First bite syndrome: our experience of laser tympanic plexus ablation
| Autor: | N Amin, A Pelser, J Weighill |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Ear Middle Facial Pain medicine Humans Tympanic cavity Facial pain Tympanic plexus Glossopharyngeal Nerve Aged geography Plexus Promontory geography.geographical_feature_category Co2 laser business.industry Treatment options Syndrome General Medicine Ablation Surgery medicine.anatomical_structure Otorhinolaryngology Mastication Female Laser Therapy business |
| Zdroj: | The Journal of Laryngology & Otology. 128:166-168 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s002221511300354x |
| Popis: | Introduction:First bite syndrome is a condition characterised by severe facial pain brought on by the first bite of each meal. This can severely affect the patient's ability to eat.Methods:We present a 70-year-old woman for whom we performed a laser ablation of the left ear tympanic plexus, as treatment of first bite syndrome. A permeatal approach was used to raise a tympanomeatal flap. The tympanic plexus was identified on the promontory and a 4 mm2 area of the plexus was ablated using CO2 laser. The flap was repositioned and a dressing was placed with topical antibiotics.Results:At two-month follow up, there was full resolution of the patient's symptoms.Discussion:First bite syndrome carries a high morbidity; treatment options are variable, and often unsuccessful. We describe the first documented case of laser tympanic plexus ablation, with a very effective initial response. This procedure represents a useful therapeutic option for first bite syndrome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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