与误诊为三叉神经痛的鹰综合征相关的颈面部疼痛。
Cervicofacial pain associated with Eagle's syndrome misdiagnosed as trigeminal neuralgia.
作者信息
Mayrink Gabriela, Figueiredo Evandro Portela, Sato Fabio Ricardo Loureiro, Moreira Roger William Fernandes
机构信息
Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp, Av. Limeira, 901-Caixa Postal 52-Areião, Piracicaba, São Paulo, Brazil.
出版信息
Oral Maxillofac Surg. 2012 Jun;16(2):207-10. doi: 10.1007/s10006-011-0276-7. Epub 2011 Jul 1.
BACKGROUND
Eagle's syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The treatment for Eagle's syndrome can be pharmacologically, surgically, or both. The surgical management consists of two major procedures: the transoral approach or the extraoral-cervical approach.
CASE REPORT
A 64-year-old patient with a severe cervical pain on the left side was evaluated with no defined diagnosis. During physical examination, an elongated styloid process could be palpated and with CT scan image, the Eagle's syndrome diagnosis was done. The patient was successfully submitted to surgical resection of the elongated styloid process on the left side by an extraoral-cervical approach. After 6 months follow-up, the patient referred no symptom after the surgical treatment.
CONCLUSION
The extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle's syndrome.
背景
鹰综合征的特征为反复咽痛、咽部异物感、吞咽困难、牵涉性耳痛和颈部疼痛。鹰综合征的治疗可采用药物治疗、手术治疗或两者结合。手术治疗包括两种主要术式：经口入路或口外-颈部入路。
病例报告
一名64岁左侧颈部剧痛患者经评估未明确诊断。体格检查时可触及伸长的茎突，结合CT扫描图像，诊断为鹰综合征。该患者经口外-颈部入路成功接受了左侧伸长茎突的手术切除。随访6个月后，患者术后未再出现症状。
结论
口外/颈部入路是一种安全的术式，可有效治疗鹰综合征。
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