Elimairi Imad, Baur Dale A, Altay Mehmet Ali, Quereshy Faisal A, Minisandram Amritha
Department of Oral and Maxillofacial Surgery, Nile Medical College, National Ribat University, Khartoum, Sudan.
Department of Oral and Maxillofacial Surgery, University Hospitals/Case Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Head Neck Pathol. 2015 Dec;9(4):492-5. doi: 10.1007/s12105-014-0599-4. Epub 2014 Dec 24.
Eagle's Syndrome (ES) refers to a symptomatic anomaly due to elongation of the styloid process or mineralization of the styloid complex. If not diagnosed timely and treated properly, elongation of the styloid process or the hyper-mineralization of the stylohyoid ligament may eventually lead to complete ossification of the stylohyoid complex. Non-specific head and neck symptoms of the ES may pose diagnostic challenges to the clinician. Therefore it is crucial to include ES among differential diagnosis when evaluating patients with similar head and neck symptoms. Once the diagnosis is confirmed, treatment plan should be tailored in accordance with the individual requirements of the case and performed without delay. Both pharmacological and surgical methods have been described for the treatment of the patients with ES. However for those who suffer from persistent symptoms, surgical removal of the elongated styloid process is the treatment of choice and can be done with an intraoral or an extraoral approach. The aim of this work is to present unusual clinical symptoms and radiologic findings of ES due to complete ossification of the stylohyoid complex. The importance of a correct diagnosis and appropriate treatment are highlighted.
鹰综合征(ES)是指由于茎突延长或茎突复合体矿化导致的有症状的异常情况。如果未及时诊断和妥善治疗,茎突延长或茎突舌骨韧带过度矿化最终可能导致茎突舌骨复合体完全骨化。ES的非特异性头颈部症状可能给临床医生带来诊断挑战。因此,在评估有类似头颈部症状的患者时,将ES纳入鉴别诊断至关重要。一旦确诊,应根据病例的个体需求制定治疗方案并立即实施。治疗ES患者的方法包括药物治疗和手术治疗。然而,对于那些症状持续的患者,手术切除延长的茎突是首选治疗方法,可通过口内或口外途径进行。本文旨在介绍由于茎突舌骨复合体完全骨化导致的ES的不寻常临床症状和影像学表现。强调了正确诊断和适当治疗的重要性。