Abstract
<jats:p>Stylohyoid syndrome is a disease caused by irritation of the surrounding nervous, vascular and muscular structures by the styloid process of the temporal bone. The syndrome is manifested by chronic pain in the deep part of the lateral area of the face radiating to the root of the tongue, pharynx and ear, dysphagia, symptoms of cerebral blood circulation disorders. Relevance: A large number of vessels and nerves of the neck are anatomically connected with the styloid process of the temporal bone. The need for a clearer understanding and knowledge of the anatomical and topographical location of the styloid process of the temporal bone in normal conditions and during its elongation, according to the degree of its pathological influence in the form of pressure and deformation of adjacent structures, the development of the symptoms of stylohyoid syndrome depending on this, development and improvement after diagnosis of this pathology, further rehabilitation of patients with the described pathology, and prevention of relapses of this disease. Purpose: development and improvement of available, most effective and safe methods of therapy for patients with stylohyoid syndrome, taking into account the anatomical and topographical relationships of the styloid process of the temporal bone and its possible influence on adjacent structures during its elongation and curvature. Prevention of recurrence of the described symptoms in the future. Tasks: 1. Improvement and optimization of the methods of conservative drug therapy of styloid-hyoid syndrome in the form of drug injections in the region of the process in accordance with the features of the anatomical and topographical location of the styloid process of the temporal bone and the possible impact on its surrounding structures during elongation and different degrees of curvature of the latter. 2. Selection of surgical treatment methods for patients with symptoms of stylohyoid syndrome in accordance with the features of the anatomical and topographical location of the styloid process of the temporal bone and its surrounding structures in order to achieve the greatest efficiency. 3. Review and characteristics of optimal methods of combined therapy for stylo-hypoglossal syndrome according to the anatomical and topographic relationships of the elongated styloid process of the temporal bone and its surrounding structures. Summary of the work being carried out. The work carried out by us was aimed at improving and simplifying the methods of conservative and surgical therapy, as well as their combination for patients with symptoms of stylohyoid syndrome, the correct interpretation of the data of CT studies with contrast and conducting functional tests to determine the most optimal methods of therapy, taking into account the peculiarities of the anatomical and topographical location of the elongated styloid process of the temporal bone and its relationship with the adjacent structures and their influence, accordingly, the development of the symptoms of the syndrome. Over a 12-year period, we examined and treated 224 patients. Of them, there were 158 women (70.5%), 66 men (29.5%), age – from 25 to 70 years, 25-30 years – 26 people (11.6%), 30-45 years – 133 person (59.3%), 45-60 years old – 47 people (20.9%), 60-70 years old – 18 people (8.0%); the duration of the disease is from 1 to 10-15 years.</jats:p>