经扁桃体前外侧进路内镜辅助下茎突截短术15例

Resection of styloid process through the anterolateral side of tonsil aided by endoscopy

目的探讨经扁桃体前外侧进路内镜辅助下茎突截短术的方法及疗效。方法茎突综合征患者15例,单侧发病者10例,双侧者5例,均行经扁桃体前外侧进路内镜辅助下茎突截短术。结果随访3~12个月,治愈11例15侧,显效3例4侧。结论经扁桃体前外侧进路内镜辅助下茎突截短术,具有经口进路的优点,术中能清楚辨别周围的血管、肌肉、神经,可以避免切除扁桃体后的并发症。本组患者疗效较好,未发生严重不良反应。

Objective To investigate the effectiveness of resection of styloid process though the anterolateral side of tonsil aided by endoscopic. Methods 15 patients with Eagle＇s syndrome enrolled. Among them,10 patients presented unilaterally but 5 patients bilaterally. All the patients underwent the resection of styloid process though the anterolateral side of tonsil endoscopically. Results All the patients were followed up for 3 ~ 12 months. 11 patients（ 15 sides） were cured,and 3 patients（ 4 sides） were improved markedly. Conclusion Resection of styloid process through the anterolateral side of tonsil under endoscopy can be performed intra-orallly. This approach helps not only avoid the complications after tonsillectomy,but also clearly identify the surrounding blood vessels,muscles,and nerves.