No1(4) 2021
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DOI 10.37219/2528-8253-2021-1-40 |
Pukhlik SM, Shchelkunov AP, Shchelkunov OA, Savenko TA
Variants of the histological structure of the styloid processes of the
temporal bone |
Pukhlik Sergey Mikhailovich
Odessa National Medical University
Head of the Department of Otorhinolaryngology
Doctor of Medical Sciences, Professor
E-mail: lor@te.net.ua.
Orchid: http://orcid.org/0000-0001-7196-9642
https://www.scopus.com/authid/detail.uri?authorId=6506298353
Shchelkunov Anatolii Petrovych
Odesa National Medical University
Otorhinolaryngology Department , Candidate of Medical Sciences , assistant
https://orcid.org/0000-0002-7014-5729
Shchelkunov Oleksandr Anatoliiovych
Odesa National Medical University
Otorhinolaryngology Department , assistant
https://orcid.org/0000-0002-4839-5844
Savenko Tetiana Oleksandrivna
Pathologist Odesa regional
Pathoanatomical bureau
https://orcid.org/0000-0002-4220-9860 |
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Abstract
The Eagle’s syndrome is a disease that is caused by irritation of the
nervous, vascular and muscular structures that surround the subcutaneous
process of the temporal bone. A syndrome manifested by chronic pain at the
deeppart of the lateral region of the face, which irradiates into the root
of the tongue, pharynx and ear, dysphagia, symptoms of disorders of the
circulation of the brain. Symptoms of Eagle’s syndrome are found in various
otolaryngological, dental, neurological diseases.
Purpose of the study: identify and evaluate the most significant
histologic features of hypertrophied styloid processes of the temporal bone;
identify differences in variants of their growth, according to histological
differences; to estimate influence of conservative therapy, that prior to
the surgical treatment, to the histological structure of the subulate
processes.
Materials and methods: at the course of our work based on the
diagnosis and treatment of the Eagle’s syndrome, we performed 32 operations
for resection of the styloid processes of the temporal bone, despite the
ineffectiveness of conservative treatment. All fragments of there moved
styloid processes of the temporal bone were sent to histological
examination. The performed histological researches al low at present
conditionally, according to a small number of the examined patients, to
carry out classification of the styloid processes of the temporal bone into
two groups. Give names to groups: “ossification”, i.e. the actual growth of
the styloid process and “calcification”, i.e. dystrophic changes due to the
deposition of calcium salts. Accordingly, we are developing approaches to
conservative or surgical treatments of this pathology. |
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Keywords
styloid process, neurovascular bundle of the neck, ossification,
calcification. |
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