Development and improvement of methods of conservative treatment of stylohyoid syndrome

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2022-07-29 DOI:10.37219/2528-8253-2022-3-77

A. Shchelkunov, S. Pukhlik, O.V. Titarenko, Oleksandr A. Shchelkunov

{"title":"Development and improvement of methods of conservative treatment of stylohyoid syndrome","authors":"A. Shchelkunov, S. Pukhlik, O.V. Titarenko, Oleksandr A. Shchelkunov","doi":"10.37219/2528-8253-2022-3-77","DOIUrl":null,"url":null,"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.\nThe 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.\nMaterials 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.\nThe 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.","PeriodicalId":38742,"journal":{"name":"Otorhinolaryngology Clinics","volume":"51 1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otorhinolaryngology Clinics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37219/2528-8253-2022-3-77","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

茎突舌骨综合征保守治疗方法的发展与改进

茎突舌骨综合征是一种由位于颞骨的茎突刺激周围神经、血管和肌肉结构引起的疾病。该综合征表现为面部外侧深层慢性疼痛，辐射至舌根、咽部和耳部，吞咽困难，并有脑循环系统障碍的症状。本研究的目的:为茎突舌骨综合征患者开发和改进可及、安全、不留下明显美容缺陷的保守治疗方法，并预防今后症状的复发。研究材料和方法:我们的工作旨在改进和简化具有茎突综合征症状的患者的保守和手术治疗方法，同时考虑到CT研究的对比和功能检查以及口咽触诊的数据，以及使用功能检查。确定颞骨茎突顶点到口咽侧壁的最小距离，确定注射药物的最佳区域。我们的研究和建议的材料是在10年期间对204名患者的检查和治疗。其中，女性143人(71%)，男性61人(30%)，年龄- 25- 70岁，25-30岁21人(8.1%)，30-45岁123人(63%)，45-60岁42人(20.6%)，60-70岁18人(8.1%);病程-1至10-15年。注射到茎突顶端的区域必须辅以药物治疗。在204名患者中，96人(47%)评估0分(无投诉)治疗成功，1分(64人)评估1分(31.4%)，2-3分(31人)评估2- 5分(即没有取得显著治疗效果)评估13人(6.4%)。每个治疗结果为4-5点的人都提供了手术治疗方法-从相应侧切除茎突。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.