舌骨に連続する巨大な過長茎状突起を認めた1例
A 60 -year- old man visited our hospital because of pain and discomfort around the left temporomandibular joint on maximum mouth-opening. The patient had been treated with nonsteroidal antiinflammatory drugs and corticosteroids by an otolaryngologist for a diagnosis of otitis externa, but the pain d...
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| Published in | 日本口腔外科学会雑誌 Vol. 59; no. 10; pp. 663 - 666 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.10.2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.59.663 |
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| Abstract | A 60 -year- old man visited our hospital because of pain and discomfort around the left temporomandibular joint on maximum mouth-opening. The patient had been treated with nonsteroidal antiinflammatory drugs and corticosteroids by an otolaryngologist for a diagnosis of otitis externa, but the pain did not improve. There were no symptoms on turning his head and neck. Panoramic radiography and 3-dimensional computed tomography revealed a hypertrophied styloid process and ossified styloid ligament extending to the hyoid bone on the left side. The length of the styloid process and styloid ligament complex was 83 mm. Styloid process syndrome was diagnosed. With the patient under general anesthesia, reduction surgery of the styloid process was performed by a transcervical approach. Histopathological examination of the surgical specimen revealed bone tissue with thick trabecular bone and bone marrow. Cartilage tissue connected to the trabecular bone was also observed in the specimen. The patient's symptoms resolved after operation. Thirteen months after surgery, the patient remains free of symptoms. |
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| AbstractList | A 60 -year- old man visited our hospital because of pain and discomfort around the left temporomandibular joint on maximum mouth-opening. The patient had been treated with nonsteroidal antiinflammatory drugs and corticosteroids by an otolaryngologist for a diagnosis of otitis externa, but the pain did not improve. There were no symptoms on turning his head and neck. Panoramic radiography and 3-dimensional computed tomography revealed a hypertrophied styloid process and ossified styloid ligament extending to the hyoid bone on the left side. The length of the styloid process and styloid ligament complex was 83 mm. Styloid process syndrome was diagnosed. With the patient under general anesthesia, reduction surgery of the styloid process was performed by a transcervical approach. Histopathological examination of the surgical specimen revealed bone tissue with thick trabecular bone and bone marrow. Cartilage tissue connected to the trabecular bone was also observed in the specimen. The patient's symptoms resolved after operation. Thirteen months after surgery, the patient remains free of symptoms. |
| Author | 由良, 義明 清水, 弦 今井, 智章 加藤, 逸郎 藤田, 祐生 千足, 浩久 |
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| References | 1) Eagle WW : Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol 49: 490-503, 1949. 2) Ghosh LM and Dubey SP : The syndrome of elongated styloid process. Auris Nasus Larynx 26: 169-175, 1999. 4) Moffat DA, Ramsden RT, et al : The styloid process syndrome: Aetiological factors and surgical management. J Laryngol Otol 91: 279-294, 1977. 6) 細川恵一，重松久夫，他：茎状突起過長症に対し口外法により手術した1例．日口外誌 57: 299-303, 2011. 10) 坂口博史，浅野純志，他：外切開にて切除しえた巨大な茎状突起過長症例．耳鼻臨床 93: 971-977, 2000. 11) Hossein R, Kambiz M, et al : Complete recovery after an intraoral approach for Eagle syndrome. J Craniofac Surg 21: 275-276, 2010. 9) 牟田 実，牟田 理：舌骨に連接した過長茎状突起症3例．耳鼻臨床 60: 129-134, 1967. 3) Dwight T : IX. Stylo-hyoid ossification. Ann Surg 46: 721-735, 1907. 7) Correll RW, Jensen JL, et al : Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol 48: 286-291, 1979. 8) 岡 達，金田敏郎，他：過長茎状突起の1治験例．口科誌 14: 368-372, 1965. 12) Strauss M, Zohar Y, et al : Elongated styloid process syndrome: intraoral versus external approach for styloid surgery. Laryngoscope 95: 976-979, 1985. 5) Eicken CV : Lange Processus styloidei als Ursavhe für Schluckbeschwerden. Zeitschr Ohrenkeilk 78: 63-82, 1919. |
| References_xml | – reference: 7) Correll RW, Jensen JL, et al : Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol 48: 286-291, 1979. – reference: 4) Moffat DA, Ramsden RT, et al : The styloid process syndrome: Aetiological factors and surgical management. J Laryngol Otol 91: 279-294, 1977. – reference: 11) Hossein R, Kambiz M, et al : Complete recovery after an intraoral approach for Eagle syndrome. J Craniofac Surg 21: 275-276, 2010. – reference: 5) Eicken CV : Lange Processus styloidei als Ursavhe für Schluckbeschwerden. Zeitschr Ohrenkeilk 78: 63-82, 1919. – reference: 10) 坂口博史，浅野純志，他：外切開にて切除しえた巨大な茎状突起過長症例．耳鼻臨床 93: 971-977, 2000. – reference: 8) 岡 達，金田敏郎，他：過長茎状突起の1治験例．口科誌 14: 368-372, 1965. – reference: 12) Strauss M, Zohar Y, et al : Elongated styloid process syndrome: intraoral versus external approach for styloid surgery. Laryngoscope 95: 976-979, 1985. – reference: 3) Dwight T : IX. Stylo-hyoid ossification. Ann Surg 46: 721-735, 1907. – reference: 2) Ghosh LM and Dubey SP : The syndrome of elongated styloid process. Auris Nasus Larynx 26: 169-175, 1999. – reference: 9) 牟田 実，牟田 理：舌骨に連接した過長茎状突起症3例．耳鼻臨床 60: 129-134, 1967. – reference: 1) Eagle WW : Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol 49: 490-503, 1949. – reference: 6) 細川恵一，重松久夫，他：茎状突起過長症に対し口外法により手術した1例．日口外誌 57: 299-303, 2011. |
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| SubjectTerms | Eagle症候群 茎状突起過長症 茎突舌骨靭帯の骨化 過長茎状突起 |
| Title | 舌骨に連続する巨大な過長茎状突起を認めた1例 |
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