An intraoral surgical approach to the styloid process in Eagle's syndrome

被引：37
作者：
Chrcanovic B.R. [1 ]
Custódio A.L.N. [2 ,4 ,5 ]
Oliveira D.R.F. [3 ]
机构：
[1] Belo Horizonte, MG 30380-090, Av. Raja Gabaglia
[2] Departamento de Odontologia, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, MG 30535-610
[3] Belo Horizonte, MG 30110-921
[4] Oral and Maxillofacial Surgery Department, School of Dentistry, Pontifícia Universidade Católica De Minas Gerais, Belo Horizonte, MG 30535-610
[5] Department of Morphology, Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte
来源：
Oral and Maxillofacial Surgery | 2009年 / 13卷 / 3期
关键词：
Eagle's syndrome; Ossification; Stylohyoid ligament; Styloid process;
D O I：
10.1007/s10006-009-0164-6
中图分类号：
学科分类号：
摘要：
Purpose: The purpose of this study is to present an alternative method to the extraoral surgical approach to remove the elongated styloid process, the intraoral surgical approach, and discuss their advantages and disadvantages. A literature review is also presented. Patients and methods: A casuistic of intraoral surgical approach to remove the elongated styloid process is presented in five patients. Results: Four patients experienced postoperative moderate pain and trismus for 1 week. Bilateral surgery in one patient caused severe trismus, great discomfort, and moderate difficulty in breathing. All were followed up for 6 months and showed complete relief of the oral pharyngeal symptoms and complete improvement in functional ability. Discussion: The advantages of the external approach are good visualization and reduced possibility of deep neck space infection. The disadvantages are an external scar, longer duration of surgery, and risk of injury to the facial nerve. The advantages of the intraoral approach are that the method is safe, simple, and less time consuming and an external scar is avoided. The disadvantages are possible infection of deep neck spaces, risk of injury to major vessels, and poor visualization. Conclusions: Intraoral resection of the styloid process is a safe treatment technique of Eagle's syndrome. It is not recommended the bilateral intervention at the same surgery, because of possible great discomfort at postoperative time. © Springer-Verlag 2009.
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页码：145 / 151
页数：6
相关论文
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