Abstract:
:First bite syndrome (FBS) is a sharp unilateral pain in the vicinity of the angle of the mandible after taking the first bite of a meal that presents typically after surgery in the area of the ipsilateral parapharyngeal space. It is not confirmed what the pathophysiology is that causes this pain, but the proposed mechanism is the iatrogenic damage of sympathetic fibers that extend from the superior cervical ganglion (SCG) to innervate the parotid gland. The presentation of this syndrome has been acknowledged in patients who have undergone head and neck tumor resections, but it has not been documented in the same thorough manner among vascular surgery cases in the parapharyngeal space, possibly because of a higher risk of development in other head and neck surgeries, or to under-reporting of cases. To date, only 5 cases of FBS status post carotid endarterectomy have been documented in the literature. Definitive treatment of FBS has not been established. Some studies have shown improvement with amitriptyline, and carbamazepine as well as botulinum toxin injections. We will present the case of a 75 year old male who developed first bite syndrome after a right carotid endarterectomy with efforts of raising awareness of a potential acute complication of carotid endarterectomy.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Charles-Harris H,Rodriguez Bdoi
10.1177/1538574420954589subject
Has Abstractpub_date
2021-01-01 00:00:00pages
64-68issue
1eissn
1538-5744issn
1938-9116journal_volume
55pub_type
杂志文章,评审abstract::Arterio-hepatic venous fistula (AHVF) is an exceedingly rare phenomenon compared to arterio-portal venous fistula with only 8 cases reported in world literature. Many listed causes can be attributed to the development of there are no reported cases of AHVF following a core-needle biopsy. We report a case of 38 year-ol...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954300
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journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574420934631
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journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574408326265
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doi:10.1177/1538574418762192
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
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doi:10.1177/153857440503900208
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pub_type: 杂志文章
doi:10.1177/1538574409336021
更新日期:2010-01-01 00:00:00
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更新日期:2011-02-01 00:00:00
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journal_title:Vascular and endovascular surgery
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更新日期:2010-11-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440303700609
更新日期:2003-11-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type:
doi:10.1177/1538574419879849
更新日期:2020-02-01 00:00:00
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更新日期:2007-06-01 00:00:00
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journal_title:Vascular and endovascular surgery
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更新日期:2010-02-01 00:00:00