腮腺切除术后第一口综合征：病例系列及文献复习。
First Bite Syndrome After Parotidectomy: A Case Series and Review of Literature.
机构信息
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
出版信息
Ear Nose Throat J. 2022 Dec;101(10):663-667. doi: 10.1177/0145561320980179. Epub 2020 Dec 14.
INTRODUCTION
First bite syndrome (FBS) is a rare but potentially debilitating complication observed after surgery involving the upper cervical region. Patients classically complain of severe facial pain in the ipsilateral parotid region with the first few bites of a meal.
OBJECTIVE
The aim of this study is to shed light on the incidence and potential risk factors of FBS, including a series of cases depicting FBS observed after parotidectomy.
METHODS
Retrospective review of 419 patients who underwent parotidectomy at a single tertiary care facility between December 2016 and June 2020.
RESULTS
With a mean follow-up time of 16.5 months, 8 (2%) patients were documented to have symptoms of FBS after parotid gland surgery. Six of these patients underwent partial parotidectomy by dissection of the deep lobe of the parotid (DLP).
CONCLUSION
Patients undergoing dissection of the DLP are particularly at risk for the development of FBS. All patients should be appropriately counseled during informed consent discussions, especially in high-risk cases.
简介
第一口综合征（FBS）是在上颈段手术后观察到的一种罕见但可能使人衰弱的并发症。患者典型表现为在进食的最初几口时，同侧腮腺区出现严重的面部疼痛。
目的
本研究旨在阐明 FBS 的发生率和潜在危险因素，包括一系列描述腮腺切除术后观察到的 FBS 病例。
方法
回顾性分析了 2016 年 12 月至 2020 年 6 月在一家三级保健机构接受腮腺切除术的 419 名患者。
结果
平均随访时间为 16.5 个月，8 名（2%）患者在腮腺手术后出现 FBS 症状。其中 6 例患者通过腮腺深叶（DLP）解剖行部分腮腺切除术。
结论
行 DLP 解剖的患者尤其有发生 FBS 的风险。所有患者均应在知情同意讨论期间接受适当的咨询，尤其是在高风险病例中。
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