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报告30例(35侧)茎突综合征经颌下径路茎突截短术。其中茎突舌骨韧带骨化2例,茎突骨折1例。术前被误诊为牙痛而多次拔牙1例,X 线照片漏诊1例。经颌下径路术前茎突长3～7.5cm,平均右4.13cm,左4.38cm;手术截除平均长度右2.13cm,左2.26cm;术后存留平均长度右2.0cm,左2.12cm。术后经2月至6年(平均2年)随访,显效65.7%(23/35),好转28.6%(10/35),无效5.7%(2/35)。经咽径路茎突截短3例,其中1例术后发生颈深部出血和血肿。认为:经颌下径路茎突截短具有简便、安全。较咽径路更易暴露和截短,可作为茎突截短手术的首选;在临床上注意不要忽略茎突综合征的诊断,同时又要注意对茎突过长者要排除精神性咽痛的可能,以避免误行茎突截短术。
Report of 30 cases (35 side) styloid process by submaxillary approach styloid process. Including styloid ligament ossification in 2 cases, styloid fracture in 1 case. Preoperative misdiagnosed as toothache and repeated tooth extraction in 1 case, X-ray misdiagnosis in 1 case. The submandibular approach preoperative stem length of 3 ~ 7.5cm, an average of 4.13cm, left 4.38cm; the average length of the surgical resection of the right 2.13cm, left 2.26cm; average length of stay after surgery right 2.0cm, left 2.12cm. After 2 months to 6 years (mean 2 years), 65.7% (23/35) were cured, 28.6% (10/35) improved, and 5.7% (2/35) failed. The pharyngeal approach styloid process shortened in 3 cases, 1 case of postoperative neck deep hemorrhage and hematoma. That: the submandibular pathological stem shortened short and easy, safe. More than the pharyngeal path more exposed and truncated, short stitches can be used as the first choice; in the clinical care not to ignore the diagnosis of styloid syndrome, but also pay attention to the elderly overgrowth to rule out the possibility of spiritual sore throat may , In order to avoid misoperation short stem surgery.