顳骨莖突過長症

Elongated Styloid Process Syndrome

簡志成(Chin-Cheng Chien) ； 郭文烈(Wen-Rei Kuo) ； 阮愷輝(Kai-Hui Juan)

《The Kaohsiung Journal of Medical Sciences》 7卷12期 (1991/12) Pp. 663-666

https://doi.org/10.6452/KJMS.199112.0663

摘要

顳骨莖突過長症（elongated styloid process syndrome），是頭頸部疼痛許多的原因之一，此種疾病的症狀，有多樣的變化，包括吞嚥困難、咽喉痛、舌痛、頭痛及半邊顏面痛等等。疼痛的特徵，有時是局部性，有時會散佈到下頜、耳部，甚至刺激牙齒，即會造成症狀。診斷方面，很容易由頸部Ｘ光檢查及扁桃腺窩的觸診，得到證實。唯一有效的治療，是由外科手術，切除部份的莖突。
我們共經歷3例，其中2例經由口咽部，1例經由頸部外側切除莖突；該3例皆在手術後一週出院，疼痛症狀有明顯改善，並於門診追蹤3至4年，沒有任何的併發症出現。我們強調此類疾病的診斷及治療重要性，故提出3例報告，並做文獻的回顧。

並列摘要

An elongated styloid process may be a source of craniofacial and cervical pain. The syndrome is characterized by a variety of symptoms including difficulty in swallowing, sorethroat, glossodynia, headache and hemifacial pain. Sometimes, the pain is localized or radiates to the jaw and ear and may simulate pain of dental origin. Diagnosis is readily made by radiographic examination and palpating the tonsillar fossa. The only effective treatment is surgical shortening of the styloid process.
Three patients, two women and a man, underwent surgery in our department for symptomatic elongation of the styloid process. The surgical procedures were conducted under general anaesthesia via a cervical approach in one patient and intraoral approach in two patients. All patients were completely relieved after styloid process resection and did not have any postoperative complications, except for cervical numbness in one case.

並列關鍵字

temporomandibular joint disease ； Eagle's syndrome