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Abstract：
OBJECTIVE: (1) To define patient demographics and common symptoms in patients who undergo styloidectomy for stylohyoid pain syndrome (Eagle\'s syndrome). (2) To evaluate the effectiveness of styloidectomy in reducing symptoms of Eagle\'s syndrome.
METHODS: Retrospective chart review and prospective case series. We retrospectively gathered demographic data on all patients at a single institution who underwent styloidectomy during a 5-year period. Using a patient symptom survey, we also gathered prospective data on a cohort of these patients presenting during the second half of the timeframe.
RESULTS: Thirty-two patients underwent styloidectomy for Eagle\'s syndrome between November 2010 and June 2015. Of these patients, 22 (68.8%) were female, 29 (90.6%) were Caucasian, and 10 (31.3%) reported history of tonsillectomy. Mean age was 46.0 years, and mean BMI was 26.1 kg/m2. Nineteen patients completed the prospective survey. Average styloid length was 45.3 mm. Most severe preoperative symptoms were neck pain, otalgia, globus, facial pain, headache, and discomfort with neck turning. Thirteen of 17 individual symptoms demonstrated significant decrease in symptom scores after styloidectomy. Aggregate symptom scores also showed significant decrease postsurgically. Longer styloid length correlated with increased scores for dysphagia and odynophagia but not with conglomerate symptom scores.
CONCLUSIONS: Patients with Eagle\'s syndrome were mostly female, Caucasian, and had near-normal BMI. There is wide variability in presenting symptoms of Eagle\'s syndrome, but nearly all demonstrate improvement after styloidectomy. Thus, in appropriately selected patients, styloidectomy can effectively and reliably produce improvement in patient symptoms.
METHODS: Retrospective chart review and prospective case series. We retrospectively gathered demographic data on all patients at a single institution who underwent styloidectomy during a 5-year period. Using a patient symptom survey, we also gathered prospective data on a cohort of these patients presenting during the second half of the timeframe.
RESULTS: Thirty-two patients underwent styloidectomy for Eagle\'s syndrome between November 2010 and June 2015. Of these patients, 22 (68.8%) were female, 29 (90.6%) were Caucasian, and 10 (31.3%) reported history of tonsillectomy. Mean age was 46.0 years, and mean BMI was 26.1 kg/m2. Nineteen patients completed the prospective survey. Average styloid length was 45.3 mm. Most severe preoperative symptoms were neck pain, otalgia, globus, facial pain, headache, and discomfort with neck turning. Thirteen of 17 individual symptoms demonstrated significant decrease in symptom scores after styloidectomy. Aggregate symptom scores also showed significant decrease postsurgically. Longer styloid length correlated with increased scores for dysphagia and odynophagia but not with conglomerate symptom scores.
CONCLUSIONS: Patients with Eagle\'s syndrome were mostly female, Caucasian, and had near-normal BMI. There is wide variability in presenting symptoms of Eagle\'s syndrome, but nearly all demonstrate improvement after styloidectomy. Thus, in appropriately selected patients, styloidectomy can effectively and reliably produce improvement in patient symptoms.
摘要：
目的：（1）定义接受茎突舌骨疼痛综合征（Eagle’s综合征）的茎突切除术患者的人口统计学和常见症状。(2)评价茎样切除术减轻Eagle综合征症状的效果。
方法：回顾性图表回顾和前瞻性病例系列。我们回顾性地收集了在5年内接受茎样切除术的单个机构中所有患者的人口统计学数据。使用患者症状调查，我们还收集了一组在后半时间段出现的患者的前瞻性数据.
结果：在2010年11月至2015年6月期间，32例患者因Eagle综合征接受了茎样切除术。在这些病人中,22人（68.8%）为女性，29人（90.6%）是白种人，10例（31.3％）报告了扁桃体切除术的历史。平均年龄为46.0岁,平均BMI为26.1kg/m2。19名患者完成了前瞻性调查。平均茎突长度为45.3mm。最严重的术前症状是颈部疼痛，耳痛,globus,面部疼痛,头痛,颈部转动不适。在茎样切除术后，17个个体症状中有13个表现出症状评分显着降低。手术后总症状评分也显示出显着下降。更长的茎突长度与吞咽困难和吞咽困难的得分增加相关，但与砾岩症状得分无关。
结论：老鹰综合征患者大多为女性，高加索人,BMI接近正常。鹰综合征的症状有很大的变异性，但几乎所有人都在茎样切除术后表现出改善。因此，在适当选择的患者中，茎样切除术可以有效和可靠地改善患者的症状。
方法：回顾性图表回顾和前瞻性病例系列。我们回顾性地收集了在5年内接受茎样切除术的单个机构中所有患者的人口统计学数据。使用患者症状调查，我们还收集了一组在后半时间段出现的患者的前瞻性数据.
结果：在2010年11月至2015年6月期间，32例患者因Eagle综合征接受了茎样切除术。在这些病人中,22人（68.8%）为女性，29人（90.6%）是白种人，10例（31.3％）报告了扁桃体切除术的历史。平均年龄为46.0岁,平均BMI为26.1kg/m2。19名患者完成了前瞻性调查。平均茎突长度为45.3mm。最严重的术前症状是颈部疼痛，耳痛,globus,面部疼痛,头痛,颈部转动不适。在茎样切除术后，17个个体症状中有13个表现出症状评分显着降低。手术后总症状评分也显示出显着下降。更长的茎突长度与吞咽困难和吞咽困难的得分增加相关，但与砾岩症状得分无关。
结论：老鹰综合征患者大多为女性，高加索人,BMI接近正常。鹰综合征的症状有很大的变异性，但几乎所有人都在茎样切除术后表现出改善。因此，在适当选择的患者中，茎样切除术可以有效和可靠地改善患者的症状。
