Síndrome de Eagle: avaliação do tratamento cirúrgico
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0034-72992002000200007 http://repositorio.unifesp.br/handle/11600/1389 |
Resumo: | Introduction: The styloid apophysis is an osseous outgrowth originating in the tympanum portion of the temporal bone. Its growth, or the ossification of the stylohyoid ligament, may cause a series of symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. This set of symptoms associated to the presence of an elongated styloid aphophysis is known as the Eagle syndrome. Aim: To report on a group of four patients with Eagle syndrome, as well as to discuss the clinical presentation and the most suitable treatment of this disease. Study design: Clinical retrospective. Material and Method: A retrospective clinical study of four patients who were submitted to surgery at the HSPE-FMO (State Public Servants Hospital) of São Paulo, and at the HSPM (Municipal Public Servants Hospital) of the city of São Paulo, in the period from June, 1998, to June, 2001. The surgical treatment was the therapeutic option selected, with the removal of the elongated styloid aphophyses. The clinical evolution was assessed during the postoperative period. Results: Of the four patients, three were females and one a male, ages ranging from 38 to 68 years, with an average age of 57.25 years. The elongated styloid aphophyses were found and operated in both sides in 50% of the cases. Full remission of the symptoms occurred in three of the patients, and a partial improvement was observed in the other patient. Conclusion: This disease should be considered when the patient presents symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. Surgical treatment is the best form of conducting such cases with patients presenting elongated styloid aphophysis and symptoms compatible with the Eagle syndrome, with the external approach being the one that offers greater safety and allows for a more complete resection. |
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Síndrome de Eagle: avaliação do tratamento cirúrgicoEagle Syndrome: surgical treatment evaluationEagle s syndromeligament stylohyoidossificationsíndrome de Eagleligamento estilohióideoossificaçãoIntroduction: The styloid apophysis is an osseous outgrowth originating in the tympanum portion of the temporal bone. Its growth, or the ossification of the stylohyoid ligament, may cause a series of symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. This set of symptoms associated to the presence of an elongated styloid aphophysis is known as the Eagle syndrome. Aim: To report on a group of four patients with Eagle syndrome, as well as to discuss the clinical presentation and the most suitable treatment of this disease. Study design: Clinical retrospective. Material and Method: A retrospective clinical study of four patients who were submitted to surgery at the HSPE-FMO (State Public Servants Hospital) of São Paulo, and at the HSPM (Municipal Public Servants Hospital) of the city of São Paulo, in the period from June, 1998, to June, 2001. The surgical treatment was the therapeutic option selected, with the removal of the elongated styloid aphophyses. The clinical evolution was assessed during the postoperative period. Results: Of the four patients, three were females and one a male, ages ranging from 38 to 68 years, with an average age of 57.25 years. The elongated styloid aphophyses were found and operated in both sides in 50% of the cases. Full remission of the symptoms occurred in three of the patients, and a partial improvement was observed in the other patient. Conclusion: This disease should be considered when the patient presents symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. Surgical treatment is the best form of conducting such cases with patients presenting elongated styloid aphophysis and symptoms compatible with the Eagle syndrome, with the external approach being the one that offers greater safety and allows for a more complete resection.Introdução: A apófise estilóide é uma projeção óssea que se origina na porção timpânica do osso temporal. O aumento desta ou a ossificação do ligamento estilohióideo pode originar uma série de sintomas como disfagia, odinofagia, dor facial, otalgia, cefaléia, zumbido e trismo. Este conjunto de sintomas associado à presença da apófise estilóide alongada é conhecido como Síndrome de Eagle. Objetivo: Relatar um grupo de quatro pacientes com Síndrome de Eagle, bem como discutir a apresentação clínica e o tratamento mais adequado desta doença. Forma de estudo: Clínico retrospectivo. Material e método: Realizado estudo clínico retrospectivo de quatro pacientes, operados no HSPE-FMO e HSPM de São Paulo, no período de junho de 1998 a junho de 2001. O tratamento cirúrgico foi a opção terapêutica escolhida, com a retirada da apófise estilóide alongada. Foi avaliada a evolução clínica no pós-operatório. Resultados: Dos quatro pacientes, três eram do sexo feminino e um do sexo masculino, com idade variando de 38 a 68 anos e com média etária de 57,25 anos. A apófise estilóide alongada foi encontrada e operada em ambos os lados em 50% dos casos. Houve remissão completa dos sintomas em três pacientes, com melhora parcial no outro paciente. Conclusão: Esta doença deve ser considerada em pacientes com sintomas de disfagia, odinofagia, dor facial, otalgia, cefaléia, zumbido e trismo. O tratamento cirúrgico para pacientes que apresentam a apófise estilóide alongada com sintomas compatíveis com a Síndrome de Eagle é a melhor forma de conduzir estes casos, sendo a via de abordagem externa a que oferece mais segurança e que possibilita uma ressecção mais completa.UNIFESP-EPMSta. Casa de São Paulo Faculdade de Ciências MédicasHSPMUNIFESP, EPMSciELOABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-FacialUniversidade Federal de São Paulo (UNIFESP)Sta. Casa de São Paulo Faculdade de Ciências MédicasHSPMTiago, Romualdo Suzano Louzeiro [UNIFESP]Marques Filho, Marcílio Ferreira [UNIFESP]Maia, Clícia Adriana SantosSantos, Osvaldo Fonseca Souza2015-06-14T13:29:38Z2015-06-14T13:29:38Z2002-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion196-201application/pdfhttp://dx.doi.org/10.1590/S0034-72992002000200007Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 68, n. 2, p. 196-201, 2002.10.1590/S0034-72992002000200007S0034-72992002000200007.pdf0034-7299S0034-72992002000200007http://repositorio.unifesp.br/handle/11600/1389porRevista Brasileira de Otorrinolaringologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-27T19:54:59Zoai:repositorio.unifesp.br/:11600/1389Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-27T19:54:59Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Síndrome de Eagle: avaliação do tratamento cirúrgico Eagle Syndrome: surgical treatment evaluation |
title |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
spellingShingle |
Síndrome de Eagle: avaliação do tratamento cirúrgico Tiago, Romualdo Suzano Louzeiro [UNIFESP] Eagle s syndrome ligament stylohyoid ossification síndrome de Eagle ligamento estilohióideo ossificação |
title_short |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
title_full |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
title_fullStr |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
title_full_unstemmed |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
title_sort |
Síndrome de Eagle: avaliação do tratamento cirúrgico |
author |
Tiago, Romualdo Suzano Louzeiro [UNIFESP] |
author_facet |
Tiago, Romualdo Suzano Louzeiro [UNIFESP] Marques Filho, Marcílio Ferreira [UNIFESP] Maia, Clícia Adriana Santos Santos, Osvaldo Fonseca Souza |
author_role |
author |
author2 |
Marques Filho, Marcílio Ferreira [UNIFESP] Maia, Clícia Adriana Santos Santos, Osvaldo Fonseca Souza |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Sta. Casa de São Paulo Faculdade de Ciências Médicas HSPM |
dc.contributor.author.fl_str_mv |
Tiago, Romualdo Suzano Louzeiro [UNIFESP] Marques Filho, Marcílio Ferreira [UNIFESP] Maia, Clícia Adriana Santos Santos, Osvaldo Fonseca Souza |
dc.subject.por.fl_str_mv |
Eagle s syndrome ligament stylohyoid ossification síndrome de Eagle ligamento estilohióideo ossificação |
topic |
Eagle s syndrome ligament stylohyoid ossification síndrome de Eagle ligamento estilohióideo ossificação |
description |
Introduction: The styloid apophysis is an osseous outgrowth originating in the tympanum portion of the temporal bone. Its growth, or the ossification of the stylohyoid ligament, may cause a series of symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. This set of symptoms associated to the presence of an elongated styloid aphophysis is known as the Eagle syndrome. Aim: To report on a group of four patients with Eagle syndrome, as well as to discuss the clinical presentation and the most suitable treatment of this disease. Study design: Clinical retrospective. Material and Method: A retrospective clinical study of four patients who were submitted to surgery at the HSPE-FMO (State Public Servants Hospital) of São Paulo, and at the HSPM (Municipal Public Servants Hospital) of the city of São Paulo, in the period from June, 1998, to June, 2001. The surgical treatment was the therapeutic option selected, with the removal of the elongated styloid aphophyses. The clinical evolution was assessed during the postoperative period. Results: Of the four patients, three were females and one a male, ages ranging from 38 to 68 years, with an average age of 57.25 years. The elongated styloid aphophyses were found and operated in both sides in 50% of the cases. Full remission of the symptoms occurred in three of the patients, and a partial improvement was observed in the other patient. Conclusion: This disease should be considered when the patient presents symptoms, such as dysphagia, odynophagia, facial pain, otalgia, cephalea, tinnitus and trismus. Surgical treatment is the best form of conducting such cases with patients presenting elongated styloid aphophysis and symptoms compatible with the Eagle syndrome, with the external approach being the one that offers greater safety and allows for a more complete resection. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-03-01 2015-06-14T13:29:38Z 2015-06-14T13:29:38Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0034-72992002000200007 Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 68, n. 2, p. 196-201, 2002. 10.1590/S0034-72992002000200007 S0034-72992002000200007.pdf 0034-7299 S0034-72992002000200007 http://repositorio.unifesp.br/handle/11600/1389 |
url |
http://dx.doi.org/10.1590/S0034-72992002000200007 http://repositorio.unifesp.br/handle/11600/1389 |
identifier_str_mv |
Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 68, n. 2, p. 196-201, 2002. 10.1590/S0034-72992002000200007 S0034-72992002000200007.pdf 0034-7299 S0034-72992002000200007 |
dc.language.iso.fl_str_mv |
por |
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por |
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Revista Brasileira de Otorrinolaringologia |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
196-201 application/pdf |
dc.publisher.none.fl_str_mv |
ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial |
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ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial |
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reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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biblioteca.csp@unifesp.br |
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