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报告茎突综合征(SPS)35例,茎突骨折1例。35例平均年龄38.2岁。平均病程2.2年。合并慢性咽炎14例,SPS出现于急性咽炎后9例,扁桃体切除木后8例。颈外径路茎突截短术2例,口腔径路30例。右侧平均长4.62cm,平均切除1.60cm。左侧4.36cm,平均切除1.16cm。平均随访5.5年。症状完全消失70%,部分消失20%,未消失10%。SPS咽痛机制除长度与方向因素外还有茎突止端腱鞘炎、风湿病、颈椎退变性病、慢性咽炎、扁桃体切除术后瘢痕及咽肌收缩茎突损伤等。除鉴别颞颌关节与牙病及颅神经痛外,特别要注意咽喉恶性肿瘤。手术颈外径路视野大,暴露好,口内径路视野小,茎突切除够长,效果才好。
Report Styloid syndrome (SPS) 35 cases, 1 case of styloid process. The average age of 35 cases was 38.2 years old. The average duration of 2.2 years. 14 cases were complicated with chronic pharyngitis, SPS appeared in 9 cases after acute pharyngitis and 8 cases after tonsillectomy. 2 cases of short-necked styloid process and 30 cases of oral path. The average length of 4.62cm on the right, the average removal of 1.60cm. 4.36cm left, the average removal of 1.16cm. The average follow-up of 5.5 years. Symptoms completely disappeared 70%, partially disappeared 20%, did not disappear 10%. SPS sore throat mechanism in addition to the length and direction factors also styptic end tenosynovitis, rheumatism, cervical degenerative disease, chronic pharyngitis, tonsillectomy and pharyngeal muscle contraction styloid injury. In addition to identifying the temporomandibular joint and dental diseases and cranial neuralgia, with particular attention to throat cancer. Surgical jugular diameter large field of vision, good exposure, intraoral path of vision is small, resection of the styloid process is long enough, the effect is good.