Lambor Dheeraj V, Shetgaunkar Radhika Ranganath, De Sa Carnegie
Department of ENT, Goa Medical College and Hospital, Bambolim, Goa 403201 India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):2198-2204. doi: 10.1007/s12070-020-02074-7. Epub 2020 Aug 26.
Evidence from research and literature suggest that Eagle's syndrome may present with a variety of symptoms creating diagnostic predicament amongst clinicians. We describe a detailed clinical review of symptomatology, diagnosis and management of hundred and one cases of stylalgia. The aim of our study was to asses effectiveness of intraoral styloidectomy as a definitive modality of treatment in stylalgia. A prospective clinical study was conducted in a tertiary referral centre and included 101 patients presenting with symptoms suggestive of stylalgia. The diagnosis of stylalgia was confirmed by history and clinical examination supplemented by orthopentomogram. All patients underwent intra oral styloidectomy following adequate trial of medical treatment. The success rate of intraoral styloidectomy was found to be 80. 19% i.e. 81 out of 101 patients were considered as cured based on pain assessment using visual analogue scale pre and post operatively. Though medical treatment can provide short term relief of symptoms, styloidectomy is the proven definitive modality of treatment for stylalgia.
研究和文献证据表明，鹰综合征可能表现出多种症状，给临床医生带来诊断困境。我们描述了对101例茎突痛患者的症状、诊断和治疗进行的详细临床回顾。我们研究的目的是评估口内茎突切除术作为茎突痛的一种确定性治疗方式的有效性。在一家三级转诊中心进行了一项前瞻性临床研究，纳入了101例有茎突痛症状的患者。通过病史、临床检查并辅以全景X线片来确诊茎突痛。所有患者在充分尝试药物治疗后均接受了口内茎突切除术。口内茎突切除术的成功率为80.19%，即根据术前和术后使用视觉模拟量表进行的疼痛评估，101例患者中有81例被认为治愈。虽然药物治疗可以提供短期症状缓解，但茎突切除术是已被证实的茎突痛确定性治疗方式。
