Jeker Raphael, März Linda, Horvath Lukas
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Diagnostics (Basel). 2024 Jun 12;14(12):1227. doi: 10.3390/diagnostics14121227.
Neck pain is commonly referred to an ENT specialist and can be caused by the little-known inflammatory condition of the lateral thyrohyoid ligament. The pathophysiology of this condition is believed to be inflammation subsequent to over-exertion or cervical trauma. Typically, patients present with chronic unilateral neck pain. Elicitation of localized tenderness over the axis of the lateral thyrohyoid ligament on palpation is a key finding for its diagnosis. We present an unusual case with an acute course and subcutaneous inflammation and discuss its management in an effort to raise awareness for this often-misdiagnosed syndrome.
A systematic literature research on PubMed was performed selecting patients with a definitive diagnosis of thyrohyoid syndrome or lateral thyrohyoid ligament syndrome.
We collected 54 cases from three studies. This condition is an important differential diagnosis for acute or chronic antero-lateral or unilateral neck pain.
No specific radiological findings are defined and a CT scan is therefore not necessary for its diagnosis, but ultrasound is a useful tool to primarily assess any neck lesion. Once the diagnosis is made, a local infiltration of steroids is the most sustainable treatment option and relapse prevention.
颈部疼痛常被转诊至耳鼻喉科专家处，可能由鲜为人知的甲状舌骨外侧韧带炎症性疾病引起。这种疾病的病理生理学被认为是过度劳累或颈部创伤后的炎症。通常，患者表现为慢性单侧颈部疼痛。触诊时甲状舌骨外侧韧带轴线上出现局部压痛是其诊断的关键发现。我们报告一例病程急性且伴有皮下炎症的不寻常病例，并讨论其治疗方法，以提高对这种常被误诊综合征的认识。
在PubMed上进行系统的文献研究，选择确诊为甲状舌骨综合征或甲状舌骨外侧韧带综合征的患者。
我们从三项研究中收集了54例病例。这种疾病是急性或慢性前外侧或单侧颈部疼痛的重要鉴别诊断。
尚无明确的特异性影像学表现，因此CT扫描对其诊断并非必要，但超声是初步评估任何颈部病变的有用工具。一旦确诊，局部注射类固醇是最有效的治疗选择和预防复发的方法。
