Mortier Julie, Van Laer Carl, Mariën Steven
Department of Otorhinolaryngology, UZA, Antwerp, Belgium.
Department of Otorhinolaryngology, UZA, Antwerp, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Am J Otolaryngol. 2024 Nov-Dec;45(6):104405. doi: 10.1016/j.amjoto.2024.104405. Epub 2024 Jul 27.
In 1968, Steinmann described the hyoid bone syndrome as a degenerative and inflammatory insertion tendinosis. It causes unilateral pain in the neck, increased by swallowing and palpation. The treatment is conservative, but when this fails, surgery is an option. Our aim is to assess the post-operative outcome of patients for whom a surgical hyoid bone resection procedure was performed in the University Hospital of Antwerp (UZA).
A retrospective study was performed. Patients were seen at the laryngology clinic in the UZA from 2018 until 2023. They were diagnosed with the hyoid bone syndrome based on anamnesis and clinical examination. Pre-operative imaging was performed to evaluate for anatomical changes and fiberoptic laryngoscopy performed to exclude other causes. Pre- and postoperative VAS pain scores were questioned.
Seventeen patients were operated, two of them bilaterally. All patients had pain located to the affected side, and almost half of patients (n = 7) had dysphagia. On imaging, 10 patients had an elongated styloid process and 7 had calcification of the stylohyoid ligament. All patients underwent resection of the greater horn of the hyoid bone, 13 patients underwent resection of the stylohyoid ligament and in 9 patients the superior horn of the thyroid cartilage was removed. Mean pre-operative VAS pain score was 9 (/10) and mean postoperative score was 1.3 (/10).
Our preliminary results show a good clinical effect of the surgical excision procedure and offer insight in the hyoid bone syndrome. Follow-up is necessary to assess the long-term results and potential recurrence of symptoms.
1968年，施泰曼将舌骨综合征描述为一种退行性和炎症性附着点肌腱病。它会导致颈部单侧疼痛，吞咽和触诊时疼痛加剧。治疗方法是保守治疗，但如果保守治疗失败，手术也是一种选择。我们的目的是评估在安特卫普大学医院（UZA）接受舌骨切除手术的患者的术后结果。
进行了一项回顾性研究。2018年至2023年期间，患者在UZA的耳鼻喉科诊所就诊。他们根据病史和临床检查被诊断为舌骨综合征。术前进行影像学检查以评估解剖结构变化，并进行纤维喉镜检查以排除其他病因。询问术前和术后的视觉模拟评分（VAS）疼痛评分。
17例患者接受了手术，其中2例为双侧手术。所有患者的疼痛均位于患侧，近一半患者（n = 7）有吞咽困难。影像学检查显示，10例患者有茎突过长，7例有茎突舌骨韧带钙化。所有患者均接受了舌骨大角切除术，13例患者接受了茎突舌骨韧带切除术，9例患者切除了甲状软骨上角。术前VAS疼痛评分平均为9（/10），术后平均评分为1.3（/10）。
我们的初步结果显示手术切除程序具有良好的临床效果，并为舌骨综合征提供了见解。需要进行随访以评估长期结果和症状的潜在复发情况。
