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揭示的颈动脉痛:舌骨综合征。

Carotodynia exposed: hyoid bone syndrome.

作者信息

Lim R Y

出版信息

South Med J. 1987 Apr;80(4):444-6. doi: 10.1097/00007611-198704000-00009.

DOI:10.1097/00007611-198704000-00009
PMID:3563575
Abstract

The hyoid bone syndrome, first described in 1954, is manifested by tenderness near the greater horn of the hyoid bone. In 1968, the syndrome was reported to be a form of insertion tendinosis, and injection of procaine HCl with corticosteroid at the tip of the greater horn was found to provide temporary relief of pain. I report 50 patients with the hyoid bone syndrome who had excision of the involved greater horn after one month of conservative medical treatment failed to relieve the pain. Operation promptly relieved pain in 45 (90%) of the patients. An understanding of the close relationship between the greater horn of the hyoid and the posterior pharynx and carotid sinus is important in detecting the hyoid bone syndrome.

摘要

舌骨综合征于1954年首次被描述,表现为舌骨大角附近压痛。1968年,该综合征被报告为一种附着点肌腱病,发现在舌骨大角尖端注射盐酸普鲁卡因加皮质类固醇可暂时缓解疼痛。我报告了50例舌骨综合征患者,他们在接受一个月的保守药物治疗未能缓解疼痛后,接受了受累大角切除术。手术迅速缓解了45例(90%)患者的疼痛。了解舌骨大角与下咽和颈动脉窦之间的密切关系对于诊断舌骨综合征很重要。

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引用本文的文献

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Clicking hyoid: A rare case report and review.舌骨弹响:一例罕见病例报告及文献复习
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Eur Arch Otorhinolaryngol. 2012 Jan;269(1):9-16. doi: 10.1007/s00405-011-1746-0. Epub 2011 Aug 13.
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Hyoid bone insertion tendinitis: clinicopathologic correlation.舌骨附着处肌腱炎:临床病理相关性
Eur Arch Otorhinolaryngol. 2007 May;264(5):557-60. doi: 10.1007/s00405-006-0220-x. Epub 2007 Jan 4.