parotid area that starts with the first bite of food spontaneously. FBS is an uncommonly observed surgical complication of head and neck surgery. A 36-year-old male patient reported extreme pain after surgical excision of a carotid body tumor (CBT) in the ipsilateral parotid gland region at the first bite of each food intake, which improves gradually with continued mastication. Several factors are believed to be responsible for this phenomenon, including injury or amputation of the cervical sympathetic trunk. Loss of sympathetic innervation makes the parotid gland hypersensitive to parasympathetic stimulation. The best treatment for FBS is not yet firmly established, even though symptoms tend to improve with time in some cases. We report this case of FBS after CBT excision to raise awareness among maxillofacial surgeons of this surgical complication.
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