Al-Khanati Nuraldeen M, Taha Dunia H, Kara Beit Zafin
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Damascus University, Damascus, SYR.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Syrian Private University, Damascus, SYR.
Cureus. 2023 Sep 7;15(9):e44853. doi: 10.7759/cureus.44853. eCollection 2023 Sep.
Objectives Elongation of the styloid process causes different symptoms with varying degrees of severity in some people. This elongation can be detected haply during routine reading of panoramic X-ray. The aim of this study is to determine the prevalence rate of Eagle's syndrome among a population from Damascus, Syria, and to evaluate the accompanying clinical symptoms. Methods This is a descriptive epidemiological study including 3,962 patients who attended one of the many dental clinics of educational and/or healthcare institutions in Damascus. All digital panoramic radiographs were reviewed, and the styloid processes were measured and assessed for elongation. Patients with styloid process of more than 3 cm in length were contacted and their consents were obtained to participate in the study to assess the presence of clinical symptoms. Results Radiographic elongation of the styloid process was found in 179 out of the 3,962 assessed dental records (prevalence rate was 4.5%). Length ranged from 30 to 90 mm, with an average of 55.9 mm. Of the patients with elongated styloid process, 10.2% had undergone tonsillectomy. All patients who underwent tonsil surgeries were symptomatic with at least three of the studied symptoms. Symptoms included peri-orbital pain (40.9%), orbital pain (35.2%), neck and shoulders pain (52.3%), ipsilateral headache (58%), earache (30.7%), tinnitus (37.5%), articular clicking (29.5%), throat pain (31.8%), globus sensation (22.7%), and dysphagia (21.6%). Conclusions The prevalence of Eagle's syndrome according to this study was 4.5%. Patients who had undergone tonsillectomy were more likely to be more symptomatic. The most common symptom was severe headache (migraine) on the same side of styloid elongation. Panoramic radiography is a low-cost means that can be helpful in the diagnosis of vague pain and symptoms caused by Eagle's syndrome in the head and neck regions.
目的 茎突过长在一些人身上会引发不同程度的各种症状。这种过长情况可能在常规读取全景X线片时偶然被发现。本研究的目的是确定叙利亚大马士革人群中鹰综合征的患病率，并评估伴随的临床症状。方法 这是一项描述性流行病学研究，纳入了在大马士革教育和/或医疗机构的众多牙科诊所就诊的3962名患者。对所有数字化全景X线片进行复查，测量并评估茎突是否过长。对于茎突长度超过3厘米的患者，联系并征得他们同意参与研究以评估临床症状的存在情况。结果 在3962份评估的牙科记录中，发现179份存在茎突的影像学过长情况（患病率为4.5%）。长度范围为30至90毫米，平均为55.9毫米。茎突过长的患者中，10.2%曾接受扁桃体切除术。所有接受扁桃体手术的患者都至少有三种所研究的症状。症状包括眶周疼痛（40.9%）、眼眶疼痛（35.2%）、颈部和肩部疼痛（52.3%）、同侧头痛（58%）、耳痛（30.7%）、耳鸣（37.5%）、关节弹响（29.5%）、咽痛（31.8%）、咽部异物感（22.7%）和吞咽困难（21.6%）。结论 根据本研究，鹰综合征的患病率为4.5%。接受过扁桃体切除术的患者更易出现症状。最常见的症状是茎突过长同侧的严重头痛（偏头痛）。全景X线摄影是一种低成本手段，有助于诊断头颈部由鹰综合征引起的模糊疼痛和症状。
