茎突舌骨韧带骨化的临床诊治

目的 探讨茎突形态异常茎突舌骨韧带骨化患者的临床特点和手术方法.方法 对9例茎突舌骨韧带骨化者术前行茎突的CT扫描并行三维重建以明确诊断.采用颈外径路茎突截短术,术中截除骨化的茎突舌骨韧带、舌骨小角及部分茎突.结果 9例患者中8例临床症状消失,1例症状较前明显减轻,无明显并发症. 结论 对于茎突过长的特殊类型茎突舌骨韧带骨化者行茎突CT扫描可明确诊断,行颈外径路茎突截短术,临床疗效确切,患者无明显不良反应.

Diagnosis and treatment of stylohyoid ligament ossification

Objective To explore the clinical features and operation method of styloid process abnormal and stylohyoid ligament ossification. Methods CT scanning and styloid 3D reconstruction were pre-operatively performed on 9 patients with stylohyoid ligament ossification, and cervical approach-styloidectomy was performed to amputate ossificated stylohyoid ligament, ceratohyal and part of styloid process. Results The clinical symptoms of 8 patients disappeared and the symptoms of 1 patient significantly relieved after the operation, no obvious complications occurred. Conclusion Patients with styloid process of stylohyoid ligament ossification of the styloid process can be definitely diagnosed by CT scan and should undergo cervical approach styloidectomy which produces exactly curative effect and no significant adverse reactions.