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经口切除茎突咽肌钙化:茎突舌骨复合体综合征的一种独特表现。

Transoral resection of stylopharyngeus calcification: a unique manifestation of a stylohyoid complex syndrome.

作者信息

Kamil Rebecca J, Gonik Nathan J, Lee Jimmy S, Shifteh Keivan, Smith Richard V

机构信息

Albert Einstein College of Medicine, Bronx, New York, USA.

Albert Einstein College of Medicine, Bronx, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York, USA.

出版信息

Ann Otol Rhinol Laryngol. 2015 Feb;124(2):158-61. doi: 10.1177/0003489414546399. Epub 2014 Aug 8.

DOI:10.1177/0003489414546399
PMID:25106549
Abstract

BACKGROUND

Eagle syndrome is often considered in the work-up of odynophagia and neck pain. Classically, this is manifested by ossification or calcification of the stylohyoid ligament or styloid process. There are no reported cases of stylopharyngeal calcification leading to these symptoms.

CASE

We describe a patient with a suspected submucosal pharyngeal foreign body who was found to have a calcified stylopharyngeus muscle and tendon during surgery. The patient experienced full resolution of symptoms after transoral robotic resection. This diagnosis was initially missed because the radiology was inconsistent with Eagle syndrome.

CONCLUSION

This is the first report of isolated stylopharyngeal calcification, and this unique manifestation of a stylohyoid complex syndrome should be considered in patients with symptoms of Eagle syndrome without styloid elongation.

摘要

背景

在对吞咽痛和颈部疼痛进行检查时,常考虑到鹰综合征。传统上,这表现为茎突舌骨韧带或茎突的骨化或钙化。尚无茎突咽肌钙化导致这些症状的报道病例。

病例

我们描述了一名疑似咽部黏膜下异物的患者,手术中发现其茎突咽肌和肌腱钙化。经口机器人切除术后,患者症状完全缓解。最初漏诊了该诊断,因为影像学表现与鹰综合征不符。

结论

这是孤立性茎突咽肌钙化的首例报告,对于有鹰综合征症状但无茎突延长的患者,应考虑这种茎突舌骨复合体综合征的独特表现。

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Transoral resection of stylopharyngeus calcification: a unique manifestation of a stylohyoid complex syndrome.经口切除茎突咽肌钙化:茎突舌骨复合体综合征的一种独特表现。
Ann Otol Rhinol Laryngol. 2015 Feb;124(2):158-61. doi: 10.1177/0003489414546399. Epub 2014 Aug 8.
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Tonsillectomy sparing transoral robot assisted styloidectomy.保留扁桃体切除术的经口机器人辅助茎突切除术
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