Terenzi Valentina, Giovannetti Filippo, Barbera Giorgio, Raponi Ingrid, Valentini Valentino
Oncological and Reconstructive Maxillo Facial Surgery Department, Policlinico Umberto I of Rome, "Sapienza" University of Rome, Rome, Italy.
J Craniofac Surg. 2019 Nov-Dec;30(8):e775-e776. doi: 10.1097/SCS.0000000000005767.
The aim of this work is to illustrate a transoral mini-invasive approach to safely remove elongated styloid process in Eagle syndrome. A 34-year-old Asian male came to our center referring pharyngeal and cervical pain on the right side on swallowing and opening the mouth. Computed tomography showed elongation of the right styloid process. Surgical removal was performed through endoscopy-assisted intraoral approach using a pituitary curette to perform dissection and piezosurgery for the osteotomy. Surgical intervention was completed in 25 minutes. Postoperative period was uneventful except for transient (12 hours) right facial palsy that resolved spontaneously. Two months after surgery, patient referred resolution of symptoms. This technique is easy to perform and permits to obtain good result with reduction of surgical time and with low risk of complication.
这项工作的目的是阐述一种经口微创方法，以安全地切除鹰综合征中伸长的茎突。一名34岁的亚洲男性来到我们中心，称吞咽和张口时右侧咽部和颈部疼痛。计算机断层扫描显示右侧茎突伸长。通过内镜辅助经口入路，使用垂体刮匙进行解剖，并使用压电手术进行截骨，实施手术切除。手术干预在25分钟内完成。术后除了短暂（12小时）的右侧面神经麻痹并自行缓解外，病程顺利。术后两个月，患者称症状消失。该技术操作简便，能缩短手术时间并降低并发症风险，从而取得良好效果。
