N 1 (182) 2023. P. 28–34

ANALYSIS AND COMPARISON OF METHODS OF CONSERVATIVE AND VARIOUS TYPES OF SURGICAL TREATMENT OF STYLOHYOID SYNDROME

A. P. Shchelkunov

Odesa National Medical University, Odesa, Ukraine

DOI 10.32782/2226-2008-2023-1-5

The Eagle’s syndrome is a disease that is caused by irritation of the nervous, vascular and muscular structures that surround the subcutaneous process of the temporal bone.

The purpose of the study: development and improvement of available and safest methods of conservative treatment; methods of surgical treatment that do not leave pronounced cosmetic defects in patients with Eagle’s syndrome and prevention of recurrence of the described symptoms in the future.

Materials and methods of research : Our work was aimed at improving and simplifying the methods of conservative and surgical therapy for patients with symptoms of Eagle’s syndrome, considering the data of CT examinations with contrast and carrying out functional tests and palpation to determine the smallest distance of the apex of styloid process of the temporal bone to the lateral wall of the oropharynx and determination of the most optimal place for the injection of the medicinal substance, and the place of tissue dissection in the operative treatment of Eagle’s syndrome.

The material for our research and development propositions was the examination and treatment of 224 patients during an 11-year period. There were 158 women (70.5%), 66 men (29.5%), age – from 25 to 70 years, 25-30 years – 26 people (11.6%), 30-45 years – 133 persons (59.3%). ), 45-60 years-47 people (20.9%), 60-70 years-18 people (8.0%); the duration of the disease is from 1 to 10-15 years. Injections in the area of the apex of the styloid process must be supplemented with drug treatment. Out of 224 patients, 115 people (51.3) rated the success of treatment as 0 points (absence of complaints), 60 people (26.7%) had 1 point, 34 people (15.2%) had 2-3 points. 4-5 points – 15 patients (6.7%), it means that no significant effect was achieved. All those with a treatment result rated at 4-5 points were offered a surgical method of treatment – resection of the styloid process on the corresponding side.

Key words: elongated styloid process, vascular-nerve bundle, functional tests, soar throat, patophysiological mechanisms of pain, the tonsylar problem, stylohyoid syndrome.

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