■这项研究的目的是描述与Eagle综合征相关的常见和罕见症状,并分享我们对大量患者进行手术干预的经验,主要是口内钙化的茎舌骨韧带切除。
■这个回顾性病例系列包括56名年龄至少18岁或以上的诊断为Eagle综合征的患者。从2015年到2022年,所有手术均由三级医疗中心的一名外科医生进行。对人口统计图表进行了审查,既往病史/手术史,症状,成像结果,操作细节,和后续历史。一项电话调查询问了手术后出现的症状和症状缓解情况。
■最常见的疼痛部位是耳朵(64.3%),下颌骨的角度(50%),喉咙(46.4%),和颈部(30.4%)。超过70%的患者报告耳鸣,吞咽困难,和头部旋转加剧的疼痛。56名患者中有51人接受了手术治疗,经口内92.2%,经宫颈入路7.8%。所有患者(100%)在电话调查中表示,他们的症状在手术后得到缓解或改善。
■鹰综合征通常表现为常见症状。然而,医疗保健提供者还必须对不太常见的表现保持警惕,如癫痫发作或头晕/昏厥发作。这些可能是由茎舌骨韧带钙化引起的。对大多数患者来说,口内手术切除钙化韧带是一种安全有效的治疗方法。
■4级。
UNASSIGNED: The purpose of this study is to describe both the common and uncommon symptoms associated with Eagle syndrome and share our experience treating a large group of patients with surgical intervention, primarily intraoral excision of the calcified stylohyoid ligament.
UNASSIGNED: This retrospective case series included 56 patients at least 18 years of age or older with a diagnosis of Eagle syndrome. All operations were conducted by a single surgeon at a tertiary medical center from 2015 to 2022. Charts were reviewed for demographics, prior medical/surgical history, symptoms, imaging results, operative details, and follow-up history. A phone survey inquired about presenting symptoms and symptom resolution following surgery.
UNASSIGNED: The most common areas of pain were the ear (64.3%), underneath the angle of the mandible (50%), throat (46.4%), and neck (30.4%). Over 70% of patients reported tinnitus, dysphagia, and pain that were exacerbated by head rotation. Fifty-one of the 56 patients underwent surgical treatment, 92.2% via intraoral and 7.8% via cervical approaches. All patients (100%) reached in a phone survey stated that their symptoms resolved or improved after surgery.
UNASSIGNED: Eagle syndrome typically presents with common symptoms. However, healthcare providers must also be vigilant for less common manifestations, such as seizures or episodes of dizziness/fainting. These may be caused by calcification of the stylohyoid ligament. Intraoral surgical resection of the calcified ligament is a safe and effective treatment for most patients.
UNASSIGNED: Level 4.