Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This...Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This prospective study was conducted between January 2010 to December 2022 at a Tertiary care hospital. It included 130 patients: 84 (65%) males and 46 (35%) females with a mean age of 43.52 ± 15.63 years. Patients presented with pleomorphic adenoma (90), chronic sialectasis (05), parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28), adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected to superficial parotidectomy and total parotidectomy. The outcome was evaluated regarding the clinical success of facial nerve function that considered the location of the styloid process in the triangle technique for identification of the FNT during parotid surgery. Results: All 130 patients underwent superficial and total parotidectomy. The facial nerve trunk was successfully identified as the location of the styloid process in the triangle technique in all the patients with no intra-operative complications. Operative time ranged from 50 to 180 minutes with a mean time 90.70 ± 15.68 minutes. Dysfunction of the angle of the mouth due to the deficit of the marginal mandibular nerve (MMN) was noted in 5 patients (3.8%), 02 had difficulty in eye closure (1.5%). No patient reported surgical site infection, skin flap necrosis and hematoma in this series. Conclusion: Styloid process is the prominent robust landmark in the triangle technique for the identification of facial nerve trunk with relative ease, safety and accuracy in the parotid surgical procedure. This can be a very useful method to locate the FNT and minimize facial nerve injury during parotid surgery.展开更多
Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed tha...Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed that the styloid process was long. However only 4% of these cases are symptomatic [1]. Surgical traumas such as tonsillectomy or stylomandibular chronic irritation of the ligament, proc. of styloideusosteitis, ossifying periosteitis, tendinitis or mucositis why could it be [2]. The main symptoms are facial pain, dysphagia, sore throat, earache and headache. It may be unilateral or bilateral. The styloid process can be shortened through an intraoral or external approach. The case of Eagle syndrome in a 39-year-old female patient who was diagnosed to have bilateral elongated.展开更多
Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloi...Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloid process is approximately 2.5 cm long. The etiology of this disease is not well understood, and usually asymptomatic. In some cases, the styloid tip, which is located between the external and internal carotid arteries, compresses the perivascular sympathetic fibers, resulting in a persistent pain. The disease can be diagnosed by physical examination through digital palpation of the styloid process in the tonsillar fossa or by radiographic workup that includes anterior-posterior and lateral skull films. We report a 33-year-old woman with an incidental finding of an elongated styloid process during a routine tonsillectomy procedure.展开更多
The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation perio...The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation period,sound effect were obtained.展开更多
目的:探讨多层螺旋CT三维表面遮盖法重建(surface shaded display,SSD)及多平面重建(MPR)技术在对成人茎突测量中各种参数和应用价值。方法:分别对20例40侧无咽部、颈部疾病的正常成人及32例40侧临床诊断为茎突综合征(styloid process s...目的:探讨多层螺旋CT三维表面遮盖法重建(surface shaded display,SSD)及多平面重建(MPR)技术在对成人茎突测量中各种参数和应用价值。方法:分别对20例40侧无咽部、颈部疾病的正常成人及32例40侧临床诊断为茎突综合征(styloid process syndrome,SPS)的患者进行螺旋CT扫描、MPR及三维SSD图像后处理,然后对图像进行测量,测得茎突的长度和内、前偏斜角。结果:40侧正常成人组测得茎突过长(超过30mm)19侧,占47.5%;方位角过大(内或前偏斜角>25°)者2侧,占5%。临床诊断为SPS组40侧测得茎突过长30侧,占75%;方位角过大者17侧,占42.5%。经统计学分析,在SPS组中,茎突过长检出率与方位角过大检出率相比有显著差异(P值为0.003)。方位角过大在SPS组和正常成人组相比检出率明显增多有显著差异(P值为0.000)。结论:多层螺旋CT、MPR及三维SSD图像测量成人茎突非常方便,茎突过长不一定有临床症状,但茎突过长仍是诊断SPS的主要依据,方位角过大是诊断SPS的可靠依据,确诊需结合临床。展开更多
文摘Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This prospective study was conducted between January 2010 to December 2022 at a Tertiary care hospital. It included 130 patients: 84 (65%) males and 46 (35%) females with a mean age of 43.52 ± 15.63 years. Patients presented with pleomorphic adenoma (90), chronic sialectasis (05), parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28), adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected to superficial parotidectomy and total parotidectomy. The outcome was evaluated regarding the clinical success of facial nerve function that considered the location of the styloid process in the triangle technique for identification of the FNT during parotid surgery. Results: All 130 patients underwent superficial and total parotidectomy. The facial nerve trunk was successfully identified as the location of the styloid process in the triangle technique in all the patients with no intra-operative complications. Operative time ranged from 50 to 180 minutes with a mean time 90.70 ± 15.68 minutes. Dysfunction of the angle of the mouth due to the deficit of the marginal mandibular nerve (MMN) was noted in 5 patients (3.8%), 02 had difficulty in eye closure (1.5%). No patient reported surgical site infection, skin flap necrosis and hematoma in this series. Conclusion: Styloid process is the prominent robust landmark in the triangle technique for the identification of facial nerve trunk with relative ease, safety and accuracy in the parotid surgical procedure. This can be a very useful method to locate the FNT and minimize facial nerve injury during parotid surgery.
文摘Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed that the styloid process was long. However only 4% of these cases are symptomatic [1]. Surgical traumas such as tonsillectomy or stylomandibular chronic irritation of the ligament, proc. of styloideusosteitis, ossifying periosteitis, tendinitis or mucositis why could it be [2]. The main symptoms are facial pain, dysphagia, sore throat, earache and headache. It may be unilateral or bilateral. The styloid process can be shortened through an intraoral or external approach. The case of Eagle syndrome in a 39-year-old female patient who was diagnosed to have bilateral elongated.
文摘Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloid process is approximately 2.5 cm long. The etiology of this disease is not well understood, and usually asymptomatic. In some cases, the styloid tip, which is located between the external and internal carotid arteries, compresses the perivascular sympathetic fibers, resulting in a persistent pain. The disease can be diagnosed by physical examination through digital palpation of the styloid process in the tonsillar fossa or by radiographic workup that includes anterior-posterior and lateral skull films. We report a 33-year-old woman with an incidental finding of an elongated styloid process during a routine tonsillectomy procedure.
文摘The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation period,sound effect were obtained.
文摘目的:探讨多层螺旋CT三维表面遮盖法重建(surface shaded display,SSD)及多平面重建(MPR)技术在对成人茎突测量中各种参数和应用价值。方法:分别对20例40侧无咽部、颈部疾病的正常成人及32例40侧临床诊断为茎突综合征(styloid process syndrome,SPS)的患者进行螺旋CT扫描、MPR及三维SSD图像后处理,然后对图像进行测量,测得茎突的长度和内、前偏斜角。结果:40侧正常成人组测得茎突过长(超过30mm)19侧,占47.5%;方位角过大(内或前偏斜角>25°)者2侧,占5%。临床诊断为SPS组40侧测得茎突过长30侧,占75%;方位角过大者17侧,占42.5%。经统计学分析,在SPS组中,茎突过长检出率与方位角过大检出率相比有显著差异(P值为0.003)。方位角过大在SPS组和正常成人组相比检出率明显增多有显著差异(P值为0.000)。结论:多层螺旋CT、MPR及三维SSD图像测量成人茎突非常方便,茎突过长不一定有临床症状,但茎突过长仍是诊断SPS的主要依据,方位角过大是诊断SPS的可靠依据,确诊需结合临床。
