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内镜辅助经口切除鹰综合征中延长的骨折茎突:一例报告

Endoscope-assisted Transoral resection of an elongated fractured styloid process in Eagle syndrome: A case report.

作者信息

Abdullrahman Fares, Al-Ajami Majed, Abdullrahman Firas, Hamdy Jafar, Al-Ajami Maher

机构信息

Department of Otorhinolaryngology, Hama National Hospital, Hama, Syria.

Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Aleppo University, Aleppo, Syria.

出版信息

Int J Surg Case Rep. 2025 May;130:111270. doi: 10.1016/j.ijscr.2025.111270. Epub 2025 Apr 10.

Abstract

INTRODUCTION AND IMPORTANCE

Eagle's syndrome is a rare condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament; it is clinically characterized by unexplained referred pain that radiates into the mandible, ear, and throat, often misdiagnosed as various cervicocraniofacial disorders.

CASE PRESENTATION

A 38-year-old male presented with severe, unexplained neuralgic pain that persisted for about two months. The pain worsened with patient neck movements, and some relief was achieved only through lidocaine injections in the tonsillar bed. After multiple consultations with various specialists, investigations focused on a left elongated, non-displaced fracture of the styloid process, accompanied by calcification of the stylohyoid ligament, suggesting Eagle syndrome. The patient's symptoms significantly improved after surgery, with no recurrence of pain during the subsequent follow-up period.

CLINICAL DISCUSSION

Eagle syndrome is a rare condition that has no clear cause or specific treatment method and includes a group of nonspecific clinical symptoms.

CONCLUSION

It is important that this condition be diagnosed well and managed professionally, as it includes and encompasses important anatomical structures.

摘要

引言与重要性

伊格尔综合征是一种罕见疾病,与茎突延长或茎突舌骨韧带钙化有关;其临床特征为不明原因的牵涉痛,可放射至下颌、耳部和咽喉,常被误诊为各种颅面颈部疾病。

病例介绍

一名38岁男性出现严重的不明原因神经痛,持续约两个月。患者颈部活动时疼痛加剧,仅通过扁桃体床注射利多卡因才能稍有缓解。在多次咨询多位专家后,检查发现左侧茎突延长、无移位骨折,伴有茎突舌骨韧带钙化,提示为伊格尔综合征。手术后患者症状明显改善,后续随访期间未再出现疼痛复发。

临床讨论

伊格尔综合征是一种罕见疾病,病因不明,也没有特定的治疗方法,包括一组非特异性临床症状。

结论

正确诊断并进行专业管理非常重要,因为该疾病涉及重要的解剖结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b62/12018018/08abd4660c8a/gr1.jpg

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