scholarly journals Intraoral and extraoral approach for surgical treatment of Eagle's syndrome: a retrospective study

2021 ◽  
Author(s):  
Jing Wang ◽  
Zhibin Wang ◽  
KaiSheng Yan ◽  
Yan Liu
Keyword(s):  
Clinical Symptoms ◽  
Average Length ◽  
Ct Scanning ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Medical College ◽  
Surgical Methods ◽  
Significant Difference ◽  
Cervical Approach ◽  
Absolute Criterion

Abstract Background We evaluated the clinical characteristics and postoperative efficacy of 94 patients with Eagle’s syndrome based on their clinical symptoms, imageological examination, and physical examination. Through the multi center clinical study of Tongji Medical College and Dalian Medical University, we found some characteristics of Eagle’s syndrome in operation and imaging. Methods In total, 94 patients with Eagle’s syndrome (treated from January 2010 to January 2019) were retrospectively enrolled. The postoperative curative effect was analysed by three surgical methods: styloid process resection through the external cervical approach, tonsillectomy + styloidectomy, and preservation of the tonsil for styloidectomy. Results The average length of the styloid process was 33 mm (range, 25–61 mm). The patients were followed up for 3–36 months (average, 15 months). Of the 94 patients, 20 underwent styloid process resection through the external cervical approach, 45 underwent tonsillectomy and styloidectomy, and 29 underwent styloidectomy with preservation of the tonsil. The treatment cured 45 (48%) cases, was effective in 31 (33%), and ineffective in 18 (19%). The SPSS 19.0 software was used to conduct a rank sum test, and there was no significant difference between the three types of operations (H = 0.521, P = 0.771). Conclusions Operation is an effective method for treating Eagle’s syndrome. There were no significant differences between the effects of the intraoral and external cervical approaches. Imaging examination—especially CT scanning and 3D reconstruction of the styloid process—is very helpful for diagnosis, but not an absolute criterion for the selection of surgery protocol.

scholarly journals Anatomical and clinical relevance of elongated styloid process in a sample of the Colombian population

2017 ◽  
Vol 34 (01) ◽  
pp. 036-039 ◽  
Author(s):  
G. Baena-Caldas ◽  
S. Rojas-Zuluaga ◽  
X. Peckham
Keyword(s):  
Clinical Symptoms ◽  
Average Length ◽  
Clinical Manifestations ◽  
Styloid Process ◽  
Demographic Variables ◽  
Eagle’S Syndrome ◽  
Specific Population ◽  
Cross Sectional ◽  
Different Populations ◽  
Observational Descriptive Study

Abstract Introduction: The styloid process is a cone-shaped process of the temporal bone with a normal length of 20 to 30 mm. It is considered “elongated” when its length is greater than 30mm. A temporal styloid process with a length of 25mm or more may cause Eagle's syndrome, a condition characterized by multiple clinical symptoms that can be explained by the anatomical relationships of the styloid process. The length of the styloid process depends on demographic variables such as race and geographical distribution; therefore normal patterns may vary among different populations. Due to its non-specific clinical manifestations, it would be relevant to know its prevalence in a specific population. The aim of this study was to determine the frequency of styloid process elongation in a sample of the Colombian population. Material and Methods: The study was a cross-sectional, observational descriptive study. The length of 46 styloid processes from their origin to their vertex was determined in 46 hemifacial dissections. The corresponding right or left side of the head of the styloid process was also recorded. Results: The obtained average length of styloid processes was 35.1 ± 13.2 mm. 23 styloid processes (50%) measured over 30 mm, and 38 processes (82.6%) measured 25 mm or more. Conclusion: Since previous reports have shown that the onset of symptoms is variable and sometimes independent of the length of the styloid process, we suggest that the angulation of the styloid process is a clinical consideration as important as the length of the styloid process.

scholarly journals Clinicoradiologic Evaluation of Eagle’s Syndrome and its Management

2015 ◽  
Vol 11 (4) ◽  
pp. 305-309 ◽  
Author(s):  
M Pokharel ◽  
S Karki ◽  
I Shrestha ◽  
BL Shrestha ◽  
K Khanal ◽  
...  
Keyword(s):  
Ct Scan ◽  
Styloid Process ◽  
History Taking ◽  
3D Ct ◽  
Ct Reconstruction ◽  
Eagle’S Syndrome ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
3D Ct Scan ◽  
Significant Difference

Background Eagle’s syndrome (Elongated styloid process) is often misdiagnosed due to its vague symptomatology. The diagnosis relies on detail history taking, palpation of styloid process in tonsillar fossa and imaging modalities.Objective To assess the length and medial angulation of elongated styloid process with the help of three dimensional computed tomography (3D CT) scan and to describe our clinical and surgical experience with patients suffering from Eagle’s syndrome.Method Prospective, analytical study conducted from August 2011 to August 2012 among 39 patients with Eagle’s syndrome. Detailed history taking, clinical examination and 3D CT scan was performed. Length and medial angulation was calculated. Patients with styloid process length longer than 2.50 cm underwent surgical excision via intraoral approach. Medial angulation of styloid process on both sides was correlated with each other using rank correlation coefficient. Wilcoxon Signed Rank test was applied to test significant difference between pre-operative and post-operative symptoms scores.Result Significant positive correlation was found between the medial angulation of styloid process on right side and left side (? =0.81, p<0.001). Significant difference was also observed between pre and post-operative symptoms scores (z=-5.16, p<0.001) .Conclusion Possibility of Eagle’s syndrome should always be considered while examining patients with vague neck pain. 3D CT reconstruction is a gold standard investigation which helps in studying the relation of styloid process with surrounding structures along with accurate measurement of its length and medial angulation.Kathmandu Univ Med J 2013; 11(4): 305-309

scholarly journals Serum Zinc Status in Post Menopausal Women Attending in a Tertiary Care Hospital of Bangladesh

2019 ◽  
Vol 9 (2) ◽  
pp. 147-150
Author(s):  
Nadia Ferdous ◽  
Farzana Akonjee Mishu ◽  
Shamsunnahar ◽  
Fahmida Islam ◽  
Shabnam Sarwar Sejooti
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care ◽  
Serum Zinc ◽  
Premenopausal Women ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Significant Difference ◽  
Zinc Levels ◽  
Serum Zinc Levels

Background: Nutritional needs change throughout the various stages of life. While overall caloric needs tend to decrease with age, the requirements for individual micronutrients do not decrease. In fact, the needs for some micronutrients actually increase with age. The risk of nutritional disturbances mainly trace elements deficiencies is high during postmenopause causing or intensifying serious clinical symptoms. Methods: This cross-sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College in collaboration with the Department of Obstetrics and Gynecology , Mymensingh Medical College Hospital during the period from July 2013 to June 2014. A total of 100 subjects were included in this study. Among them 50 apperantly healthy postmenopausal womenaged between 45-70 years were considered as case and another 50 regular menstruating premenopausal women aged between 30-40 years were selected as control. Results: The mean age of case and control groups was 50.5± 2.3 years and 36.5± 4.4 years respectively. In this study serum zinc levels in cases and controls were 71.54 ± 5.69 ìg /dl and 74.68 ± 5.453 ìg/dl respectively, and there was significant difference(p<0.01). Conclusion: Serum zinc level was significantly decreased in postmenopausal group in comparison to premenopausal women (p< 0.01). Estimation of serum zinc levels might be incorporated in every postmenopausal for possible prevention of complications. Birdem Med J 2019; 9(2): 147-150

scholarly journals Estimation of Serum Copper in Post-menopausal Women Attending in a Tertiary Care Hospital, Bangladesh

2019 ◽  
Vol 10 (2) ◽  
pp. 110-113
Author(s):  
N Ferdous ◽  
Farzana Akonjee Mishu ◽  
Shamsunnahar ◽  
Syed Md Tanjilul Haque ◽  
ANM Ashikur Rahman Khan ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care ◽  
Premenopausal Women ◽  
Serum Copper ◽  
Copper Level ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Significant Difference

Background: Nutritional needs change throughout the various stages of life. While overall caloric needs tend to decrease with age, the requirements for individual micronutrients do not decrease. In fact, the needs for some micronutrients actually increase with age. The risk of nutritional disturbances mainly trace elements deficiencies is high during postmenopause causing or intensifying serious clinical symptoms. Methods: This cross sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College in collaboration with the Department of Obstetrics and Gynecology, Mymensingh Medical College Hospital during the period from July 2013 to June 2014. A total of 100 subjects were included in this study. Among them 50 apperantly healthy postmenopausal women (Case) aged between 45-60 years were considered as case and another 50 regular menstruating premenopausal women(Control) aged between 30-40 years were selected as control. Results: The mean age of cases and control groups was 50.5±2.3 years and 36.5±4.4 years respectively. In this study we found Serum Copper levels in cases and controls were 115.36±8.836 µg /dl and 90.58 ±6.315 µg/dl respectively had (p< 0.01) significant difference. Conclusion: Serum Copper level was significantly increased in postmenopausal group in comparison to premenopausal women (p< 0.01). Estimation of serum Cu level might be incorporated in every postmenopausal woman for prevention of complications. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 110-113

scholarly journals Laboratory biomarkers of COVID-19 outcome: findings from a high dependency unit of South Bengal

2021 ◽  
Vol 9 (10) ◽  
pp. 3074
Author(s):  
Rabilochan Maji ◽  
Arindam Bhattacharjee ◽  
Akshaya Elango ◽  
Sayan Ghosh ◽  
Kripasindhu Gantait
Keyword(s):  
Clinical Characteristics ◽  
Clinical Symptoms ◽  
Survival Group ◽  
Medical College ◽  
High Dependency ◽  
Imaging Characteristics ◽  
Severity Scores ◽  
Significant Difference ◽  
Death Group ◽  
D Dimer

Background: Coronavirus disease-19 (COVID-19) has become a world wellbeing compromise. The danger factors for unfavorable occasions of coronavirus disease-19 (COVID-19) have not been very much depicted. This study aimed to explore clinical characteristics, laboratory results, and CT imaging characteristics of COVID-19 patients in Midnapore medical college and hospital and provide evidence for the prevention and treatment of COVID-19.Methods: In this retrospective, single-center study, data of all confirmed patients with COVID-19 admitted at SARI HDU of Midnapore medical college and hospital from 1st July to 21July 2021 were collected and analyzed. Data including clinical presentations, basic laboratory investigations, and CT severity scores were analyzed and compared between survival and death patients.Results: In this study total of 81 patients of COVID-19 admitted at SARI HDU were included (male=50, female=31). The patients were divided into 2 groups according to the outcome: survival group (n=38) and death group (n=43). Information on the overall clinical characteristics of the patients was collected, including age, sexual orientation, past medical history, clinical symptoms, and so on. Compared with the patients in the Survival group, the patients in the death group, the proportion of patients presented with Dyspnoea and suffering from Diabetes and hypertension were higher (p<0.05). In patients of the death group, TLC, CRP, D-dimer, urea, and creatinine had higher values, while the levels of albumin were significantly reduced, and the differences were statistically significant (p<0.05). Between the Survival group and death group, there was no significant difference in other indexes such as NLR, platelet count, and liver enzymes (SGOT, SGPT) (p>0.05). Conclusions: The risk factors of comorbidities, like diabetes, hypertension and others like leucocytosis, high CRP, high d-dimer, altered renal function, low serum albumin, and higher CT severity score could help clinicians identify patients with potential adverse events.

scholarly journals Tonsillostyloidectomy for Eagle’s syndrome: a study of 20 cases

2016 ◽  
Vol 2 (1) ◽  
pp. 22
Author(s):  
Roohie Singh ◽  
Jeevan R. Galagali
Keyword(s):  
Foreign Body ◽  
Clinical Symptoms ◽  
Laryngopharyngeal Reflux ◽  
Pain Syndrome ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Throat Pain ◽  
Body Sensation ◽  
Laryngopharyngeal Reflux Disease ◽  
Oral Approach

<p class="abstract"><strong>Background:</strong> Eagle’s syndrome is a pain syndrome which occurs due to elongated and misdirected styloid process. It is commoner than generally thought.</p><p class="abstract"><strong>Methods:</strong> 20 cases of styalgia were diagnosed and prospectively studied at two hospitals. The characteristic symptoms were chronic throat pain and foreign body sensation in throat. Diagnosis was made with clinical symptoms, physical examination in form of intraoral palpation of styloid and radiological correlation. All patients underwent Tonsillostyloidectomy for affected sites under General anaesthesia. The patients were followed up for 12 weeks post-operatively and relief of symptoms was noted.  </p><p class="abstract"><strong>Results:</strong> Chronic throat pain was the commonest symptom. Most cases were associated with chronic tonsillitis or Laryngopharyngeal reflux disease (LPRD). 19 (95%) patients were symptom free by 4 weeks postoperatively.</p><strong>Conclusions:</strong> In an established case of Styalgia with intraoral palpable styloid tip, tonsillostyloidectomy by intra-oral approach gives good results. Also, LPRD may be a possible aetiology of the disease. Incidentally, it was found that position of head over neck should be intraoperatively adjusted in order to suit easy approach to the styloid depending on antero-posterior angulation of styloid.

scholarly journals A case of a very elongated styloid process 8 cm in length with frequent throat pain for 10 years

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Takeshi Kusunoki ◽  
Hirotomo Homma ◽  
Yoshinobu Kidokoro ◽  
Aya Yanai ◽  
Mitsuhisa Fujimaki ◽  
...  
Keyword(s):  
Parapharyngeal Space ◽  
Styloid Process ◽  
External Approach ◽  
Throat Pain ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
Surgical Methods ◽  
Old Japanese ◽  
Cervical Approach ◽  
Left And Right

We experienced a case of an elongated styloid process that was 8 cm in length. The patient was a 68-year-old Japanese man with frequent episodes of left-sided throat pain for 10 years. The elongated styloid process could be diagnosed by 3D-computed tomography (left and right length: 7.8 cm and 8.0 cm, respectively) and successfully treated with surgery, since the anatomic relationships could be fully visualized. Surgical methods for shortening an elongated styloid process involve an intraoral or external approach. The external approach to the styloid process involves a trans-cervical approach to the parapharyngeal space, which enables wider visualization in the operative field than an intraoral approach. In the present case, the styloid process reached the parapharyngal space. Therefore, we selected the external approach and shortened only the left-sided styloid process (the same side as the throat pain). The chief complaint disappeared immediately after the operation.

Extrakorporális és intrakorporális anasztomózis rövid távú eredményeinek összehasonlítása malignus daganat miatt végzett laparoszkópos jobb oldali hemikolektómia esetén

2020 ◽  
Vol 73 (4) ◽  
pp. 148-152
Author(s):  
Kornél Vajda ◽  
László Sikorszki
Keyword(s):  
Length Of Stay ◽  
Gold Standard ◽  
Average Length ◽  
Colon Surgery ◽  
Right Hemicolectomy ◽  
Malignant Tumours ◽  
Short Term ◽  
Significant Difference ◽  
Laparoscopic Assisted ◽  
Laparoscopic Hemicolectomy

Összefoglaló. Bevezetés: A laparoszkópia térhódítása a jobb oldali colon műtéteknél is nyilvánvaló. Ma legtöbb helyen a laparoszkóposan asszisztált jobb oldali hemikolektómia extrakorporális anasztomózissal a gold standard. A morbiditás randomizált vizsgálatok alapján még 30% körüli. A technikai fejlődés lehetővé tette az intrakorporális anasztomózist. Célkitűzés: Retrospektív módon elemezni rosszindulatú jobb oldali vastagbéldaganat miatt végzett laparoszkópos hemikolektómiák rövid távú eredményeit a két módszer összehasonlításával. Eredmények: 2018. 01. 01. – 2019. 12. 31. között 184 jobb oldali hemikolektómiát végeztünk, ezek közül 122 történt malignus betegség miatt. 51 esetben nyitott és 71 esetben laparoszkópos műtét történt. 37 férfi (átlagéletkor: 70,59 év) és 34 nő (átlagéletkor: 72,14 év) volt. 50 esetben extrakorporális (EA) és 21 esetben pedig intrakorporális anasztomózist (IA) végeztünk. Az EA csoportban 18, míg az IA csoportban 3 szövődmény alakult ki 30 napon belül (p = 0,067). Az EA csoportból 3, az IA csoportból 1 beteget veszítettünk el 30 napon belül (p = 0,66). Az átlagos ápolási idő az EA csoportban 9,48 (5–32) nap, míg az IA csoportban 6,52 (4–19) nap volt (p = 0,001) a szövődményes esetekkel együtt. A szövődményes esetek nélkül az EA csoportban 6,35 (5–10) nap, az IA csoportban pedig 5,55 (4–8) napnak bizonyult (p = 0,09). A műtéti idő pedig az EA csoportban 147 (90–240) perc, az IA csoportban pedig 146,47 (90–265) perc volt (p = 0,11). Konklúzió: Az irodalommal összhangban azt találtuk, hogy IA esetén kevesebb a szövődmény, ezzel is összefüggésben rövidebb az átlagos ápolási idő, és a műtéti időt tekintve nincs szignifikáns különbség. Ezeket figyelembe véve az intrakorporális anasztomózis javasolható jobb oldali laparoszkópos hemikolektómia esetén. Summary. Introduction: Laparoscopy became evident for right-sided colon surgery too. Today the laparoscopic-assisted right-hemicolectomy is the gold standard with extracorporeal anastomosis. Morbidity according to randomized trials is still approximately 30%. The development of the surgical technique resulted in the creation of intracorporeal anastomosis. Our aim was to compare the short-term results of the two methods. Aim: To analyse the short-term results of right-sided hemicolectomy that were performed due to malignant tumours with the comparison of the two methods. Results: A cohort of 184 right-sided hemicolectomy were performed from 01.01.2018 to 31.12.2019 from which 122 were operated on because of a malignant disease. 51 open and 71 laparoscopic operations were performed. The average age of 37 men and 34 women were 70.59 and 72.14 years, respectively. 50 patients underwent extracorporeal (EA) anastomosis and 21 intracorporeal (IA) anastomosis. Within 30 days the number of complications were 18 in the EA group and 3 in the IA group (p = 0.067). 3 from the EA group and 1 from IA group died within 30 days (p = 0.66). The average length of stay were 9.48 days in the EA group and 6.52 days in the IA group together with the complicated cases (p = 0.001) while 6.35 days and 5.55 days without the complicated cases (p = 0.09). The average duration of operation was 147 minutes in the EA and 146.47 minutes in the IA group (p = 0.11). Conclusion: We found concordance with the literature that there are fewer complications in case of IA which might be related to shorter length of stay. There is no significant difference between the surgical times. Bearing these facts in mind, IA might be suggested for right- sided laparoscopic hemicolectomy.

scholarly journals A comparative evaluation of post placental intrauterine contraceptive device (IUCD) insertion between normal delivery and caesarean section

2018 ◽  
Vol 7 (9) ◽  
pp. 3826
Author(s):  
Sharmistha Sarkar ◽  
Dhruba Prasad Paul ◽  
Jayanta Ray
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Comparative Evaluation ◽  
P Value ◽  
Contraceptive Device ◽  
Government Medical College ◽  
Expulsion Rate ◽  
Medical College ◽  
Significant Difference ◽  
Post Placental

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.

scholarly journals Clinical Evaluation of Microendoscopy-Assisted Oblique Lateral Interbody Fusion

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 135
Author(s):  
Tomohide Segawa ◽  
Hisashi Koga ◽  
Masahito Oshina ◽  
Katsuhiko Ishibashi ◽  
Yuichi Takano ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Outcome Measure ◽  
Operation Time ◽  
Secondary Outcome ◽  
Invasive Technique ◽  
Lateral Interbody Fusion ◽  
Surgical Methods ◽  
Significant Difference ◽  
Oblique Lateral Interbody Fusion ◽  
Lateral Interbody

Background and objectives: Oblique Lateral Interbody Fusion (OLIF) is a widely performed, minimally invasive technique to achieve lumbar lateral interbody fusion. However, some complications can arise due to constraints posed by the limited surgical space and visual field. The purpose of this study was to assess the short-term postoperative clinical outcomes of microendoscopy-assisted OLIF (ME-OLIF) compared to conventional OLIF. Materials and Methods: We retrospectively investigated 75 consecutive patients who underwent OLIF or ME-OLIF. The age, sex, diagnosis, and number of fused levels were obtained from medical records. Operation time, estimated blood loss (EBL), and intraoperative complications were also collected. Operation time and EBL were only measured per level required for the lateral procedure, excluding the posterior fixation surgery. The primary outcome measure was assessed using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). The secondary outcome measure was assessed using the Oswestry Disability Index (ODI) and the European Quality of Life–5 Dimensions (EQ-5D), measured preoperatively and 1-year postoperatively. Results: This case series consisted of 14 patients in the OLIF group and 61 patients in the ME-OLIF group. There was no significant difference between the two groups in terms of the mean operative time and EBL (p = 0.90 and p = 0.50, respectively). The perioperative complication rate was 21.4% in the OLIF group and 21.3% in the ME-OLIF group (p = 0.99). In both groups, the postoperative JOABPEQ, EQ-5D, and ODI scores improved significantly (p < 0.001). Conclusions: Although there was no significant difference in clinical results between the two surgical methods, the results suggest that both are safe surgical methods and that microendoscopy-assisted OLIF could serve as a potential alternative to the conventional OLIF procedure.

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