No4(4) 2021
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DOI 10.37219/2528-8253-2021-4-72 |
Pukhlik SM, Shchelkunov AP, Shchelkunov OA
Improvement of methods of diagnosis the hypertrophy of the styloid process
of the temporal bone and stylohyoid syndrome in an outpatient and polyclinic
conditions using functional tests |
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 |
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Abstract
The Eagle's syndrome is a disease is caused by irritation of the nervous,
vascular and muscular structures the 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 in to the root of the tongue, pharynx and ear,
dysphagia, symptoms of disorders of the circulation of the brain. Symptoms
of Eagle’s syndrome are founding various otolaryngological, dental,
neurological diseases.
Aim: due to the lack of information on the development and course of
the stylohyoid syndrome, conservative treatment and the complexity of
diagnosis, the anatomical features of the hypertrophied styloid process,
their length and angles of deviation and the need for local impact on the
process, the stylohyoid ligament and the neurovascular bundle, to varying
degrees presenting to the styloid process, it becomes necessary to develop
the most effective and simple method for diagnosis a hypertrophied styloid
process and to optimize the need for CT examination with contrasting of the
great vessels of the neck and performing functional tests.
Materials and methods: Over the past 9 years, we examined and treated
184 patients. The appeals were random, with no specific focus. Of these,
there were 133 women (72.3%), men – 51 (27.7%); age – from 25 to 70 years
old: 25-30 years old – 15 people (8.1%), 30-45 years old – 116 (63%), 45-60
years old – 38 (20.6%), 60-70 years old – 15 (8.1%); the duration of the
disease is from 1 to 10-15 years. Our work was aimed at improving and
simplifying the diagnosis of the hypertrophied styloid process during the
initial treatment of the patient in an outpatient and polyclinic conditions
using functional tests, determining the need to refer patients to CT
examination to visualize the relationship of the elongated styloid process
with the main vessels of the neck, the possibility of pressure of the append
age on the vessels and nerves of the neck, both at rest and in the movement
of the head and neck, the development of impaired blood circulation in the
brain due to impaired blood flow through the arteries and impaired out flow
through the veins, and the development of corresponding symptoms in addition
to those described in the literature.
Due to the difficulty of diagnosing hypertrophy of the styloid process of
the temporal bone in an outpatient and polyclinic conditions and the lack of
awareness of practical otolaryngologists about this problem, we proposed a
scheme for examining patients with suspicion of this problem. |
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Keywords
styloid process, stylohyoid syndrome, diagnosis. |
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