The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation perio...The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation period,sound effect were obtained.展开更多
Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This...Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This prospective study was conducted between January 2010 to December 2022 at a Tertiary care hospital. It included 130 patients: 84 (65%) males and 46 (35%) females with a mean age of 43.52 ± 15.63 years. Patients presented with pleomorphic adenoma (90), chronic sialectasis (05), parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28), adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected to superficial parotidectomy and total parotidectomy. The outcome was evaluated regarding the clinical success of facial nerve function that considered the location of the styloid process in the triangle technique for identification of the FNT during parotid surgery. Results: All 130 patients underwent superficial and total parotidectomy. The facial nerve trunk was successfully identified as the location of the styloid process in the triangle technique in all the patients with no intra-operative complications. Operative time ranged from 50 to 180 minutes with a mean time 90.70 ± 15.68 minutes. Dysfunction of the angle of the mouth due to the deficit of the marginal mandibular nerve (MMN) was noted in 5 patients (3.8%), 02 had difficulty in eye closure (1.5%). No patient reported surgical site infection, skin flap necrosis and hematoma in this series. Conclusion: Styloid process is the prominent robust landmark in the triangle technique for the identification of facial nerve trunk with relative ease, safety and accuracy in the parotid surgical procedure. This can be a very useful method to locate the FNT and minimize facial nerve injury during parotid surgery.展开更多
Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed tha...Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed that the styloid process was long. However only 4% of these cases are symptomatic [1]. Surgical traumas such as tonsillectomy or stylomandibular chronic irritation of the ligament, proc. of styloideusosteitis, ossifying periosteitis, tendinitis or mucositis why could it be [2]. The main symptoms are facial pain, dysphagia, sore throat, earache and headache. It may be unilateral or bilateral. The styloid process can be shortened through an intraoral or external approach. The case of Eagle syndrome in a 39-year-old female patient who was diagnosed to have bilateral elongated.展开更多
Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloi...Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloid process is approximately 2.5 cm long. The etiology of this disease is not well understood, and usually asymptomatic. In some cases, the styloid tip, which is located between the external and internal carotid arteries, compresses the perivascular sympathetic fibers, resulting in a persistent pain. The disease can be diagnosed by physical examination through digital palpation of the styloid process in the tonsillar fossa or by radiographic workup that includes anterior-posterior and lateral skull films. We report a 33-year-old woman with an incidental finding of an elongated styloid process during a routine tonsillectomy procedure.展开更多
目的探讨针刺联合金黄散敷贴治疗桡骨茎突狭窄性腱鞘炎的疗效。方法选取2021年6月至2022年6月于罗湖区妇幼保健院产后门诊治疗的92例桡骨茎突狭窄性腱鞘炎患者作为研究对象,采用随机数字表法分为针刺治疗组(n=31)、金黄散敷贴治疗组(n=...目的探讨针刺联合金黄散敷贴治疗桡骨茎突狭窄性腱鞘炎的疗效。方法选取2021年6月至2022年6月于罗湖区妇幼保健院产后门诊治疗的92例桡骨茎突狭窄性腱鞘炎患者作为研究对象,采用随机数字表法分为针刺治疗组(n=31)、金黄散敷贴治疗组(n=29)、针刺联合金黄散敷贴治疗组(n=32)。针刺治疗组采用针刺治疗,金黄散敷贴治疗组采用黄金散敷贴治疗,针刺联合金黄散敷贴治疗组采用针刺联合金黄散敷贴治疗,比较3组视觉模拟评分法(visual analog scale,VAS)评分、握拳尺偏试验(Finkelstein征)阳性率、腕关节活动度(range of motion,ROM)、Cooney腕关节评分、临床疗效及不良事件发生情况。结果治疗后,3组VAS评分比较差异有统计学意义(P<0.05),针刺联合金黄散敷贴治疗组、针刺治疗组VAS评分均低于金黄散敷贴治疗组,差异有统计学意义(P<0.05)。治疗后,3组Finkelstein征阳性率比较差异有统计学意义(P<0.05),其中针刺联合金黄散敷贴治疗组阳性率低于金黄散敷贴治疗组,差异有统计学意义(P<0.017)。治疗后,3组ROM均大于治疗前,且金黄散敷贴治疗组<针刺治疗组<针刺联合金黄散敷贴治疗组,差异有统计学意义(P<0.05)。治疗后,3组Cooney腕关节评分比较差异有统计学意义(P<0.05),且金黄散敷贴治疗组<针刺治疗组<针刺联合金黄散敷贴治疗组,差异有统计学意义(P<0.05)。3组治疗总有效率比较差异有统计学意义(P<0.05),其中,针刺联合金黄散敷贴治疗组治疗总有效率高于金黄散敷贴治疗组,差异有统计学意义(P<0.017)。3组不良事件发生率比较差异无统计学意义。结论针刺联合金黄散敷贴治疗桡骨茎突狭窄性腱鞘炎较单独的针刺治疗或金黄散敷贴治疗的效果更显著,可以增强临床疗效,改善症状,缓解疼痛。展开更多
文摘The gen and mao areas,and the responding area of hand were punctured in umbilicus acupuncture,reperfusion activities were also done for a stenosing tenosynovitis of styloid process of radius patient in lactation period,sound effect were obtained.
文摘Objective: To identify the facial nerve trunk (FNT) very easily. quickly and accurately considering the styloid process as the robust anatomically consistent landmark during parotid surgery. Patients and Methods: This prospective study was conducted between January 2010 to December 2022 at a Tertiary care hospital. It included 130 patients: 84 (65%) males and 46 (35%) females with a mean age of 43.52 ± 15.63 years. Patients presented with pleomorphic adenoma (90), chronic sialectasis (05), parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28), adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected to superficial parotidectomy and total parotidectomy. The outcome was evaluated regarding the clinical success of facial nerve function that considered the location of the styloid process in the triangle technique for identification of the FNT during parotid surgery. Results: All 130 patients underwent superficial and total parotidectomy. The facial nerve trunk was successfully identified as the location of the styloid process in the triangle technique in all the patients with no intra-operative complications. Operative time ranged from 50 to 180 minutes with a mean time 90.70 ± 15.68 minutes. Dysfunction of the angle of the mouth due to the deficit of the marginal mandibular nerve (MMN) was noted in 5 patients (3.8%), 02 had difficulty in eye closure (1.5%). No patient reported surgical site infection, skin flap necrosis and hematoma in this series. Conclusion: Styloid process is the prominent robust landmark in the triangle technique for the identification of facial nerve trunk with relative ease, safety and accuracy in the parotid surgical procedure. This can be a very useful method to locate the FNT and minimize facial nerve injury during parotid surgery.
文摘Eagle’s syndrome is symptomatic of the styloid process (SP) elongation or calcification of the stylohyoid and stylomandibular ligaments. As a result of Eagle’s various studies, 4 out of every 100 patients showed that the styloid process was long. However only 4% of these cases are symptomatic [1]. Surgical traumas such as tonsillectomy or stylomandibular chronic irritation of the ligament, proc. of styloideusosteitis, ossifying periosteitis, tendinitis or mucositis why could it be [2]. The main symptoms are facial pain, dysphagia, sore throat, earache and headache. It may be unilateral or bilateral. The styloid process can be shortened through an intraoral or external approach. The case of Eagle syndrome in a 39-year-old female patient who was diagnosed to have bilateral elongated.
文摘Patients with recurrent throat pain, dysphagia, or facial pain symptoms might have Eagle’s syndrome due to abnormal length of the styloid process or calcification of stylohyoid ligament complex. In adults, the styloid process is approximately 2.5 cm long. The etiology of this disease is not well understood, and usually asymptomatic. In some cases, the styloid tip, which is located between the external and internal carotid arteries, compresses the perivascular sympathetic fibers, resulting in a persistent pain. The disease can be diagnosed by physical examination through digital palpation of the styloid process in the tonsillar fossa or by radiographic workup that includes anterior-posterior and lateral skull films. We report a 33-year-old woman with an incidental finding of an elongated styloid process during a routine tonsillectomy procedure.
文摘目的探讨针刺联合金黄散敷贴治疗桡骨茎突狭窄性腱鞘炎的疗效。方法选取2021年6月至2022年6月于罗湖区妇幼保健院产后门诊治疗的92例桡骨茎突狭窄性腱鞘炎患者作为研究对象,采用随机数字表法分为针刺治疗组(n=31)、金黄散敷贴治疗组(n=29)、针刺联合金黄散敷贴治疗组(n=32)。针刺治疗组采用针刺治疗,金黄散敷贴治疗组采用黄金散敷贴治疗,针刺联合金黄散敷贴治疗组采用针刺联合金黄散敷贴治疗,比较3组视觉模拟评分法(visual analog scale,VAS)评分、握拳尺偏试验(Finkelstein征)阳性率、腕关节活动度(range of motion,ROM)、Cooney腕关节评分、临床疗效及不良事件发生情况。结果治疗后,3组VAS评分比较差异有统计学意义(P<0.05),针刺联合金黄散敷贴治疗组、针刺治疗组VAS评分均低于金黄散敷贴治疗组,差异有统计学意义(P<0.05)。治疗后,3组Finkelstein征阳性率比较差异有统计学意义(P<0.05),其中针刺联合金黄散敷贴治疗组阳性率低于金黄散敷贴治疗组,差异有统计学意义(P<0.017)。治疗后,3组ROM均大于治疗前,且金黄散敷贴治疗组<针刺治疗组<针刺联合金黄散敷贴治疗组,差异有统计学意义(P<0.05)。治疗后,3组Cooney腕关节评分比较差异有统计学意义(P<0.05),且金黄散敷贴治疗组<针刺治疗组<针刺联合金黄散敷贴治疗组,差异有统计学意义(P<0.05)。3组治疗总有效率比较差异有统计学意义(P<0.05),其中,针刺联合金黄散敷贴治疗组治疗总有效率高于金黄散敷贴治疗组,差异有统计学意义(P<0.017)。3组不良事件发生率比较差异无统计学意义。结论针刺联合金黄散敷贴治疗桡骨茎突狭窄性腱鞘炎较单独的针刺治疗或金黄散敷贴治疗的效果更显著,可以增强临床疗效,改善症状,缓解疼痛。
