Department of Otorhinolaryngology-Head and Neck Surgery, Baskent University Faculty of Medicine, Adana Teaching and Medical Research Center, Baraj Yolu, 1. Durak, Seyhan, Adana, Turkey.
J Otolaryngol Head Neck Surg. 2011 Feb;40(1):86-90.
To decrease the postoperative pain and the probability of intraoperative complications during intraoral removal of an elongated styloid process.
A prospective, clinical trial.
Twenty-seven patients with 45 elongated styloid processes underwent surgery. There were 24 females and 3 males, with a mean age of 47.1 years. A simple visual analogue scale was used to assess pre- and postoperative pain. The length and medial and anterior angulation of each process were measured on lateral skull and Towne projection. During the surgery, after tonsillectomy was performed, the styloid process was identified and the process was stripped off proximally using a ring curette. The muscles and ligaments were in continuity with the periosteum, and attachments to the periostem were not disrupted.
No intraoperative complications were seen. Only 2 of 45 procedures did not result in a decrease in pain, and a success rate of 95.6% was achieved by this modified surgical method.
Excision of the styloid process without disturbing the attachments of the muscles and ligaments to the periosteum of the process is an important factor in relieving postoperative pain and complications.
减少口腔内切除过长茎突过程中的术后疼痛和术中并发症的概率。
前瞻性临床试验。
27 例 45 例过长茎突患者接受手术。其中女性 24 例，男性 3 例，平均年龄 47.1 岁。采用简单的视觉模拟评分法评估术前和术后疼痛。在侧颅和 Towne 投影上测量每个过程的长度以及内侧和前向角度。在手术中，在进行扁桃体切除术之后，识别茎突，并使用环形刮匙从近端剥离茎突。肌肉和韧带与骨膜连续，并且不破坏与骨膜的附着。
术中无并发症发生。45 例手术中只有 2 例没有减轻疼痛，这种改良手术方法的成功率为 95.6%。
不干扰肌肉和韧带与茎突骨膜的附着而切除茎突是缓解术后疼痛和并发症的重要因素。
