Chen Renhui, Liang Faya, Han Ping, Cai Qian, Yu Shitong, Huang Xiaoming
Attending, Department of Otolaryngology-Head and Neck Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
J Oral Maxillofac Surg. 2017 Jul;75(7):1442-1448. doi: 10.1016/j.joms.2017.01.016. Epub 2017 Jan 26.
Conventional resection of the elongated styloid process is associated with large-scale tissue dissection and poor surgical exposure. The purpose of this study was to show the feasibility, efficacy, and safety of a novel surgical approach using an endoscopic technique to treat Eagle syndrome.
The authors implemented a retrospective cohort study composed of 133 patients undergoing endoscope-assisted styloidectomy (EAS) from June 2010 to August 2015 at a university teaching hospital. Outcome measurements included the length of the styloid process, blood loss, and duration of surgery. The simple verbal response scale for symptom relief, cosmetic appearance of the incision, and postoperative incision pain was used for the assessment of patients' subjective satisfaction.
All patients underwent EAS without conversion to conventional surgery. One hundred seven patients (80.5%) achieved complete relief of symptoms, with 20 (15%) achieving partial relief. The residual length of the styloid process was 10.1 ± 4.4 mm. One hundred seventy-two incision sides (75.8%) had no pain during the postoperative evaluation. One side (0.4%) showed slight transient facial paresis and 4 sides (1.8%) presented transient ear numbness. The vast majority of patients (122 of 133; 91.7%) considered the cosmetic appearance of the incision to be excellent.
The results of this study suggest that EAS provides a viable surgical approach for Eagle syndrome in efficacy and safety.
传统的细长茎突切除术需要进行大规模的组织解剖，手术暴露不佳。本研究的目的是展示一种使用内镜技术治疗鹰综合征的新型手术方法的可行性、有效性和安全性。
作者进行了一项回顾性队列研究，研究对象为2010年6月至2015年8月在一家大学教学医院接受内镜辅助茎突切除术（EAS）的133例患者。观察指标包括茎突长度、失血量和手术时间。采用症状缓解的简单言语反应量表、切口的美容外观以及术后切口疼痛来评估患者的主观满意度。
所有患者均接受了EAS，未转为传统手术。107例患者（80.5%）症状完全缓解，20例患者（15%）部分缓解。茎突的残余长度为10.1±4.4毫米。172个切口侧（75.8%）在术后评估时无疼痛。1侧（0.4%）出现轻微短暂性面瘫，4侧（1.8%）出现短暂性耳部麻木。绝大多数患者（133例中的122例；91.7%）认为切口的美容外观极佳。
本研究结果表明，EAS在疗效和安全性方面为鹰综合征提供了一种可行的手术方法。
