JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 4-6.doi: 10.6040/j.issn.1673-3770.0.2014.191

Previous Articles     Next Articles

Reasons for misdiagnosis of styloid process syndrome in 114 cases

SUN Xiu-mei1, ZHANG Qing-quan2, DU Ji-liang1   

  1. 1. Department of Otorhinolaryngology, Yantai Hospital Affiliated to Binzhou Medical School, Yantai 264000, Shandong, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
  • Received:2014-06-05 Published:2014-12-16

PDF (PC)

648

Abstract: Objective To explore the reasons for misdiagnosis of styloid process syndrome and to get proper diagnosis and treatment. Methods The clinical data of 114 cases of styloid process syndrome were retrospectively analyzed from the course of the disease, misdiagnosed diseases and surgical treatment effect. Results 114 cases were diagnosed as other diseases.There were 77 cases diagnosed as chronic pharyngitis, chronic tonsillitis and glossopharyngeal nerve pain, 67.5% of 114 cases; The duration of this group was relatively short, from 1 to 6 months, the median duration was 2.5 month; After partial removal of styloid process, 87.0% of them were cured. There were 14 cases diagnosed as anxiety disorders, menopause syndrome and neurosis; The duration of this group was relatively long with the median duration of 7, 2, and 8 years, and 50% of them were cured. Conclusion Styloid process syndrome has the characteristics of diversity and easily to be crossed with other diseases. Grasping the characteristics helps to get definite diagnosis. Strict control of 1 the indications of partial removal of styloid process helps to improve the effect of surgical treatment.

Key words: Styloid process syndrome, Reason, Misdiagnosis

CLC Number: 

  • R766
[1] KlScha A, Hafian H, Devanchelle B, et al.A report of post-traumatic Eagle's Syndrome[J].Int J Oral Maxillofac Surg, 2008, 37(10): 970-972.
[2] 张庆泉,宋西城,王强,等.外科治疗茎突异常的疗效分析[J]. 中华耳鼻咽喉头颈外科杂志, 2006,41(10):759-762. ZHANG Qingquan, SONG Xicheng, WANG Qiang, et al. Effect of surgical treatment for abnormal styloid process [J]. Chin J Otorhinolaryngol Head Neck Surgery, 2006, 41 (10): 759-762.
[3] 梁衍灿,陈伟良.茎突综合征病因的研究进展[J]. 临床口腔医学杂志,2009,25(9):574. LIANG Yancan, CHEN Weiliang. Research of styloid process syndrome etiology[J]. J Clin Stomatol, 2009, 25(9): 574.
[4] Sela J, Abu el Naaj I, Peled M.The styloid process elongation syndrome (EagIe syndrome): a case report[J]. Refuat Hapeh Vehashinayim, 2003, 20(1):44-5,80.
[5] Ghosh L M, Dubcy S P.The syndrome of elongated styloid process[J].Auris Nasus Larynx, 1999, 26(2):169-175.
[6] Zuber M, Meder J F, Mas J L.Carotid artery dissection due to elongated styloid process[J].Neurol, 1999, 53(8):1886-1887.
[7] 李明红,孟祥贵,镡旭民. 舌咽神经痛的病因及治疗现状[J]. 第三军医大学学报,2005,27(2):178-180. LI Minghong, MENG Xianggui, XIN Xumin. The etiology and treatment of glossopharyngeal neuralgia[J]. J Third Military Med Uni, 2005, 27(2):178-180.
[8] 田君海,薛海涛,宋冬梅,等. 伴发晕厥的茎突综合征一例[J]. 中华耳鼻咽喉科杂志,2004,39(5):428. TIAN Junhai, XUE Haitao, SONG Dongmei, et al. A case of styloid process syndrome with syncope[J]. Chin J Otorhinolaryngol, 2004, 39(5):428.
[9] 董学武,郭庆胜,郭英杰,等. 茎突过长变位与眩晕头痛三例[J]. 中华耳鼻咽喉头颈外科杂志,2005,40(1):13. DONG Xuewu, GUO Qingsheng, GUO Yingjie, et al. The elongated styloid process and dizziness and headache in 3 cases [J]. Chin J Otorhinolaryngol Head Neck Surgery, 2005, 40 (1): 13.
[10] 马懿,刘国先. 茎突综合征所致非心源性心律失常分析[J]. 广东医学,2010,31(12):1581-1582. MA Yi, LIU Guoxian. The non-cardiacarrhythmia caused by styloid process syndrome [J]. Guangdong Med, 2010, 31(12):1581-1582.
[11] 吕晓智,殷学民,龚振东,等. 表现为面侧深区疼痛的茎突综合征18例分析[J]. 临床医学工程,2011,18(5):714-715. LÜ Xiaozhi, YIN Xuemin, GONG Zhendong, et al. Performance of side of pain in the deep region of styloid process syndrome: analysis of 18 cases[J]. Clin Med Engineering, 2011, 18(5):714-715.
[12] 镡旭民,杨桦. 茎突综合征诱发的慢性咳嗽25例[J].中国耳鼻咽喉颅底外科杂志,2007,13(6):48-449. XIN Xumin, YANG Hua. Styloid process syndrome evokes chronic cough in 25 cases[J]. Chin J Otorhinolaryngol Skull Base Surgery, 2007, 13 (6): 448-449.
[13] 陈静,褚丽,付少农. 喉癌误诊为茎突过长综合征1例[J].中国误诊学杂志,2002,2(1):153-154. CHEN Jing, ZHU Li, FU Shaonong. Laryngeal carcinoma misdiagnosed as elongated styloid process syndrome in 1 case[J]. Chin J Misdiagnosis, 2002, 2(1):153-154.
[14] 郑翠英,于培兰. 食道上段癌误诊为茎突过长症1例分析[J]. 中国误诊学杂志,2008(5):1226-227. ZHENG Cuiying, YU Peilan. Upper esophageal carcinoma misdiagnosed as elongated styloid process syndrome in 1 case [J]. Chin J Misdiagnosis, 2008(5):1226-227.
[1] WANG Zhixiang, XUE Kai, WEI Ning, HAN Shuang, JIN Chunshun.. A case of recurrent laryngeal nerve schwannoma misdiagnosed as a thyroid tumor. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 33-35.
[2] QIU Jibing, YIN Yanze, MA Jing.. Improvement of pharyngalgia in 8 cases of styloid process syndrome by surgical shortening of the styloid processes. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 71-73.
[3] SUN Shasha, QIU Jie, ZANG Chuanshan, SUN Yan. Behcets disease misdiagnosed as acute epiglottitis: a report of two cases. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 107-109.
[4] LI Qingming, WU Sien, HUANG Suhong, CAO Huotai, HUANG Suihua, YAO Tingting, LIU Qihong. Diagnosis and treatment of the third branchial cleft fistula: a clinical report of 6 cases and literature review. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 61-64.
[5] SUN Changzhi, LIU Wenlong, LI Yan, LUO Renzhong. Diagnosis and treatment of otitis media with effusion in children with bilateral sensorineural deafness. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 11-14.
[6] ZHANG Qing-quan. Abnormal styloid process and styloid process syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 1-3.
[7] WANG Yong-fu, XU Yong-xiang, YU Jun, YU Ya-ping, CHEN Xiao-hua. Surgical treatment for styloid precess syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 9-10.
[8] LIU Zhe， HOU Yan-li， WANG Yan-ling. One case of titled disc syndrome misdiagnosed as optic atrophy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 91-92.
[9] WANG Zhi-gang, L Rong-lin. Deep neek space infection, one cases were misdiagnosed as acute epiglottitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 89-89.
[10] SUN Ying， DONG Chang-xia. Misdiagnosis analysis on 2 cases of adult advanced Coats disease [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 93-94.
[11] LIU Wen-tong, HE Li-yong. Left ear teratoma misdiagnosed as lipoma in 1 case [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(6): 93-93.
[12] YANG Hong-xia. isdiagnosis and mistreatment of 1 case in esophageal foreign bodies [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(3): 92-92.
[13] CHENG Wei1, CHEN Jian-zhi2. Diagnosis, misdiagnosis and differential diagnosis of  primary malignant tumors of the tonsil [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(3): 61-62.
[14] SONG Qi1, WANG Huan-yi2, QIN Xue-jiao1. Vogt-KoyanagiHarada disease misdiagnosed as central retinitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 7-8.
[15] SHENG Hong-shen,HUANG De-liang,HAN Dong-yi,WU Wen-ming,YANG Wei-yan . Misdiagnosis of glomus jugulare tumor [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 120-122 .
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd