Reconsideration of hyoid bone syndrome-A case series with a review of the literature.


Journal

Journal of stomatology, oral and maxillofacial surgery
ISSN: 2468-7855
Titre abrégé: J Stomatol Oral Maxillofac Surg
Pays: France
ID NLM: 101701089

Informations de publication

Date de publication:
02 2023
Historique:
received: 30 06 2022
revised: 05 08 2022
accepted: 10 08 2022
pubmed: 18 8 2022
medline: 14 2 2023
entrez: 17 8 2022
Statut: ppublish

Résumé

Hyoid bone syndrome is a type of faciocervical pain and occasionally concomitant clicking larynx that is caused by degeneration and/or elongation of the greater horn of the hyoid bone at the attachment of the stylohyoid ligament. We report five patients who presented with deep-seated, dull, aching, throat pain that radiated from neck, accompanying by throat clicking while speaking, swallowing, yawning, and turning head. Most notably, one of them also complained an intermittent ulcer hemorrhage in the tongue base. Diagnostic tests included physical palpation of the hyoid greater cornu and computed tomography examination. One patient did not accept the surgery, but other than that four patients responded well to resection of the abnormal hyoid bone, which resulted in immediate and complete relief of their symptoms and with no postoperative complications. Clicking sensation and pain while deglutition is an unpleasant condition, which produces physiological and psychological bearings. This dictates the need for accurate diagnosis and proper management of the condition. Oral and maxillofacial surgeons involved in the treatment of orofacial pain should consider this rare condition as a differential diagnosis.

Sections du résumé

BACKGROUND
Hyoid bone syndrome is a type of faciocervical pain and occasionally concomitant clicking larynx that is caused by degeneration and/or elongation of the greater horn of the hyoid bone at the attachment of the stylohyoid ligament.
CASES PRESENTATION
We report five patients who presented with deep-seated, dull, aching, throat pain that radiated from neck, accompanying by throat clicking while speaking, swallowing, yawning, and turning head. Most notably, one of them also complained an intermittent ulcer hemorrhage in the tongue base. Diagnostic tests included physical palpation of the hyoid greater cornu and computed tomography examination. One patient did not accept the surgery, but other than that four patients responded well to resection of the abnormal hyoid bone, which resulted in immediate and complete relief of their symptoms and with no postoperative complications.
CONCLUSIONS
Clicking sensation and pain while deglutition is an unpleasant condition, which produces physiological and psychological bearings. This dictates the need for accurate diagnosis and proper management of the condition. Oral and maxillofacial surgeons involved in the treatment of orofacial pain should consider this rare condition as a differential diagnosis.

Identifiants

pubmed: 35977661
pii: S2468-7855(22)00230-0
doi: 10.1016/j.jormas.2022.08.006
pii:
doi:

Types de publication

Review Case Reports Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

101263

Informations de copyright

Copyright © 2022 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare no conflict of interests.

Auteurs

Chen-Xi Li (CX)

Oncological Department of Oral & Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, School/Hospital of Stomatology, Xinjiang Medical University, Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, PR China. Electronic address: lichenxiuke@gmail.com.

Lulu Hu (L)

Oncological Department of Oral & Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, School/Hospital of Stomatology, Xinjiang Medical University, Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, PR China.

Zhong-Cheng Gong (ZC)

Oncological Department of Oral & Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, School/Hospital of Stomatology, Xinjiang Medical University, Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, PR China. Electronic address: gump0904@aliyun.com.

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