Loch C, Fehrmann P, Dockhorn H U
Anatomisches Institut, Universität zu Köln.
Laryngorhinootologie. 1990 May;69(5):260-6. doi: 10.1055/s-2007-998186.
The styloid process syndrome and the stylo-keratohyoid syndrome are well-known diseases caused by an elongated styloid process of the temporal bone or by ossification of the derivations of the second branchial arch. The cause of the complaint is a compression of neighbouring vessels, nerves and soft tissues. 85 anatomical specimens were investigated in respect of a compression of the external carotid artery by the stylohyoid muscle. In 7 cases we found an impression of the vessel caused solely by the stylohyoid muscle without ossification of the derivations of the second branchial arch or elongation of the styloid process. In some cases the posterior auricular artery was also compressed. In addition, the extent of the stenosis of the external carotid artery was examined quantitatively. At least a histological examination was performed. The symptoms of the diseases are discussed by a review of the literature. Difficulties in X-ray diagnosis or diagnosis by bimanual palpation are pointed out.
茎突综合征和茎突-舌骨综合征是由颞骨茎突过长或第二鳃弓衍生物骨化引起的常见疾病。其病因是邻近血管、神经和软组织受到压迫。对85个解剖标本进行了舌骨茎突肌对外颈动脉压迫情况的研究。在7例病例中,我们发现血管压迹仅由舌骨茎突肌引起,而无第二鳃弓衍生物骨化或茎突过长。在某些病例中,耳后动脉也受到了压迫。此外,还对外颈动脉狭窄程度进行了定量检查。至少进行了组织学检查。通过文献回顾讨论了这些疾病的症状。指出了X线诊断或双手触诊诊断的困难。