茎突截短术改善茎突综合征咽痛症状八例

目的 探讨茎突截短术对茎突综合征患者咽痛症状的改善情况。 方法 对8例9侧茎突综合征患者进行茎突截短术,对比分析患者手术前后临床资料。 结果 所有患者术后咽痛症状完全消失,随访7~30个月,平均20个月。1例术中切开咽上缩肌损伤小动脉致术中出血30 mL,经结扎止血;1例术后第7天发生扁桃体窝迟发性出血,经局部过氧化氢棉球压迫止血。 结论 茎突截短术可以有效改善茎突综合征患者的咽痛症状。

Improvement of pharyngalgia in 8 cases of styloid process syndrome by surgical shortening of the styloid processes.

Objective To explore the effect of surgical shortening of the elongated styloid processes on pharyngalgia in patients with styloid process syndrome. Methods Eight patients with styloid process syndrome underwent surgical shortening of the elongated styloid processes; the preoperative and postoperative clinical data were retrospectively analyzed. Results The symptom of pharyngalgia in all patients resolved completely after the surgery. One patient bled 30 mL during the surgery, from an injury to the arteriole, due to an incision of the superior constrictor of the pharynx; the bleeding was stopped by ligation. One patient developed delayed hemorrhage at the tonsillar pit on day 7 after surgery; the hemorrhage was stopped by a local application of a cotton ball with hydrogen peroxide. Conclusion Surgical shortening of the elongated styloid processes can effectively treat styloid process syndrome characterized by pharyngalgia.