Strauss M, Zohar Y, Laurian N
Laryngoscope. 1985 Aug;95(8):976-9.
Elongated styloid process is a source of craniofacial and cervical pain. This condition is characterized by a dull, nagging, pharyngeal pain and a palpatory finding in the tonsillar fossa. Radiologic demonstration of styloid elongation is readily made in most instances. The incidence and pathogenesis of the styloid syndrome are discussed and the differential diagnosis detailed. The only effective treatment is surgical shortening of the styloid process. Eight patients undergoing surgery for elongated styloids are reported and the intraoral and external surgical approaches are presented. The external cervical approach is preferred since surgical visualization is optimal and the risk of deep cervical infection is minimal.
茎突过长是颅面和颈部疼痛的一个原因。这种情况的特点是咽部有钝痛、持续性疼痛，且在扁桃体窝有触诊发现。在大多数情况下，茎突过长的影像学表现很容易做出。本文讨论了茎突综合征的发病率和发病机制，并详细阐述了鉴别诊断。唯一有效的治疗方法是手术缩短茎突。报告了8例因茎突过长而接受手术的患者，并介绍了口内和外部手术方法。由于手术视野最佳且深部颈部感染风险最小，因此首选颈部外部手术入路。
