茎突切除术在鹰综合征中的意义：一项分析
Significance of styloidectomy in Eagle's syndrome: an analysis.
作者信息
Mohanty Sanjeev, Thirumaran N S, Gopinath M, Bambha Gaurav, Balakrishnan Shalini
机构信息
Department of ENT, Head and Neck surgery, Sri Ramachandra Medical College and Research Institute, Chennai, India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2009 Dec;61(4):262-5. doi: 10.1007/s12070-009-0079-4. Epub 2010 Jan 9.
OBJECTIVES/HYPOTHESIS: Reported here is a randomized retrospective analysis of 28 cases of elongated styloid process causing nagging cervicofacial pain, both unilateral and bilateral, and the effect of styloidectomy in these cases in relieving the symptom complex of the patient, in situations where conservative management failed in alleviating the symptoms.
STUDY DESIGN
Randomized retrospective analysis over a period of 25 months.
CONCLUSION
Elongated styloid process causing glossopharyn-geal neuralgia is beginning to be a frequently encountered clinical entity nowadays. Of the 28 cases of elongated styloid process who underwent unilateral/bilateral styloidectomy, 27 patients had total relief of symptoms. Hence, we advocate styloidectomy, following careful diagnosis of the entity with clinical and radiological correlation, if the patient does not respond to medical therapy. The psychological status of the patient would provide clue to the authenticity of the symptoms in unrelieved cases.
目的/假设：本文报告了28例茎突过长导致单侧或双侧顽固性颈面部疼痛的随机回顾性分析，以及在保守治疗无法缓解症状的情况下，茎突切除术对这些患者症状复合体的缓解效果。
研究设计
为期25个月的随机回顾性分析。
结论
茎突过长导致舌咽神经痛如今已成为一种常见的临床病症。在28例行单侧/双侧茎突切除术的茎突过长病例中，27例患者症状完全缓解。因此，我们主张在对该病症进行仔细的临床和影像学相关诊断后，如果患者对药物治疗无反应，则进行茎突切除术。患者的心理状态可为未缓解病例中症状的真实性提供线索。
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