Cyclical Anaphylaxis: A Review of the Literature and a Novel Approach to Treatment

2015 ◽  
Vol 135 (2) ◽  
pp. AB208
Author(s):  
Andrea E. Burke ◽  
Nina Lakhani ◽  
Peter Vadas ◽  
Jason Kihyuk Lee
Author(s):  
Laura Allen ◽  
Kelti Munroe ◽  
S. Mark Taylor

Abstract Background The V to Y advancement flap offers an excellent option for reconstructing defects of the lobule and adjacent structures of the external ear. We demonstrate its utility for small defects of the earlobe including those extending to the antitragal and conchal bowl regions. To our knowledge use of this technique for earlobe reconstruction has not been reported. Methods A review of the literature was performed on the use of the V to Y flap for earlobe reconstruction. We then described its use in reconstructing lobular defects in 6 patients. All patients had a non-melanoma skin cancer involving the earlobe. All surgeries were performed under local anesthetic at a tertiary care centre in Halifax, Canada. Defects ranged in size from 1.0 to 1.4 cm. All defects were reconstructed with only a V to Y advancement flap. Patient photographs were taken intra-operatively and post-operatively. For all patients, satisfaction of the final aesthetic result was assessed on a 10 point scale in follow-up at 6 months. Results A review of the literature did not reveal any reports of the V to Y flap used in isolation for lobular reconstruction. At our centre from 2018 to 2020, this method was well tolerated under local anesthetic in 6 patients with non-melanoma skin cancers of the earlobe. All patients reported an aesthetically satisfying result at 6 months with scores ranging between 8 and 10. Scarring in all cases was minimal. Conclusion The V to Y advancement flap is a simple technique for reconstructing small defects of the lobule. This method is technically straight-forward, poses minimal risk to the patient, and in our experience, yields a favourable cosmetic outcome. Graphical abstract


2020 ◽  
Vol 24 (2) ◽  
pp. 172-190 ◽  
Author(s):  
Xijing Wang ◽  
Zhansheng Chen ◽  
Eva G. Krumhuber

Many empirical studies have demonstrated the psychological effects of various aspects of money, including the aspiration for money, mere thoughts about money, possession of money, and placement of people in economic contexts. Although multiple aspects of money and varied methodologies have been focused on and implemented, the underlying mechanisms of the empirical findings from these seemingly isolated areas significantly overlap. In this article, we operationalize money as a broad concept and take a novel approach by providing an integrated review of the literature and identifying five major streams of mechanisms: (a) self-focused behavior; (b) inhibited other-oriented behavior; (c) favoring of a self–other distinction; (d) money’s relationship with self-esteem and self-efficacy; and (e) goal pursuit, objectification, outcome maximization, and unethicality. Moreover, we propose a unified psychological perspective for the future—money as an embodiment of social distinction—which could potentially account for past findings and generate future work.


2008 ◽  
Vol 122 (12) ◽  
pp. 1392-1393 ◽  
Author(s):  
B Creagh-Brown ◽  
A Sheth ◽  
A Crerar-Gilbert ◽  
B P Madden

AbstractObjective:We describe the emergency use of a covered, expandable, removable tracheal stent in a patient who developed a large posterior tracheal tear complicating endobronchial therapy for large airway obstruction.Method:Case report and review of the literature concerning management of acute tracheal tear.Results and conclusion:Our patient demonstrates that endotracheal stenting is an option for managing acute large airway tear. Moreover, the use of a removable stent allows not only for rapid closure of the defect but also removal once the defect has healed, thus avoiding long-term complications of stent deployment.


2014 ◽  
Vol 2 ◽  
pp. 205031211452439 ◽  
Author(s):  
Yiu-Hei Ching ◽  
Stephanie M Socias ◽  
David J Ciesla ◽  
Rachel A Karlnoski ◽  
Enrico M Camporesi ◽  
...  

2003 ◽  
Vol 54 (2) ◽  
pp. 369-371 ◽  
Author(s):  
T. Satyadas ◽  
N. Nasir ◽  
E. Erel ◽  
Satvinder S. Mudan

2021 ◽  
pp. 153857442110056
Author(s):  
Diego Herrera Vegas ◽  
Mario Alejandro Fabiani ◽  
Mauricio Gonzalez-Urquijo ◽  
Agustín Bignotti ◽  
Ignacio Seré ◽  
...  

The presence of severe Raynaud’s Phenomenon (RP), with permanent pain or digital necrosis is a rare condition. Cervical sympathectomy or distal sympathectomy or A botulinum toxin have demonstrated efficacy after medical treatment failure. We report the case of a 38-year-old female patient with an acute onset of severe RP in both hands secondary to systemic sclerosis. Medical treatment failed, so a novel approach by a combination of a modified distal sympathectomy and injection of A botulinum toxin on digital neuromuscular bundles was performed. Remission of the pain occurred immediately after the procedure and 45 days later she had complete healing of the digital wounds and recovered full mobilization of both hands. The patient remained asymptomatic 6 month after the procedure, and a Doppler ultrasound showed tri-phasic flows distal to the surgical site. This novel technique is described, and a brief review of the literature is performed.


2011 ◽  
Vol 93 (6) ◽  
pp. e111-e113 ◽  
Author(s):  
DE Gyorki ◽  
NE Clarke ◽  
MW Hii ◽  
SW Banting ◽  
RJ Cade

Synchronous tumours of the oesophagus and pancreatic head are very rare. This report describes a unique case of an adenocarcinoma of the distal oesophagus and a neuroendocrine tumour of the pancreatic head diagnosed synchronously but successfully managed metachronously. Initially, the patient underwent an oesophagectomy, with a colonic reconstruction following some months later by pylorus-preserving pancreaticoduodenectomy. A staged resection was performed after a review of the literature suggested increased morbidity with synchronous major abdominal operations.


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