茎突综合征30例手术治疗临床分析

doi:10.6040/j.issn.1673-3770.0.2014.193

摘要/Abstract

摘要： 目的探讨茎突综合征不同手术治疗方法的优势.方法对30例茎突综合征采用不同的手术方法,其中20例扁桃体窝触诊可扪及硬性隆起者,采用切除扁桃体口内径路切除;3例舌腭弓触诊可扪及硬性隆起者,采用保留扁桃体口内径路切除术;7例咽部触诊未触及硬性隆起者,采用颈外径路切除术.结果术后随访半年,26例咽部异物感、咽部疼痛感、耳痛、颈部下颌角部位疼痛症状消失,4例症状较术前明显减轻但未消失,无1例发生咽旁间隙感染、咽旁血肿及面神经麻痹等并发症.结论手术截短是目前治疗茎突综合征的主要手段,临床工作中要根据茎突的长度、角度,咽部暴露情况等选择不同的手术径路,以达到最好的治疗效果.

关键词: 茎突综合征, 外科手术, 治疗结果

Abstract: Objective To explore the advantages of different methods of surgical treatment of styloid process syndrome. Methods In 30 patients with styloid process syndrome, 20 patients whose tonsillar fossa could be touched hard prominence underwent intra-oral approach surgeries with tonsillectomy; 3 patients whose palatine arches could be touched hard prominence underwent intra-oral approach surgeries; 7 patients with no hard prominence underwent cervical approach partial removal of styloid process surgeries. Results After the operations, 26 cases had no symptoms of foreign bodies in the pharynx, pharyngeal pain, ear pain and pain in submanandibular angle, 4 cases of pre-operative symptoms had significantly relieved. There was no occurrence of complication. Conclusion Surgery of partial removal of styloid is currently the main treatment for styloid process syndrome. It should be carried out depending on length and angle of the styloid process, and the manifestation in pharyngea to achieve the best therapeutic effect.

Key words: Styloid process syndrome, Surgical procedures, operative, Treatment outcome

中图分类号:

R766

王永福, 徐永向, 于军, 宇雅平, 陈晓华. 茎突综合征30例手术治疗临床分析[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 9-10.

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.

参考文献

[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. Diagnosis and treatment of styloid process syndrome[J]. Chin J Otorhinolaryngol Head Neck Surg, 2009, 44(3):262-264.
[2] Piagkou M, Anagnostopoulous S, Kouladouros K, et al. Eagles syndrome:a review of the literature[J]. Clin Anat, 2009, 22(5):545-558.
[3] Rizzatti-Barbosa C M, Ribeiro M C, Si lva-Concilio L R, et al. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population[J]. Gerodontology, 2005, 22(2):112-115.
[4] 张庆泉,宋西成,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 analysis of surgical for treating abnorma styloid process[J]. Chin J Otorhinolaryngol Head Neck Surg, 2006, 41(10):759-762.
[5] 朱宇宏,赵利敏.茎突截短术的并发症[J].山东大学耳鼻喉眼学报,2006,20(2):165-166. ZHU Yuhong, ZHAO Limin. Complications after styloid proces surgery[J]. J Otolaryngol Ophthal Shangdong Uni, 2006, 20(2):165-166.
[6] 黄晓明,蔡谦,江晓昱,等.经耳后切口内镜辅助下茎突截短术[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(11):939-941. HUANG Xiaoming, CAI Qian, JIANG Xiaoyu, et al. Endoscope-assisted styloidectomy via postauricular incision[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2013, 48(11):939-941.

相关文章 15

[1]	高航,许亚琳,王冬青,林立强,陈志鹏,吕怀庆. 耳后沟入路茎突截短术治疗茎突综合征初探[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 1-5.
[2]	陈涛,姜洋,李莹. SMILE矫正PRK术后屈光回退1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 148-153.
[3]	彭薪燃,李永团. Madelung病伴阴囊脂肪堆积1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 67-71.
[4]	陈世琴,卫平存,胡云龙,胡金旺. 糖皮质激素三种不同鼻用法对鼻内镜术后黏膜转归的影响[J]. 山东大学耳鼻喉眼学报, 2022, 36(3): 195-201.
[5]	赵笑冰,张大为,陈仁杰. 中耳间变性大T细胞淋巴瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 7-14.
[6]	赵雅铭,石崧. 以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 12-16.
[7]	王学昌, 王涛, 任欣, 赵明俊. 内镜下经口入路保留扁桃体茎突截短术疗效分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 17-21.
[8]	石玉琦,佘翠平,张庆丰,刘得龙,焦梦思. 早期声门型喉癌低温等离子射频术后喉部感染诊治经验与教训[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 129-134.
[9]	朱华明,关建,茆松,张维天,易红良. 低温等离子射频消融辅助咽旁间隙良性肿瘤切除的应用分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 28-33.
[10]	郭芳,张德军,傅则名,郭颖媛,万怡宁,管国芳. 外耳道胆脂瘤并发化脓性腮腺炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 12-15.
[11]	郑美君,杨慧,胡娟娟. 喉显微外科治疗声门型喉蹼的研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 144-147.
[12]	王海英. 鼻内镜下二线减张鼻中隔矫正术43例临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 166-168.
[13]	陈国辉,和守睆,孙青,高天乐,白广平. 鼻内镜术中不同中鼻甲处理方式治疗慢性鼻-鼻窦炎伴鼻息肉效果比较[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 82-86.
[14]	李强,刘志元,周涵. 鼻内镜下蝶腭动脉阻断术治疗老年难治性鼻出血[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 92-95.
[15]	李晓明. 喉癌治疗中喉功能保留的历史、现状和未来[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 1-5.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed