No3-4(5) 2022
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DOI 10.37219/2528-8253-2022-3-77 |
Shchelkunov AP, Pukhlik SM, Titarenko OV, Shchelkunov OA
Development and improvement of methods of conservative treatment of
stylohyoid syndrome |
Shchelkunov Anatolii Petrovych
Odesa National Medical University
Otorhinolaryngology Department, Candidate of Medical Sciences, assistant
e-mail: anatolii_shelkunov@i.ua
https://orcid.org/0000-0002-7014-5729
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 Oleksandr Anatoliiovych
Odesa National Medical University
Otorhinolaryngology Department, assistant
https://orcid.org/0000-0002-4839-5844 |
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Abstract
Stylohyoid syndrome is a disease caused by irritation of the surrounding
nerve, vascular and muscle structures by the styloid process, located at the
temporal bone. The syndrome is manifested by chronic pain in the deep part
of the lateral region of the face, radiating to the root of the tongue,
pharynx and ear, dysphagia, and symptoms of cerebral circulatory disorders.
The purpose of the study: to develop and improve accessible, safest
and not leaving pronounced cosmetic defects, methods of conservative
treatment of patients with stylohyoid syndrome and prevention of the
recurrence of the described symptoms in the future.
Materials and methods of research: Our work was aimed at improving
and simplifying the methods of conservative and surgical treatment of
patients with symptoms of stylohoid syndrome, taking into account the data
of CT studies with contrast and functional tests and palpation of the
oropharynx, as well as using functional tests , to determine the smallest
distance of the apex of the styloid process of the temporal bone to the
lateral wall of the oropharynx and determine the most optimal region for the
injection of a medicinal substance.
The material for our research and proposals was the examination and
treatment of 204 patients over a 10-year period. Of these, there were 143
women (71%), men – 61 (30%), age – from 25 to 70 years old, 25-30 years old
– 21 people (8.1%), 30-45 years old – 123 (63%), 45-60 years old – 42
(20.6%), 60-70 years old – 18 (8.1%); duration of the disease – from 1 to
10-15 years. Injections into the region of the apex of the styloid process
must necessarily be supplemented with drug therapy. Out of 204 patients, the
success of treatment at 0 points (no complaints) was assessed by 96 people
(47%), at 1 point – by 64 (31.4%), at 2-3 points – by 31 (15.1%), at 4-5
points (that is, no significant effect of the treatment was achieved) – 13
(6.4%). Everyone who had a treatment result of 4-5 points was offered a
surgical method of treatment – resection of the styloid process from the
corresponding side. |
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Keywords
elongated styloid process, neurovascular bundle, functional tests. |
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