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摘要


舌骨症候群在耳鼻喉科的領域中較少被提及,本文提出7例病例並加以討論。其臨床症狀主要為側頸部疼痛,吞嚥或頸部轉動亦會誘發痛覺,而在舌骨大角尖端則有最大的壓痛點。電腦段層掃瞄檢查呈現:舌骨大角變長側彎或與內頸動脈異常接近。7名病患都在全身麻醉下,接受舌骨大角切除手術。術後無任何合併症,病患的頸部疼痛都有顯著的減輕或消失。對於側頸部的疼痛,耳鼻喉科醫師須將舌骨症候群列入鑑別診斷的考慮項目。

並列摘要


The hyoid syndrome is generally unknown and under-diagnosed. This paper reports 7 patients with pain from the greater hyoid cornu. The main presenting symptom in each case was lateral neck pain which was usually initiated and intensified by swallowing or movement of the neck to the affected side. Physical examination of the neck revealed that palpation over the tip of the affected greater cornu of the hyoid bone could elicite severe pain. CT scan image of the neck demonstrated that the affected greater cornu was located closer than normal to the internal carotid artery or had an abnormal lateral curvature. Treatment with excision of greater hyoid cornu under general anesthesia was effective in all cases. There was no complications and the neck pain was either signicantly decreased or completely relieved. The purpose of this paper is to increase greater recognition on the symptom complex of the hyoid syndrome, so as to provide more appropriate management and to prevent unnecessary investigation and surgery.

延伸閱讀


  • Chen, T. Y., Chao, P. Z., Lee, F. P., & Wang, H. W. (2018). 舌頭骨質異構-病例報告. 台灣耳鼻喉頭頸外科雜誌, 53(3), 125-128. https://doi.org/10.6286/jtohns.201809_53(3).125
  • 黃裕峰、胡璟、袁本治(1999)。舌部骨瘤-二例報告中華民國耳鼻喉科醫學雜誌34(6),493-496。https://doi.org/10.6286/1999.34.6.493
  • Chen, M. H., Huang, S. H., Wang, P. C., & Lin, J. C. (2012). 舌根部骨迷芽瘤. 輔仁醫學期刊, 10(2), 107-110. https://www.airitilibrary.com/Article/Detail?DocID=18102093-201206-201210170039-201210170039-107-110
  • Lin, H. D. (1987). Hyperprolactinemic Syndrome. Journal of Medical Sciences, 8(2), 99-108. https://www.airitilibrary.com/Article/Detail?DocID=10114564-198709-201404230020-201404230020-99-108
  • 柯佑民、成若非(1980)。Hemolytic Uremic Syndrome (HUS)當代醫學(78),353-360。https://doi.org/10.29941/MT.198004.0014

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