扁桃体切除术后茎突综合征7例

Seven cases of styloid syndrome after tonsillectomy

目的探讨扁桃体切除术后出现茎突综合征的原因及茎突切除术的实施疗效。方法对7例扁桃体切除术后茎突综合征患者行茎突切除术,并对疗效进行临床分析。结果行单侧茎突切除术治疗6例,行双侧茎突切除术治疗1例,术后随访3个月～3年,其中症状完全消失者5例,症状明显缓解者2例。结论扁桃体切除术后出现茎突综合征可能与局部瘢痕形成牵拉有关,手术行茎突切除是有效的治疗手段。

Objective To explore the reason of styloid syndrome after tonsillectomy and the clinical effect of styloidectomy. Methods Seven patients with styloid syndrome after tonsillectomy received styloidectomy. The clinical effect was evaluated. Results One side styloid was removed in six patients, while both sides styloid were removed in one patient. All patients were followed-up for 3 months to 3 years after operation. Among them, 5 patients were cured and the others showed considerable alleviation. Conclusion The mechanism of styloid syndrome after tonsillectomy might be related to the stimulation of scar formation in the tonsillar fossa. Styloidectomy is an effective treatment.