No2(4) 2021
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DOI 10.37219/2528-8253-2021-2-54 |
Pukhlik SM, Shchelkunov AP, Shchelkunov OA
Features of CT scan for the diagnosis of hypertrophy of the styloid
processes of the temporal bone and Eagle’s 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
Scopus Author ID: https://www.scopus.com/authid/detail.uri?authorId=6506298353
Shchelkunov Anatolii Petrovych
Odesa National Medical University
Otorhinolaryngology Department, Candidate of Medical Sciences, assistant
ORCID ID: https://orcid.org/0000-0002-7014-5729
Shchelkunov Oleksandr Anatoliiovych
Odesa National Medical University
Otorhinolaryngology Department , assistant
ORCID ID: https://orcid.org/0000-0002-4839-5844 |
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Abstract Topicality: 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 deep part 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: determine and evaluate the most significant and
distinctive X-ray signs of hypertrophied styloid processes of the temporal
bone; reveal differences in growth options and X-ray structure of the
styloid processes of the temporal bone in accordance with histological data;
eEvaluate the effect of conservative treatment of stylohyoid syndrome
depending on different growth options for the styloid process of the
temporal bone, according of the data of computed tomography.
Materials and methods of research: at the process of our work based
on diagnostics and treatment of stylohyoid syndrome, we analyzed 86 clinical
cases: 61 women and 25 men. Patients age varies from 35 till 70 years.
CT images with contrasting of the great vessels of the neck and functional
tests. Based on the analysis, we developed a scheme for determining the
variants of the styloid process growth, based on the CT data, in relation to
the data of the histological examination of the styloid processes of the
patients we operated on.
Results: The analysis of CT images and histological studies allows us
to divide the lengthening of the styloid processes of the temporal bone into
two groups, which we give the name "ossification", that is, the actual
growth of the styloid process and "calcification", that is, dystrophic
changes and deposits of calcium salts in the ligament. Accordingly, we are
developing approaches to conservative or to surgical treatment of this
pathology, taking into account the CT data, depending on the growth options
of the styloid process of the temporal bone. |
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Keywords
styloid process, stylohyoid syndrome, histological structure, computed
tomography, treatment. |
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