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伊格尔综合征临床表现的异质性。

Heterogeneity in the clinical presentation of Eagle's syndrome.

作者信息

Mendelsohn Abie H, Berke Gerald S, Chhetri Dinesh K

机构信息

Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine, University of California-Los Angeles, Los Angeles, CA 90095, USA.

出版信息

Otolaryngol Head Neck Surg. 2006 Mar;134(3):389-93. doi: 10.1016/j.otohns.2005.10.046.

Abstract

OBJECTIVE

Eagle's syndrome (ES) or symptomatic elongated styloid process is an uncommon but important cause of chronic head and neck pain. This study reports our experience in the diagnosis and treatment of a series of patients with ES.

STUDY DESIGN

Patient histories, radiographic tests, and operative reports of 3 patients over a 3-month period were prospectively collected.

SETTING

Tertiary referral otolaryngology service.

RESULTS

All patients had resolution of symptoms relating to their elongated styloid processes after surgical resection.

CONCLUSION

Although sometimes clouded by coexisting symptoms, ES can be easily diagnosed based on good history taking and physical examination. If diagnosed appropriately, surgical treatment can be administered promptly.

SIGNIFICANCE

Patients with ES commonly have a long history of chronic pain treated by multiple physicians. Appropriate diagnosis can lead to prompt treatment of this condition.

EBM RATING

C-4.

摘要

目的

鹰综合征(ES)或症状性茎突过长是慢性头颈疼痛的一个不常见但重要的病因。本研究报告了我们对一系列鹰综合征患者的诊断和治疗经验。

研究设计

前瞻性收集了3个月内3例患者的病史、影像学检查及手术报告。

研究地点

三级转诊耳鼻喉科服务机构。

结果

所有患者在手术切除过长茎突后症状均得到缓解。

结论

尽管有时会被并存症状所掩盖,但基于良好的病史采集和体格检查,鹰综合征很容易诊断。如果诊断恰当,可迅速进行手术治疗。

意义

鹰综合征患者通常有多位医生治疗慢性疼痛的长期病史。恰当的诊断可促使对该疾病的及时治疗。

循证医学评级

C-4。

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