Palpation was painful at a specific point in right retromandibular point region, the rest of the intraoral and extraoral examinations were normal. Medical history and clinical examination did not reveal any signs of cervical surgery or cervical trauma. Observation: A 50-year-old female patient presented complaining of right retromandibular pain, that irradiated to the right side of the mandible and right shoulder, only when eating for the first time a day and at the first bite. First-bite syndrome (FBS) is characterized by pain in the parotid and retromandibular region, when taking the first bite in a meal and occurs more or less invariably. * Correspondence: Eagle Syndrome (ES) is caused by the ossification/calcification of the stylohyoid ligament and is associated with many different symptoms such as otalgia, restricted mouth opening, or an intrapharyngeal foreign body sensation.

Dysnomia Definition, Symptoms, Causes, Types, Trea.Benat Gauthier *, Georg Ségolène and Courtois Bruno.

Botulinum toxin injection: this injection blocks production of pain.

Radiations therapy: radiation therapy is not common but is considered beneficial.

Medications: pain relievers are of no use in reducing pain but an anticonvulsant drug named carbamazepine and amitriptyline help in reducing pain.

Patients are also asked to take healthy food. If pain occurs on one side of mouth, then patient should try to take bite with other jaw.

Behavioral changes: patient is asked to do some actions like quenching fists, and rubbing cheeks to distract attention from pain.

There are many treatment options which are beneficial as well. All these can be the possible causes behind first bite syndrome so care along with proper treatment is required. Pain is triggered by parotid gland upon saliva production. Tumor in head and neck region can also lead to first bite syndrome. 1st it was considered a side effect which occurred after chemotherapy of head and neck region. Nerve damage which occurs during or after surgery. The exact cause behind first bite syndrome is unknown but on going research revealed that it can occur due to nerve damage. Patient feels pain like toothache in lower jaw line i.e. Pain occurs in the back side of mouth near the ears in parotid gland due to production of saliva before or with every bite.

Patient feels difficulty in eating and chewing food. Pain sensation starts decreasing with every bite but pain can occur again if patient takes a break during meal. Pain can be described as intense, sharp, needle like pain resembling muscle spasm. There is no age restriction in first bite syndrome and can occur again and again even after treatment.įirst bite syndrome have a main symptom of pain occurring at first bite. Sometimes first bite syndrome is accompanied by retrosternal chest pain and esophageal disease. But there are still some treatments which help in resolving its side effects. It is a self-resolving syndrome which recovers on its own. This syndrome can occur again after treatment with a gap of days, months or years. Sometimes cancer/ tumor in head or neck region can also lead to first bite syndrome. Pain is described as a sharp, intense pain resembling a muscle spasm. Saliva production by parotid gland in mouth triggers pain sensation. It is considered a side effect of a surgical treatment which is performed for cancer in head and neck region. Pain may also become intense if patient take a break in eating meal. This pain occurs at 1st bite and then gradually its intensity decreases with every bite. Parotid gland is located at the back side of mouth and near to the ears.

First bite syndrome is defined as pain in salivary gland named parotid gland or in the mandibular region i.e.

First bite syndrome cure