Eagle's Syndrome-A Case Report and Literatures Review

Eagle氏症候群－病例報告與文獻回顧

Hsin-Yang Liang(梁信揚) ； Chieh-Yuan Cheng(鄭介原)

《臺灣口腔顎面外科學會雜誌》 35卷1期 (2024/03) Pp. 49-57

摘要

Eagle's syndrome is a rare condition characterized by an abnormally elongated styloid process. The elongated styloid process can be palpated intraorally, and the diagnosis can be confirmed by imaging, CT being the most accurate. Its clinical symptoms usually are cervicofacial pain and limited lateral neck movement. Treatment choices for Eagle's syndrome include both conservative therapy and surgery. Major risks of surgery include massive bleeding, carotid thrombosis and subcutaneous cervical emphysema. Therefore, surgery is indicated only in case conservative therapy fails. In this article, we present a rare case of a 67-year-old female with an abnormally elongated right styloid process treated by hemi-mandibulotomy and its six-month follow-up course.

關鍵字

Eagle syndrome ； Surgical manipulation ； Complication

並列摘要

莖突異常增生造成Eagle氏症候群，增長的莖突可以在口內觸診察覺。診斷需要藉由影像特別是電腦斷層，而臨床症狀包含顏面頸部疼痛及頸部活動受限。治療選擇通常包含保守治療及手術治療，手術治療的風險包含大量出血、血管栓塞及頸部皮下氣腫等等，因此選擇手術治療只有在保守治療無效時才會進行。在本篇文章中，我們將會呈現一個手術治療莖突巨大增生的67歲女性，病人術後6個月追蹤症狀明顯改善，提供臨床醫師經驗分享。

並列關鍵字

Eagle氏症候群 ； 手術治療 ； 併發症