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首页> 外文期刊>The Internet Journal of Otorhinolaryngology >Traumatic Eagle Syndrome: Does Neck Trauma Result in Complete Ossification in Partially Ossified Stylohoid Ligament?
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Traumatic Eagle Syndrome: Does Neck Trauma Result in Complete Ossification in Partially Ossified Stylohoid Ligament?

机译：外伤性鹰综合症：颈部外伤会导致部分骨化的类触针韧带完全骨化吗？

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摘要

Eagle syndrome (ES) is a constellation of symptoms and signs resulting from abnormal stylohyoid chain ossification [1]. The styloid chain consists of the styloid process, the stylohyoid ligament, and the lesser cornu of the hyoid bone [2]. ES is a rare entity which is not commonly suspected in clinical practice [3], and only a small percentage of the 4% of population believed to have an elongated styloid process and a calcified stylohyoid ligament manifest the symptoms [4]. The symptoms are a foreign-body sensation in the throat, dysphagia, and intermittent facial pain related to an elongated styloid process and a calcified stylohyoid ligament [5]. Other frequent symptoms include headache, pain on rotation of the neck, pain on extension of the tongue, change in voice, and a sensation of hyper salivation [6]. The diagnosis is often first made radiologically and once made this prompts clinical confirmation by palpation of the tonsillar fossa. We present a case of a 50-year old physician presents with progressive but intermittent voice change of 1 year duration and dysphagia of 2 weeks duration. Case Report A 50-year old physician presents with progressive but intermittent voice change of 1 year duration and dysphagia of 2 weeks duration. Her progressive voice change was noticed by friends. She denied associated odynophonia, voice fatigue or history of vocal abuse. She described her dysphagia as “trying to overcome a constriction on swallowing”. The dysphagia was to both solids and liquids. There was no associated cough, dyspnoea, or orthopnoea or regurgitation of feeds. She had no antecedent history of corrosive ingestion. She gave a long standing history of high pitch tinnitus in the left ear which she attributed to a ‘bad cold' of 10 years duration. The tinnitus was associated with reduced hearing on the left.She had a past history of neck injury following road traffic accident 5 years earlier. The neck pain resulted when a car she was traveling in went into a ditch and her head was thrown against the roof of the car. She experienced severe neck pains for months after the accident. Her general examination was not significant. Neck examination revealed difficulty in palpating the hyoid bone. The thyroid cartilage was normal. There were no palpable neck nodes, and normal laryngeal crepitus was found. Oropharyngeal examination was normal. No abnormality was found on indirect laryngoscopy. Plain lateral soft tissue x-ray of neck revealed calcification of the stylohyoid ligaments. The only significant finding on axial, coronal [Figures 1a, 1b] and saggital [Figure2] reconstruction images and volume rendered reconstruction of CT-Scan of neck was dense ossification of both stylohyoid ligaments in their entire extent. The stylohyoid ligaments measured 47 and 45mm on the right and left respectively. The outline of the ossified ligaments is normal and no focal mass effect is seen.
机译：Eagle综合征（ES）是由异常的类骨突舌骨化引起的症状和体征[1]。茎突链由茎突，茎突韧带和舌骨的小角膜组成[2]。 ES是罕见的实体，在临床实践中通常不怀疑[3]，只有4％的被认为具有延长的茎突过程和钙化类舌舌韧带的人群中只有一小部分表现出症状[4]。症状是喉咙异物感，吞咽困难和间歇性面部疼痛，这与茎突延长和类固醇韧带钙化有关[5]。其他常见的症状包括头痛，脖子旋转时的疼痛，舌头伸展时的疼痛，声音变化以及流涎过多的感觉[6]。诊断通常首先是通过放射学做出的，一旦做出诊断，则可通过触诊扁桃体窝来提示临床确认。我们介绍了一例50岁的医生，其病情进展为持续性但间歇性变化，持续时间为1年，吞咽困难为2周。病例报告一名50岁的医生表现为持续时间为1年的进行性但间歇性声音改变和持续2周的吞咽困难。朋友注意到她的声音逐渐改变。她否认了相关的声音回响，声音疲劳或声音滥用史。她将吞咽困难描述为“试图克服吞咽困难”。吞咽困难是固体和液体。没有相关的咳嗽，呼吸困难或矫正或饲料反流。她之前没有腐蚀性食入史。她有很长的左耳高音耳鸣病史，归因于持续10年的“重感冒”。耳鸣与左侧听力下降有关。5年前，她曾因道路交通事故而颈部受伤。当她乘坐的汽车掉进沟里，头撞在车顶上时，就产生了颈部疼痛。事故发生几个月后，她经历了严重的颈部疼痛。她的一般检查并不重要。颈部检查发现触诊舌骨有困难。甲状腺软骨正常。没有明显的颈部淋巴结肿大，并且喉头正常。口咽检查正常。间接喉镜检查未发现异常。颈部的外侧软组织平片X线检查可见椎骨舌骨韧带钙化。轴向，冠状[图1a，1b]和矢状[图2]重建图像以及颈部CT扫描重建图像的体积的唯一重要发现是两个突触舌骨韧带在整个范围内均密集致骨化。茎突韧带的左右两侧分别为47mm和45mm。僵化的韧带轮廓正常，未见病灶质量效应。

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