ABSTRACT
OBJECTIVE: This article aimed to summarize our clinical experience with a standardized tonsil-sparing transoral surgical approach used for treatment of styloid process-carotid artery Eagle's syndrome. METHODS: Eleven consecutive patients, from 2007 to 2013, underwent surgical treatment to remove elongated styloid apophyses transorally. Outcomes were assessed in terms of intraoperative and postoperative complications and patients' evolution. RESULTS: No patient experienced any intraoperative or postoperative complications. All patients have been followed up to present and 10 of them have shown complete relief of the symptoms and improvement of functional ability. CONCLUSION: The tonsil-sparing transoral surgical approach described is suitable for treating patients with elongated styloid apophyses.
Subject(s)
Ossification, Heterotopic/surgery , Temporal Bone/abnormalities , Adult , Aged , Carotid Arteries/innervation , Carotid Arteries/physiopathology , Female , Humans , Imaging, Three-Dimensional , Intraoperative Complications , Male , Middle Aged , Ossification, Heterotopic/diagnostic imaging , Ossification, Heterotopic/physiopathology , Postoperative Complications , Sympathetic Nervous System/physiopathology , Temporal Bone/diagnostic imaging , Temporal Bone/physiopathology , Temporal Bone/surgery , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Los tumores malignos en el paladar óseo son una patología poco frecuente. Se reportan del 1 al 5% de las neoplasias malignas de la cavidad oral, donde dos tercios de las lesiones son carcinomas escamocelulares. Por lo general se presentan como una masa o ulceración no dolorosa en el techo de la boca o el borde alveolar. La invasión ósea ocurre tardíamente y las lesiones se pueden tornar exofíticas cuando no se tratan. Uno de los factores predisponentes para esta patología es el tabaquismo invertido. Las metástasis clínicas se manifiestan entre un 10 a 25%. En estadios tempranos puede ser tratado de manera efectiva con cirugía o radioterapia. Presentamos el caso de un paciente con una lesión ulcerada en paladar óseo a nivel del torus palatino, de tres meses de evolución, con antecedente de alcoholismo y tabaquismo. Se documentó carcinoma escamocelular y se le practicó palatectomía parcial, con colocación de prótesis dental en paladar óseo
Malignant tumors of the palate are an infrequent pathology. It accounts about 1 to 5% of malignancies of the oral cavity, where two thirds of lesions are squamous cell carcinomas. Usually palate tumors appear with a painless mass or an ulceration on the roof of the mouth or alveolar ridge. Bone invasion occurs late. The lesions can become exophytic when left untreated. One of the predisposing factors for this pathology is the Reverse Smoking. Clinical metastases are found between 10 to 25%. In early stages, these tumors can be succesfully treated with surgery or radiation therapy. We report a patient with and ulcerated lesion in hard palate at palatine torus level with 3 months course. He has alcoholism and smoking history. It was documented a squamous cells carcinoma. It was performed a partial palatectomy with placement of dental prostheses