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- W2808926743 abstract "Abstract Background First bite syndrome is a well‐recognized complication of parapharyngeal space surgery. There are no reported cases of protracted first bite syndrome and subsequent diagnosis of a primary squamous cell carcinoma (SCC) of the parotid. Methods We present the case of a 73‐year‐old man with no surgical history and 9 years of first bite syndrome who was ultimately diagnosed with a primary SCC of the parotid. Diagnostic workup, including MRI and biopsy, along with oncologic treatment, were performed. Results Surgical treatment confirmed malignancy and also resulted in complete resolution of the first bite syndrome. Conclusion First bite syndrome without prior surgery may warrant further diagnostic workup with imaging to evaluate for salivary gland pathology. When no radiographic mass lesion is detected but the patient displays protracted symptoms unresponsive to conservative therapy, one should maintain an index of suspicion for malignancy, especially in the presence of symptom escalation." @default.
- W2808926743 created "2018-06-29" @default.
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- W2808926743 date "2018-06-21" @default.
- W2808926743 modified "2023-10-09" @default.
- W2808926743 title "Chronic atypical first bite syndrome and primary squamous cell carcinoma of the parotid" @default.
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- W2808926743 doi "https://doi.org/10.1002/hed.25321" @default.
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