Eagleov sindrom i orofacijalna bol

master's thesis

• Title (english): Eagle syndrome and orofacial pain
• Author: Lara Foretić
• Mentor: Tomislav Badel (mentor)
• Committee member: Tomislav Badel (predsjednik povjerenstva)
• Committee member: Ivan Zajc (član povjerenstva)
• Committee member: Ivana Savić Pavičin (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2016-10-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Američki otorinolaringolog Watt Weems Eagle je prvi opisao stiloidni
sindrom 1937. godine. Stilohioidni sustav čine stiloidni nastavak, stilohioidni
ligament i mali rog jezične kosti na svakoj strani. Embriološki, ove anatomske
strukture imaju svoje porijeklo od Reichert hrskavice drugog ždrijelnog luka.
Eagleov sindrom ili sindrom stiloidnog nastavka je stanje u kojem produženi
stiloidni nastavak ili kalcificiran stilohioidni ligament uzrokuje povremene boli u
vratu, osjećaj stranog tijela ili neki drugi oblik retromandibularno-cervikalne boli.
Sindrom se javlja poslije tonzilektomije ili traume, kada ožiljkasto tkivo ispod
tonzilarne udubine pritišće i isteže kranijalne živce V.,VII., IX, i X. U odraslih
stiloidni nastavak je dug oko 25 mm s vrškom koji se nalazi između vanjske i
unutarnje karotidne arterije postranično od zida ždrijela i tonzilarne udubine.
Dijagnozu je moguće postaviti kliničkim pregledom, palpacijom tonzilarne
udubine, pri čemu se javlja bol i rendgenskim metodama. Najčešća snimka je
ortopantomogram, a zlatni dijagnostički standard za stiloidni sindrom je
trodimenzionalna rekonstrukcija, kompjuterizirana tomografija (CT).
Ukoliko se konzervativnom terapijom (primjenom anagletika, antikonvulziva,
antidepresiva i lokalna infiltracija anestetika i steroida) ne dovede do poboljšanja
stanja, preporučuje se kirurško liječenje, odstranjenje stiloidnog nastavka.
Procjenjuje se da je učestalost izduženog stiloidnog nastavka u općoj
populaciji 4%. Stoga proizlazi da je učestalost stiloidnog sindroma u općoj populaciji
0.16%.

Abstract (english)

The stylohyoid syndrome was first described by American
otorhinolaryngologist Watt Weems Eagle in 1937. Stylohyoid system consists of
styloid process, stylohyoid ligament and small horn of the hyoid bone on each side. It
is generally accepted that, embryologically, these anatomical structures originate
from the second branchial arch or Reichert`s cartilage.
Eagle's syndrome or styloid process is a condition in which an elongated
styloid process or calcified stylohyoid ligament causes occasional pain in the neck,
foreign body sensation or some other form of retromandibular-cervical pain. The
syndrome can develop after tonsillectomy or trauma, when scar tissue under the
tonsillar fossa compresses and stretches cranial nerves V, VII, IX, and X. In adults,
the normal styloid process is approximately 25 mm long with a tip which is located
between the external and internal carotid arteries, lateral to the pharyngeal wall and
the tonsillar fossa.
Diagnosis can be made by a clinical examination and palpation of the
tonsillar fossa, during which pain is felt by the patient and with radiographic
methods. The most common methods used in diagnosis is orthopantomograph, but a
diagnostic gold standard for styloid syndrome is a 3D- reconstruction, computerized
tomography (CT).
If conservative therapy (application of analgesic, anticonvulsants,
antidepressants and local infiltration of anesthetic and steroids) does not lead to
improvement, Eagle`s syndrome can be treated surgically, to remove the styloid
process.
It is estimated, that the prevalance of elongated styloid process in the general
population is 4%. It therefore follows, that the incidence of styloid syndrome in the
general population is about 0.16%.

• Keywords: bol lica; okoštavanje; ektopično; Eagleov sindrom
• Keywords (english): facial pain; ossificaion; heterotopic; Eagle syndrome
• Language: croatian
• URN:NBN: urn:nbn:hr:127:402705
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-11-21 13:33:26