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鹰综合征手术中的三维导航

3D navigation in surgery of Eagle syndrome.

作者信息

Czako L, Hirjak D, Simko K, Thurzo A, Janovszky A, Galis B

出版信息

Bratisl Lek Listy. 2019;120(7):494-497. doi: 10.4149/BLL_2019_078.

DOI:10.4149/BLL_2019_078
PMID:31602983
Abstract

NTRODUCTION

Eagle's syndrome is a rare condition caused by the elongation of the styloid process (> 4 cm) or calcification of the stylohyoid ligament. Patients with Eagle's syndrome typically present various clinical symptoms, such as headache, facial pain, neck pain, pulsating pain, sore throat, foreign body sensation, dysphagia, dysphonia, cough, voice changes, otalgia or vertigo. 3D printing refers to processes in which successive layers of material are formed from 3D computer tomography data to synthesize a three-dimensional object. This new diagnostic technique of rapid prototyping technology led to innovative new applications in biomedicine.

OBJECTIVE

The primary goal for this case study was to find out, whether the nowadays so popular 3D technology aids in the treatment of the Eagle syndrome or other similar craniofacial abnormalities during the surgical procedure.

CASE PRESENTATION

We report a case of a patient who initially presented a combination of symptoms like headache, sore throat, neck pain, which exacerbated with the movement of the head. This case report provides a brief review of the diagnosis and surgical management of the Eagle's syndrome with the help of 3D model navigation.

CONCLUSION

Eagle's syndrome is difficult to diagnose due to its wide variability in symptoms. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with great benefit to the maxillofacial surgery. With the assistance of 3D technology, it is much easier for the surgeon to plan the surgical approach and the surgery, and significantly reduce the operation time (Fig. 3, Ref. 22).

摘要

引言

鹰综合征是一种罕见病症,由茎突过长(>4厘米)或茎突舌骨韧带钙化引起。鹰综合征患者通常会出现各种临床症状,如头痛、面部疼痛、颈部疼痛、搏动性疼痛、喉咙痛、异物感、吞咽困难、声音嘶哑、咳嗽、声音改变、耳痛或眩晕。3D打印是指根据3D计算机断层扫描数据形成连续材料层以合成三维物体的过程。这种快速成型技术的新诊断技术在生物医学领域带来了创新的新应用。

目的

本病例研究的主要目的是查明如今如此流行的3D技术在手术过程中是否有助于治疗鹰综合征或其他类似的颅面异常。

病例介绍

我们报告一例患者,其最初表现出头痛、喉咙痛、颈部疼痛等症状组合,这些症状在头部移动时会加重。本病例报告借助3D模型导航对鹰综合征的诊断和手术治疗进行了简要回顾。

结论

由于鹰综合征症状差异很大,因此难以诊断。3D打印固有的准确性和其他特性使其在解剖学教育和手术中有着令人兴奋的应用,对颌面外科大有裨益。在3D技术的辅助下,外科医生更容易规划手术入路和手术过程,并显著缩短手术时间(图3,参考文献22)。

相似文献

1
3D navigation in surgery of Eagle syndrome.鹰综合征手术中的三维导航
Bratisl Lek Listy. 2019;120(7):494-497. doi: 10.4149/BLL_2019_078.
2
The Syndrome of Elongated Styloid Process, the Eagle's Syndrome-From Anatomical, Evolutionary and Embryological Backgrounds to 3D Printing and Personalized Surgery Planning. Report of Five Cases.茎突过长综合征、鹰钩综合征——从解剖学、进化和胚胎学背景到 3D 打印和个性化手术规划。五例报告。
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Eagle's Syndrome, from clinical presentation to diagnosis and surgical treatment: a case report.鹰综合征:从临床表现到诊断及外科治疗——病例报告
Acta Otorhinolaryngol Ital. 2018 Apr;38(2):166-169. doi: 10.14639/0392-100X-1479.
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Cervicofacial pain associated with Eagle's syndrome misdiagnosed as trigeminal neuralgia.与误诊为三叉神经痛的鹰综合征相关的颈面部疼痛。
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引用本文的文献

1
Neurological phenotypes and treatment outcomes in Eagle syndrome: systematic review and meta-analysis.Eagle 综合征的神经表型和治疗结局:系统评价和荟萃分析。
PeerJ. 2024 Jun 26;12:e17423. doi: 10.7717/peerj.17423. eCollection 2024.
2
Classic Eagle's Syndrome: Styloidectomy via the Transcervical Approach.经典型颈肋综合征:经颈前路行茎突切除术。
BMJ Case Rep. 2021 Aug 11;14(8):e244634. doi: 10.1136/bcr-2021-244634.
3
Variant Anatomy and Its Terminology.变异解剖学及其术语。
Medicina (Kaunas). 2020 Dec 18;56(12):713. doi: 10.3390/medicina56120713.