Ghosh L M, Dubey S P
Medical College Hospital, Department of Otolaryngology, Calcutta, West Bengal, India.
Auris Nasus Larynx. 1999 Apr;26(2):169-75. doi: 10.1016/s0385-8146(98)00079-0.
Symptom-complex associated with the elongated styloid process is more common than generally thought. The exact etiology of this syndrome has not yet been fully understood. The present article is a review of the symptoms, physical signs, theories of causation, diagnosis and treatment of this condition. During the 20 years period from 1975 to 1995, 35 symptomatic patients with the established diagnosis of elongated styloid process were managed. Their diagnosis were confirmed by clinical and radiological examinations. Surgical shortening of the elongated processes were done by intraoral transtonsillar approach under general anaesthesia. Twenty were bilateral and 15 were unilateral elongations. Eighteen were males and seventeen were females. Largest distribution of patients in age was seen in the fifth decade of life. Pain in the throat was most frequently encountered as the presenting complaint. A total of 31 patients obtained complete symptomatic relief within 6 months following operation. In four patients there were either incomplete relief or recurrence of symptoms after operations. Elongated styloid process may be one of the causes annoying maxillofacial or craniocervical pain. It requires thorough clinical examination of the head and neck, and should be confirmed radiologically. Occasionally multidisciplinary cooperation may be needed to come to a diagnosis. Surgical shortening of the elongated process is the only way to give symptomatic relief to the patient. Further research is needed to understand the aetiogenesis of this condition.
与茎突过长相关的症状复合体比一般认为的更为常见。该综合征的确切病因尚未完全明确。本文对这种病症的症状、体征、病因理论、诊断和治疗进行了综述。在1975年至1995年的20年间，对35例确诊为茎突过长的有症状患者进行了治疗。他们的诊断通过临床和放射学检查得以证实。在全身麻醉下，经口扁桃体途径对过长的茎突进行手术缩短。20例为双侧过长，15例为单侧过长。18例为男性，17例为女性。患者年龄分布最多的是在50岁左右。咽喉疼痛是最常出现的主诉。共有31例患者在术后6个月内症状完全缓解。4例患者术后症状缓解不完全或复发。茎突过长可能是引起颌面或颅颈疼痛的原因之一。需要对头颈部进行全面的临床检查，并通过放射学检查予以证实。偶尔可能需要多学科合作才能做出诊断。手术缩短过长的茎突是缓解患者症状的唯一方法。需要进一步研究以了解这种病症的发病机制。
