First bite syndrome following transcervical arterial ligation after transoral robotic surgery.
Publication/Presentation Date
7-1-2018
Abstract
OBJECTIVE: To assess the incidence of first bite syndrome (FBS) in transoral robotic surgical (TORS) patients undergoing transcervical arterial ligation.
METHODS: Retrospective case series of all patients diagnosed with FBS following prophylactic transcervical arterial ligation of branches of the external carotid system between March 2010 and December 2016 at a single academic center.
RESULTS: Six patients with FBS after TORS with transcervical arterial ligation were evaluated, representing 7% of all patients who underwent neck dissection with concomitant transcervical arterial ligation (6 of 83). Median presentation of FBS was 63 days, with an average duration of 66 days. Treatment ranged from observation to botulinum toxin injection.
CONCLUSION: Patients who undergo transcervical arterial ligation to minimize bleeding complications following TORS are at risk of developing first bite syndrome.
LEVEL OF EVIDENCE: 4. Laryngoscope, 128:1589-1593, 2018.
Volume
128
Issue
7
First Page
1589
Last Page
1593
ISSN
1531-4995
Published In/Presented At
Topf, M. C., Moritz, E., Gleysteen, J., Curry, J. M., Cognetti, D. M., & Luginbuhl, A. J. (2018). First bite syndrome following transcervical arterial ligation after transoral robotic surgery. The Laryngoscope, 128(7), 1589–1593. https://doi.org/10.1002/lary.27005
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29152739
Department(s)
Administration and Leadership
Document Type
Article