CAJ | 학술논문

目的寻找茎突综合征误诊为颞下颌关节紊乱病患者的原因。方法回顾误诊为颞下颌关节紊乱病的5例茎突综合征患者，分析其临床资料及治疗方法。结果5例患者中，茎突长2.5cm1例，茎突长3.0cm1例，茎突长3.5cm2例，茎突长4.2cm1例；所有患者均在全麻下经乳突前行皮肤切口切除茎突，术后患者颌面、颈部疼痛，咽部不适等症状消失4例，缓解1例。结论颞下颌关节紊乱病是颌面部面侧区慢性疼痛的常见原因之一，茎突综合征主要表现为面侧深区疼痛，两者容易误诊，通过仔细询问病史，临床检查，结合X线及三维螺旋CT 检查可明确诊断，手术切除茎突是有效的治疗方法。
목적심조경돌종합정오진위섭하합관절문란병환자적원인。방법회고오진위섭하합관절문란병적5례경돌종합정환자，분석기림상자료급치료방법。결과5례환자중，경돌장2.5cm1례，경돌장3.0cm1례，경돌장3.5cm2례，경돌장4.2cm1례；소유환자균재전마하경유돌전행피부절구절제경돌，술후환자합면、경부동통，인부불괄등증상소실4례，완해1례。결론섭하합관절문란병시합면부면측구만성동통적상견원인지일，경돌종합정주요표현위면측심구동통，량자용역오진，통과자세순문병사，림상검사，결합X선급삼유라선CT 검사가명학진단，수술절제경돌시유효적치료방법。
Objective To investigate the reason of misdiagnosis styloid process syndrome as temporomandibular disorders. Methods Retrospective analysis of 5 styloid process syndrome patients which was misdiagnosed as temporomandibular disorders. Try to find bet er treatment methods through analyzing clinical features and investigating misdiagnosis reasons. Results Styloid length were 2.5cm in 1 case, 3.0 cm in 1 case, 3.5cm in 2 cases, 4.2cm in 1 case. Al patients undergo surgery by resection part of the lengthy styloid process. 4 of 5 cases' pain obtained complete remission. 1 obtained partial remission. Conclusion Temporomandibular disorders and styloid process syndrome were common pathogen of chronic lateral maxil ofacial pain, the lat er one commonly present as pain in deep region. Careful y asking medical history, careful clinical examination, and imaging examination like X-ray and 3D spiral CT can clear diagnosis. Surgery resection is ef ective treatment method.