山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (6): 71-73.doi: 10.6040/j.issn.1673-3770.1.2017.224

• 论著 • 上一篇    下一篇

茎突截短术改善茎突综合征咽痛症状八例

仇继兵1,尹燕泽2,马敬1   

  1. 1.常州市第三人民医院耳鼻咽喉科, 江苏 常州 213000;
    2.南昌大学第一临床医学院, 江西 南昌 330006
  • 收稿日期:2017-05-22 出版日期:2017-12-16 发布日期:2017-12-16
  • 通讯作者: 马敬. E-mail:majing6410@aliyun.com

Improvement of pharyngalgia in 8 cases of styloid process syndrome by surgical shortening of the styloid processes.

QIU Jibing1, YIN Yanze2, MA Jing1.   

  1. Department of Otolaryngology, Third Peoples Hospital of Chongzhou, Changzhou 213000, Jiangsu, China;2. First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China
  • Received:2017-05-22 Online:2017-12-16 Published:2017-12-16

摘要: 目的 探讨茎突截短术对茎突综合征患者咽痛症状的改善情况。 方法 对8例9侧茎突综合征患者进行茎突截短术,对比分析患者手术前后临床资料。 结果 所有患者术后咽痛症状完全消失,随访7~30个月,平均20个月。1例术中切开咽上缩肌损伤小动脉致术中出血30 mL,经结扎止血;1例术后第7天发生扁桃体窝迟发性出血,经局部过氧化氢棉球压迫止血。 结论 茎突截短术可以有效改善茎突综合征患者的咽痛症状。

关键词: 咽痛, 茎突截短术, 茎突综合征

Abstract: Objective To explore the effect of surgical shortening of the elongated styloid processes on pharyngalgia in patients with styloid process syndrome. Methods Eight patients with styloid process syndrome underwent surgical shortening of the elongated styloid processes; the preoperative and postoperative clinical data were retrospectively analyzed. Results The symptom of pharyngalgia in all patients resolved completely after the surgery. One patient bled 30 mL during the surgery, from an injury to the arteriole, due to an incision of the superior constrictor of the pharynx; the bleeding was stopped by ligation. One patient developed delayed hemorrhage at the tonsillar pit on day 7 after surgery; the hemorrhage was stopped by a local application of a cotton ball with hydrogen peroxide. Conclusion Surgical shortening of the elongated styloid processes can effectively treat styloid process syndrome characterized by pharyngalgia.

Key words: Styloid process syndrome, Surgical shortening of elongated styloid processes, Pharyngalgia

中图分类号: 

  • R653
[1] 张庆泉,迟作强.茎突综合征的诊断和治疗[J].中华耳鼻咽喉头颈外科杂志,2009,44(3):262-264. ZHANG Qingquan, CHI Zuoqiang. Dignosis and treatment of syndrome of styloid process[J]. Chin J Otorhinolarynol Head Neck Surg, 2009, 44(3):262-264.
[2] Hoffmann E, Räder C, Fuhrmann H, et al. Styloid-carotid artery syndrome treated surgically with Piezosurgery: a case report and literature review[J]. J Craniomaxillofac Surg, 2013, 41(2):162-166.
[3] Demirtas H, Kayan M, Koyuncuoglu HR, et al. Eagle syndrome causing vascular compression with cervical rotation: case report[J]. Pol J Radiol, 2016, 13(81):277-280.
[4] Khandelwal S, Hada YS, Harshc A. Eagles syndrome-a case report and review of the literature[J]. Saudi Dent J, 2011, 23(4): 211-215.
[5] Eagle WW. Elongated styloid process: report of two cases[J]. Arch Otolaryngol, 1937, 25:584-587.
[6] Paiva ALC, Araujo JLV, Lovato RM, et al. Retroauricular pain caused by Eagle syndrome: a rare presentation due to compression by styloid process elongation[J]. Rev Assoc Med Bras(1992), 2017, 63(3):213-214.
[7] 姜绍红,张庆泉,宋西成.口内径路保留扁桃体的茎突截短术[J].山东大学基础医学院学报,2005,19(2):113-114. JIANG Shaohong, ZHANG Qingquan, SONG Xicheng. Partial resection of processus styloideus preserved tonsil through inside of oral cavity[J]. J Preclinical Med College Shandong Univ, 2005, 19(2):113-114.
[8] 陈乌娜,高兴强,上官翰京.扁桃体切除术后茎突综合征7例[J].山东大学耳鼻喉眼学报,2013,27(1):64-65. CHEN Wuna, GAO Xingqiang, SHANGGUAN Hanjing. Seven cases of styloid syndrome after tonsillectomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1):64-65.
[9] 危高生,宋小平,郑泉山,等.扁桃体切除术后并发茎突综合征12例临床分析[J].中国基层医药,2016,23(15):2321-2323. WEI Gaosheng, SONG Xiaoping, ZHENG Quanshan, et al. Clinical analysis of 12 cases with concurrent styloid process syndrome after tonsillectomy[J]. Chinese Journal of Primary Medicine and Pharmacy, 2016, 23(15):2321-2323.
[10] Raina D, Gothi R, Rajan S. Eagle syndrome[J]. Indian J Radiol Imaging, 2009, 19(2):107-108.
[11] Weteid AS, Miloro M. Transoral endoscopic-assisted styloidectomy: how should Eagle syndrome be managed surgically?[J]. Int J Oral Maxillfac Surg, 2015, 44(9):1181-1187.
[12] Kim E, Hansen K, Frizzi J. Eagle syndrome: case report and review of the literature[J]. Ear Nose Throat J, 2008, 87(11):631-633.
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