Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.
Stanford University, Stanford, California, U.S.A.
Laryngoscope. 2020 Mar;130(3):702-705. doi: 10.1002/lary.28018. Epub 2019 May 3.
Anterior cervical pain syndromes (ACPS) are a poorly understood entity associated with lateral neck discomfort when talking, chewing, or yawning, and with occasional excruciating pain and dysphagia. This investigation aims to describe patients with ACPS presenting symptoms and treatments.
Retrospective chart review of all patients with ACPS presenting to a tertiary care laryngology practice in 1 year.
All patients diagnosed with ACPS for 1 year were reviewed. Patient gender, age, body mass index (BMI), and pain triggers were documented. The hyolaryngeal complex was measured on computed tomography (CT) scans of the neck. Treatments were recorded.
Nine patients were diagnosed with an ACPS in a 1-year period. Sixty-seven percent were female with an average age of 47.3 years ± 16.6. The average BMI of a patient with ACPS was 24.8 ± 3.69. The most common symptom was point tenderness at the lateral aspect of the hyoid or superior cornu of the thyroid cartilage (89%). Pain triggers included speaking (67%), head turn (56%), chewing (44%), yawning (56%), and swallowing (56%). On CT imaging, eight of nine patients had abnormalities of the hyoid bone or the superior cornu of the thyroid cartilage, correlating 100% with point tenderness location. Treatments include physical therapy (33%), steroid injection (44%), lidocaine injection (22%), and surgical intervention (56%).
ACPS is a frustrating condition for patients and physicians. Evaluation of anterior cervical pain with point tenderness should include imaging measurement of the thyrohyoid complex. Effective treatments include local steroid injection and surgical resection of the abnormal structure.
4 Laryngoscope, 130:702-705, 2020.
颈前疼痛综合征（ACPS）是一种尚未被充分了解的病症，其特征是在说话、咀嚼或打哈欠时出现颈部侧面不适，偶尔还会出现剧痛和吞咽困难。本研究旨在描述出现 ACPS 症状和接受治疗的患者情况。
对 1 年内到一家三级护理喉科就诊的所有颈前疼痛综合征患者进行回顾性图表审查。
对 1 年内被诊断为颈前疼痛综合征的所有患者进行回顾。记录患者的性别、年龄、体重指数（BMI）和疼痛触发因素。通过颈部 CT 扫描测量舌骨-喉复合体。记录治疗方法。
在 1 年期间，有 9 名患者被诊断为颈前疼痛综合征。女性占 67%，平均年龄为 47.3 岁±16.6 岁。颈前疼痛综合征患者的平均 BMI 为 24.8±3.69。最常见的症状是舌骨或甲状软骨上角的外侧有压痛（89%）。疼痛触发因素包括说话（67%）、转头（56%）、咀嚼（44%）、打哈欠（56%）和吞咽（56%）。在 CT 成像上，9 名患者中有 8 名存在舌骨或甲状软骨上角的异常，与压痛部位完全吻合，符合率为 100%。治疗方法包括物理治疗（33%）、类固醇注射（44%）、利多卡因注射（22%）和手术干预（56%）。
颈前疼痛综合征是一种令患者和医生都感到沮丧的病症。对于颈前疼痛伴有压痛的患者，应进行包括甲状腺舌骨复合体影像学测量的评估。有效的治疗方法包括局部类固醇注射和异常结构的手术切除。
4《喉镜》，130：702-705，2020 年。
