Peng Guo Guang, Chen Wei Liang, Wu Jun Wei, Pan Ji Yang
Department of Oral and Maxillofacial Surgery, Forshan Hospital of Traditional Chinese Medicine, Forshan City, Guangdong province, PR China.
Chin J Dent Res. 2011;14(1):37-40.
To evaluate the outcome of dissecting the styloid process via an extraoral approach combined with antidepressants for treating Eagle's syndrome.
Twenty-two patients with Eagle's syndrome underwent resection of the elongated styloid processes under general anaesthesia via an extraoral approach. All patients completed a self-rating depression scale preoperatively, and a score over 49 was defined as depression. The patients with depression were treated with fluoxetine 20 mg/day for 3 weeks postoperatively. In all patients, the abnormal length of the styloid process was resected.
No surgical complications were observed. Eighteen (81.8%) patients had depression, and all 22 patients were followed for 7 to 26 months: 19 were symptom-free (86.4%), two patients with mild or moderate depression obtained almost complete remission of their symptoms, and one patient with severe depression obtained partial remission. No complications of medication occurred in any patient with depression, and all patients had a satisfactory cosmetic result and no paraesthesia.
Dissection of the styloid process via an extraoral approach is simple and reliable; dissection of the styloid process combined with antidepressants (fluoxetine) is preferred for treating Eagle's syndrome.
评估经口外入路联合抗抑郁药切断茎突治疗鹰综合征的效果。
22例鹰综合征患者在全身麻醉下经口外入路切除过长的茎突。所有患者术前均完成自评抑郁量表，评分超过49分定义为抑郁。抑郁患者术后用氟西汀20mg/天治疗3周。所有患者均切除了茎突的异常长度。
未观察到手术并发症。18例（81.8%）患者有抑郁，所有22例患者均随访7至26个月：19例无症状（86.4%），2例轻度或中度抑郁患者症状几乎完全缓解，1例重度抑郁患者部分缓解。抑郁患者均未出现药物并发症，所有患者美容效果满意，无感觉异常。
经口外入路切断茎突简单可靠；切断茎突联合抗抑郁药（氟西汀）治疗鹰综合征更佳。
