Development and improvement of methods of conservative treatment of stylohyoid syndrome

Abstract

Stylohyoid syndrome is a disease caused by irritation of the surrounding nerve, vascular and muscle structures by the styloid process, located at the temporal bone. The syndrome is manifested by chronic pain in the deep part of the lateral region of the face, radiating to the root of the tongue, pharynx and ear, dysphagia, and symptoms of cerebral circulatory disorders. The purpose of the study: to develop and improve accessible, safest and not leaving pronounced cosmetic defects, methods of conservative treatment of patients with stylohyoid syndrome and prevention of the 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 treatment of patients with symptoms of stylohoid syndrome, taking into account the data of CT studies with contrast and functional tests and palpation of the oropharynx, as well as using functional tests , to determine the smallest distance of the apex of the styloid process of the temporal bone to the lateral wall of the oropharynx and determine the most optimal region for the injection of a medicinal substance. The material for our research and proposals was the examination and treatment of 204 patients over a 10-year period. Of these, there were 143 women (71%), men – 61 (30%), age – from 25 to 70 years old, 25-30 years old – 21 people (8.1%), 30-45 years old – 123 (63%), 45-60 years old – 42 (20.6%), 60-70 years old – 18 (8.1%); duration of the disease – from 1 to 10-15 years. Injections into the region of the apex of the styloid process must necessarily be supplemented with drug therapy. Out of 204 patients, the success of treatment at 0 points (no complaints) was assessed by 96 people (47%), at 1 point – by 64 (31.4%), at 2-3 points – by 31 (15.1%), at 4-5 points (that is, no significant effect of the treatment was achieved) – 13 (6.4%). Everyone who had a treatment result of 4-5 points was offered a surgical method of treatment – resection of the styloid process from the corresponding side.