摘要
造成咽喉處或頸部痛的疾病有很多種，依格氏症候群雖然較少見，卻仍須被考慮在內。此症候群好發在三十至五十歲的成人，主要是莖突(styloid Process)過長或莖突舌骨韌帶(stylohyoid ligament)骨化所引起的症狀。臨床上的症狀可以從輕微疼痛到類似急性神經痛的疼痛。臨床上觸診可由扁桃腺窩觸摸到骨質硬塊並引發疼痛來診斷，也可藉由環口X光片或電腦斷層來輔助診斷。本文報告一55歲男性，因感覺吞嚥疼痛，且在舌頭右側、口底右側及下顎右側第三大臼齒的齒槽脊舌側等區域會感覺持續性疼痛，已先後在它院接受過中西醫療法，包括抗生素、疼痛藥物、抗憂鬱劑及中藥等，但效果不彰，於是前來本院求診。經診斷爲依格氏症候群，並安排入院，施行莖突切除手術，術後恢復良好，疼痛的情況消失。本篇報告將討論依格氏症候群的診斷、治療及預後的相關情形。
並列摘要
Patients with pharyngodynia and neck pain symptoms can be derived from varied differential diagnoses. Eagle's syndrome, a rare disease, remains to be taken into consideration. This syndrome usually occurs in adult patients aged from 30 to 50 years due to an elongated styloid process or calcified stylohyoid ligament. The symptoms vary from mild discomfort to acute neurologic pain. Clinical diagnosis is based on palpating tonsillar fossa with a bony formation and exacerbate pain. Definite diagnosis can be supported by a panoramic radiograph or CT scan to identify the elongated styloid process. We report a 55- year-old man presented with odynophagia and continuous spontaneous pain over right side border of tongue, floor-of-mouth and lingual aspect of lower third molar. He has previously received antibiotics, analgesics, anti-anxiety drugs and Chinese herbs at another hospital, but the symptoms never improved. He finally came to our OMS Department and Eagle's syndrome was diagnosed. Therefore he underwent bilateral partial styloidectomy via transoral approach. The patient recovered without subsequent painful complaint.