Thielen A, Brizzi V, Majoufre C, Nicot R, Schlund M
Université de Bordeaux, CHU Bordeaux, Service de Chirurgie Maxillo-Faciale et Stomatologie, Bordeaux, France.
Vascular and Endovascular Surgery Unit, Bordeaux University Hospital, Bordeaux, France.
Int J Oral Maxillofac Surg. 2025 Jan;54(1):31-42. doi: 10.1016/j.ijom.2024.09.011. Epub 2024 Oct 15.
Vascular complications occurring in Eagle syndrome are seldom described. The aim of this study was to systematically review the occurrence, characteristics, and management outcomes of vascular complications occurring in Eagle syndrome. A systematic review was conducted with a search in several databases. The research question was "What characterizes Eagle syndrome with vascular complications and how should it be managed?" The initial search yielded 4145 results; 150 of these were included, reporting a total of 231 patients with vascular complications. Arterial impingement (67.5%) was more frequent than venous impingement (32.5%). The most frequent consequence of arterial impingement was stroke (46.8%), while for venous impingement it was chronic headache (68%). Seventy-nine patients underwent styloidectomy as initial treatment: 78.5% of the patients were cured and 19.0% improved, while only 2.5% showed a recurrence. On the other hand, among the 106 patients treated medically without initial styloidectomy, only 24.5% of the patients were cured, 28.3% improved, and 47.2% had a recurrence. The association of symptoms of classic Eagle syndrome with neurovascular symptoms should prompt clinicians to consider this diagnosis and to measure the styloid length. Styloidectomy is the treatment of choice to obtain the best cure rate and reduce recurrence.
鹰嘴综合征中发生的血管并发症很少被描述。本研究的目的是系统评价鹰嘴综合征中发生的血管并发症的发生率、特征及治疗效果。通过在多个数据库中进行检索开展了一项系统评价。研究问题为“伴有血管并发症的鹰嘴综合征有哪些特征，应如何治疗？”初步检索得到4145条结果；其中150条被纳入，共报道了231例伴有血管并发症的患者。动脉受压迫（67.5%）比静脉受压迫（32.5%）更常见。动脉受压迫最常见的后果是中风（46.8%），而静脉受压迫则是慢性头痛（68%）。79例患者接受茎突切除术作为初始治疗：78.5%的患者治愈，19.0%的患者病情改善，只有2.5%的患者复发。另一方面，在106例未接受初始茎突切除术而接受药物治疗的患者中，只有24.5%的患者治愈，28.3%的患者病情改善，47.2%的患者复发。经典鹰嘴综合征的症状与神经血管症状的关联应促使临床医生考虑这一诊断并测量茎突长度。茎突切除术是获得最佳治愈率并减少复发的首选治疗方法。
