styloid syndrome
Introduction
Introduction to styloid process syndrome Styloid process syndrome is a general term for symptoms such as pharyngeal foreign body sensation, sore throat or reflex ear pain, head and neck pain, and enlarged parotid gland due to excessive styloid process or orientation, abnormal morphological stimulation of adjacent vascular nerves. For adults. The disease is slow onset, and the history is different. There are often pains in the tonsil area and the base of the tongue. It is often unilateral, not too intense, and can be radiated to the ear or neck, which is aggravated when swallowed. Foreign body sensation or obstruction is more common, mostly on one side, more obvious when swallowing, sometimes aggravated in speech, turning or night. It can also cause coughing. When the carotid artery is compressed or rubbed, the pain can be radiated from one side of the mandibular angle to the head, neck or face. Sometimes there are signs of neurasthenia such as tinnitus, runny, and insomnia. basic knowledge The proportion of illness: 0.012% Susceptible people: common in adults Mode of infection: non-infectious Complications: cough, tinnitus, insomnia, neurasthenia
Cause
Cause of stem process syndrome
Toxoplasma resection is a common cause of sensation of pharyngeal foreign body sensation, sore throat or reflex ear pain, head and neck pain and increased parotid gland due to excessive styloid process or azimuth. .
The cause is complicated:
1 Stem process is too long: the average length of the normal styloid process is about 2.5cm. Exceeding this length, the styloid process is too long. The stem protrudes in the front inner side of the lower stalk of the humerus. It is in the shape of a thin cylinder with a distal end extending inward and lower. Located between the internal carotid artery and the external carotid artery, the styloid process is too long to extend distally into or near the tonsil socket. No matter whether the tonsils are removed or not, pharyngeal foreign body sensation may occur, such as compression of nerve endings. Symptoms such as sore throat, too long styloid compression or rubbing the neck artery, affecting blood circulation, can cause pain in the corresponding area, but also have long stems and asymptomatic.
2 Styloid azimuth and morphological abnormalities: Some patients have a styloid length within the normal range, but their azimuth and morphological abnormalities, or carotid artery abnormalities make the two agree to cause headache and other symptoms.
3 tonsillitis and tonsil postoperative scar traction, but also the cause of this disease.
4 glossopharyngeal neuritis is closely related to this disease.
The onset is slow, the history is different, often there is a tonsil area, pain in the tongue base area, often unilateral, not too intense, can be radiated to the ear or neck, aggravated when swallowing, pharyngeal foreign body sensation or obstruction is more common, more For one side, it is more obvious when swallowing. Sometimes it can cause cough when speaking, turning head or nighttime. When the carotid artery is pressed or rubbed, the pain can be radiated from one side of the mandibular angle to the head and neck or face. Sometimes There may be neurasthenia such as tinnitus, salivation, and insomnia.
Prevention
Styloid process syndrome prevention
There is no effective preventive measure for this disease. Early diagnosis and early treatment are the key to the prevention and treatment of this disease.
Complication
Styloid syndrome complications Complications, cough, tinnitus, insomnia, neurasthenia
Can cause cough, when the carotid artery is compressed or rubbed, the pain can be radiated from one side of the mandibular angle to the head and neck or face, sometimes with neurasthenia such as tinnitus, runny, insomnia.
Symptom
Symptoms of styloid syndrome common symptoms earache pharyngeal foreign body sensation runny sore throat insomnia tinnitus neuralgia weakness
The onset is slow, the history of the disease varies, often there is pain in the tonsil area and the base of the tongue. It is often unilateral, not too intense, and can be radiated to the ear or neck, which is aggravated when swallowed. Foreign body sensation or obstruction is more common, mostly on one side, more obvious when swallowing, sometimes aggravated in speech, turning or night. It can also cause coughing. When the carotid artery is compressed or rubbed, the pain can be radiated from one side of the mandibular angle to the head, neck or face. Sometimes there are signs of neurasthenia such as tinnitus, runny, and insomnia.
Physical examination: palpation of the tonsil area can lead to hard cord-like or thorn-like protrusions, patients can complain of discomfort here, and can induce sore throat or sore throat. Mostly one side is too long. X-ray films of styloid processes often show that the length is too long, or there is deflection or bending.
This disease is often neglected, all ages over 20 years old, have sore throat, pharyngeal foreign body sensation, both neck pain, earache, headache should think of this disease, parallel palpation and taking stem protrusion, if necessary, tonsil Surgery exploration, the disease needs to be differentiated from pharyngitis, glossopharyngeal neuritis, glossopharyngeal neuralgia, styloid process fractures and other diseases.
Examine
Examination of styloid process syndrome
Palpation of the tonsil area can be found to be hard strips or thorns, patients can complain of discomfort here, and can induce sore throat or sore throat, mostly unilaterally too long, stem tumor X-ray film often shows The length is too long, or it may be skewed or bent.
Diagnosis
Diagnosis and differentiation of styloid process syndrome
diagnosis
This disease is often overlooked. Anyone over the age of 20, with sore throat, pharyngeal foreign body sensation, neck pain, earache, headache should think of this disease, parallel palpation and taking the stem protrusion, if necessary, can be explored by tonsil surgery. The disease needs to be differentiated from pharyngitis, glossopharyngeal neuritis, glossopharyngeal neuralgia, styloid process fractures and other diseases.
Differential diagnosis
The disease needs to be differentiated from pharyngitis, glossopharyngeal neuritis, glossopharyngeal neuralgia, styloid process fractures and other diseases.
