Robinson P J, Davis J P, Fraser J G
Department of Otolaryngology, University College Hospital, London.
J Laryngol Otol. 1994 Oct;108(10):855-8. doi: 10.1017/s0022215100128324.
This paper reports on 13 patients with a pain syndrome arising from the region of the greater cornu of the hyoid bone. It is often missed and yet is readily treatable. The syndrome causes pain on swallowing in the region of the hyoid which may radiate to the ear, face and lower jaw or may be felt also in the pharynx. Treatment by an injection of a mixture of depomedrone and one per cent lignocaine is very effective. The underlying pathology is discussed and it is suggested that in some cases the pain and discomfort experienced by patients may be due to tenosynovitis of the intermediate tendon of the digastric muscle. Greater recognition of this relatively common condition would not only result in more effective treatment but would also avoid unnecessary investigation and surgery.
本文报道了13例因舌骨大角区域引发疼痛综合征的患者。该病症常常被漏诊，但却易于治疗。该综合征会导致舌骨区域吞咽时疼痛，疼痛可能放射至耳部、面部和下颌，也可能在咽部被感觉到。注射得宝松和1%利多卡因的混合剂进行治疗非常有效。文中讨论了潜在的病理机制，并指出在某些情况下，患者所经历的疼痛和不适可能是由于二腹肌中间腱的腱鞘炎所致。对这种相对常见病症的更多认识不仅会带来更有效的治疗，还能避免不必要的检查和手术。
