ANATOMICAL AND TOPOGRAPHIC FEATURES OF LOCATION OF THE STYLOID PROCESS OF THE TEMPORAL BONE AND SURROUNDING STRUCTURES IN NORMAL CONDITIONS AND UNDER STYLOID PROCESS ELONGATION
DOI:
https://doi.org/10.32782/2226-2008-2024-1-8Keywords:
styloid process elongation, vascular-nerve bundle, sore throat, pathophysiological mechanisms of pain, vascular disordersAbstract
The present work is aimed at improving and simplifying the methods of conservative and surgical therapy, as well as their combination for patients with symptoms of stylohyoid syndrome. Materials and methods. Over a 12-year period, we examined and treated 224 patients. Of them, there were 158 women (70.5%), 66 men (29.5%), age – from 25 to 70 years: 25–30 years – 26 persons (11.6%), 30–45 years – 133 persons (59.3%), 45–60 years old – 47 persons (20.9%), 60–70 years old – 18 persons (8.0%); the duration of the disease is from 1 to 10–15 years. Conclusions. Taking into account the research data, a comparison of the mutual location of the styloid process of the temporal bone and its surrounding structures in normal conditions and when it is elongated and curved may differ significantly. The approach to each patient should be strictly individual. According to the anamnesis data, disease symptoms, patient examination, and CT scan data, a treatment scheme for a specific patient is formed. The choice of the method of surgical, conservative, combined treatment of patients with symptoms of stylohyoid syndrome must be carried following the features of the anatomical and topographic location of the elongated styloid process of the temporal bone and its surrounding structures in order to achieve the greatest efficiency.
References
Zinchenko DO, Zabolotnaya DD, Savchenko TD, Rylska OG, Peleshenko NO, Chohcia MS. Modern approaches to diagnosis and treatment of Eagle’s syndrome. Otorhinolaryngology. 2019; 4–5(2): 67–73.
Pukhlik SM, Shchelkunov AP, Shchelkunov AA. Diagnostic criteria and results of treatment of stylohyoid syndrome. Otorhinolaryngology. 2019; 6 (2): 80–86. doi: 10.37219/2528-8253-2019-6-80.
Pukhlik SM, Shchelkunov AP, Shchelkunov AA. Features of CT diagnostics of hypertrophy of the styloid processes of the temporal bone and Eagle-Sterling syndrome. Otorhinolaryngology. 2021; 2 (4):54–59.
Pukhlik SM, Shchelkunov AP, Shchelkunov AA. Improving methods for diagnosing hypertrophy of the styloid process of the temporal bone and stylohyoid syndrome in outpatient settings using functional tests. Otorhinolaryngology. 2021; 4:72–79.
Shchelkunov AP, Sinoverska OB. Analysis and improvement of methods of conservative and different types of surgical treatment of stylohyoid syndrome. Odessa Medical Journal. 2023; 1:28–35. doi: 10.32782/2226-2008-2023-1-5.
Frank G. Netter. Atlas of human anatomy. 7th edition. Kyiv: MEDICINE; 2020. 736 р.
Correl R, Wescott W. Eagle’s syndrome diagnosed after a history of headache, dysphagia, otalgia and limited neck movement. J. Am. Dent. Assoc. 1982; 104:491–492. doi: 10.14219/jada.archive.1982.0220.
Gudwin W. Elongated styloid process evaluation of symptoms and treatment. Laryngoscope. 1956; 66(6):687–695 doi: 10.1288/00005537-195606000-00012.
Ayyildiz VA, Senel FA, Dursun A, Ozturk K. Morphometric examination of the styloid process by 3D-CT in patients with Eagle syndrome. Eur Arch Otorhinolaryngol. 2019; 276(12):3453–3459 doi: 10.1007/s00405-019-05602-6.
Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol. 2004; 33(2): 119–124. doi: 10.1259/dmfr/13491574.
Kent DT, Rath TJ, Snyderman C. Conventional and 3-Dimensional Computerized Tomography in Eagle’s Syndrome, Glossopharyngeal Neuralgia, and Asymptomatic Controls. Otolaryngol Head Neck Surg. 2015; 153(1): 41–47. doi: 10.1177/ 0194599815583047.
Kumai Y, Hamasaki T, Yumoto E. Surgical management of Eagle’s syndrome: an approach to shooting craniofacial pain. Eur Arch Otorhinolaryngol. 2016; 273(10): 3421–3427. doi: 10.1007/s00405-016-4057-7.