N 1 (186) 2024 р. P. 48–53

ANATOMICAL AND TOPOGRAPHIC FEATURES OF LOCATION OF THE STYLOID PROCESS OF THE TEMPORAL BONE AND SURROUNDING STRUCTURES IN NORMAL CONDITIONS AND UNDER STYLOID PROCESS ELONGATION

A. P. Shchelkunov

Odesa National Medical University, Odesa, Ukraine

DOI 10.32782/2226-2008-2024-1-8

The present work is aimed at improving and simplifying the methods of conservative and surgical therapy, as well as their combination for patients with symptoms of stylohyoid syndrome.

Materials and methods. Over a 12-year period, we examined and treated 224 patients. Of them, there were 158 women (70.5%), 66 men (29.5%), age – from 25 to 70 years: 25–30 years – 26 persons (11.6%), 30–45 years – 133 persons (59.3%), 45–60 years old – 47 persons (20.9%), 60–70 years old – 18 persons (8.0%); the duration of the disease is from 1 to 10–15 years.

Conclusions. Taking into account the research data, a comparison of the mutual location of the styloid process of the temporal bone and its surrounding structures in normal conditions and when it is elongated and curved may differ significantly. The approach to each patient should be strictly individual. According to the anamnesis data, disease symptoms, patient examination, and CT scan data, a treatment scheme for a specific patient is formed. The choice of the method of surgical, conservative, combined treatment of patients with symptoms of stylohyoid syndrome must be carried following the features of the anatomical and topographic location of the elongated styloid process of the temporal bone and its surrounding structures in order to achieve the greatest efficiency.

Key words: styloid process elongation, vascular-nerve bundle, sore throat, pathophysiological mechanisms of pain, vascular disorders.

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