No6(2) 2019
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DOI 10.37219/2528-8253-2019-6-80 |
Pukhlik SM, Shchelkunov AP, Shchelkunov AA.
Diagnostic criteria and result of treatment of Eagle syndrome |
Pukhlik Sergey Mikhailovich
Odessa National Medical University
Head of the Department of Otorhinolaryngology
Doctor of Medical Sciences, Professor
E-mail: lor@te.net.ua.
ORCID ID: http://orcid.org/0000-0001-7196-9642
Shchelkunov Anatoly Petrovich
Odessa National Medical University
Department of Otorhinolaryngology
Candidate of Medical Sciences |
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Abstract
Relevance: Styloid process syndrome – a disease which is caused by
irritation of the styloid process of the temporal bone surrounding the
nerve, vascular and muscle structures. The syndrome is manifested by chronic
painin deep division of the facial area referred to the root of the tongue,
throat and ear, dysphagia, symptoms of circulatory disorders of the brain.
Because of the low awareness of the disease practical specialists usually
miss the diagnoses. Patients with different diagnoses are treated by
different specialists; most often the prescribed symptomatic treatment is
ineffective or does not give any result at all. The syndrome causes severe
suffering to patients, reduces the quality of life.
Purpose of the study: Assess the most significant clinical signs of
the disease, mutual work between hypertrophied styloid process with the
neurovascular neck formations, the effectiveness of conservative and
surgical treatment.
Materials and methods: 144 people were examined and treated by us. Of
these, 103 women (71,5%), 41 men (28,5%), aged 25 to 70 years. The disease
lasts from one year until 10-15 years. Tomography of the styloid processes
with 3D reconstruction and contrasting of the main vessels of the neck was
used.
Results of the study and the discussion: we proposed a grading scale
for the quality of the treatment, the five-point scale. The quality of the
treatment was assessed by the number of reduction in scores and,
accordingly, patient complaints. Of the total number of patients – 144
people, the success of the treatment by 0 points was assessed by 60 people
(that is, absence of any symptomatology) (41,7%), 1 point – 44 (30,5%), 2-3
points – 27 (18,7%), 4-5 points – 13 (9%), that is significant effect of the
treatment was not achieved. To all those people with the result of the
treatment was estimated at 4-5 points, respectively, was proposed an
operative method of the treatment – the resection of the styloid process
from the corresponding side.
Conclusions: Because of the lack of knowledge of such important topic
it is necessary to improve diagnostic methods. Hypertrophy of the styloid
process is not the main reason of the development of styloid syndrome; the
degree of deviation of the process is important. Conservative treatment in
most cases has a lasting effect, but has repeated symptoms after a certain
period of time; surgical treatment should be directed to the maximal
resection of styloid process for decreasing the axis pressure on the
neurovascular bundle of the neck. |
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Keywords styloid process, neurovascular bundle of the neck, functional
samples. |
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