The awl-sublingual syndrome has another name - Needle syndrome. This pathology is in the area of the styloid process located in the region of the temporal cranial bone. It can also be located in the area of the stylohyal ligaments, affect their parameters, change the appearance and dimensions.
Considering the size of the correct position of the styloid process, it is necessary to remember - it should be 3 cm, no more. Although each person has a unique organism. Variants were recorded when heterosexual patients aged 30 to 50 years were considered, and the size of the appendix was only 40 mm. But this did not bother the sick, and even less unpleasant symptoms were not observed.
Possible causes of the disease
Various indicators can lead to the appearance of an awl-sublingual syndrome (Needle):
- Curvature or elongation of the styloid process.
- Hardening, leading to ossification of the ligament, which is responsible for the performance of the jaw.
- The ligament and the styloid process are fused together, which leads to disruption of their performance.
- Fusion of a bone located under the tongue with an awl-shaped ligament.
- Convulsions of the stylohyoid muscles (possible occurrence due to prolonged yawning, but long-term opening of the mouth can lead to spasms or convulsions).
Signs of the disease
It is possible to identify the manifestation of the disease by the following symptoms of the stylohyal syndrome:
- cramping during swallowing;
- there is a dull pain in the cervical region, which gives to the ears (can be both on one or both sides);
- frequent cramps appear when swallowed;
- there is a feeling of finding a foreign object in the oral cavity, which occurs due to the process of the styloid ligament;
- unpleasant painful effects appear in the hyoid zone, as well as behind it;
- during palpation of the area under the tongue, there will be a noticeable increase in the number of tubercles on the bone located under the tongue, or an increase in the volume of the small horn;
- if there is pain in the neck, it can be moved to the temples, lower jaw, and cheeks (discomfort will only intensify when you turn your head, during long conversations, or while eating solid food);
- pain in the head is possible;
- frequent dizziness;
- manifestation of nausea syndromes.
When studying a disease according to clinical observations, it is worth paying attention to the fact that the disease most often manifests itself on the right side. This is due to the fact that the appendix located on the right has a 3-4 mm longer size, in contrast to the left.
There is also a variant of Eagle's syndrome, called carotid-awl-like syndrome. This manifestation of the disease is also called carotid artery syndrome, because the styloid process is enlarged and slightly curved. Thus, there is an effect on the edges touching the carotid artery, which leads to additional irritation of the plexus of the sympathetic trunk.
The symptoms of this variant of the disease include:
- the presence of painful pulsation in the frontal part of the head;
- pain in the nose, constant pain in the orbits;
- cheeks, parietal part, temporal lobes begin to show pain.
Perform Syndrome Diagnosis
For a quality check for the presence of the disease, you need to perform a full range of different procedures. In particular, the diagnosis of the awl-sublingual syndrome includes a number of actions and manipulations.
First of all, a professional examination of the patient is performed, as a result of which the doctor examines and reveals the compaction of the bone growth in the region of the anterior zone of the cervical region of the observed. If you press this part, the person should experience painful sensations, and his health will worsen greatly.
Secondly, an x-ray of the facial skeleton, bones of the skull, as well as the neck.
At the time of diagnosis, you should carefully approach the procedures, because this disease can easily be confused with other similar pathologies, the symptoms of which are very similar. Suppuration of tonsils can be given as a sample.
Recommended Needle Syndrome Therapy
For the treatment of ankylosing syndrome, various treatment options are used. Distinguish both radical and conservative treatment.
Considering the latter method, it is worth highlighting drug treatment. For example, a doctor may prescribe medication with an analgesic effect. Typically, drugs are drunk for a certain course, including taking the Pentalgin or Analgin tablets three times.
Injections are performed with drugs containing corticosteroid pain medications. They are made in the area of pain points. The most commonly used drugs: Novocain in combination with Methylprednisolone, a mixture of Lidocaine with a suspension of Triamcinolone.
Be sure to take a variety of sedative drugs. You can choose motherwort tincture, tablets or drops of Novo-Passita, Valerian extract.
Physiotherapy
The use of physiotherapeutic procedures for the treatment of stylo-sublingual syndrome has proven its effectiveness. According to reviews, this method helps well and includes:
- A set of procedures with the addition of ultrasound (phonophoresis) in combination with drug treatment (hydrocortisone, analgin).
- Performing treatment using an ultrasound technique.
Surgical intervention
If conservative method therapy of the stylohyal syndrome does not bring the desired result, then it is time to conduct an surgical intervention. It is important that the operation is performed by a highly qualified surgeon.
In this case, there is a partial shortening of the stylohyal process, curved or elongated during the period of the disease. Surgical removal of the top of the hyoid bone is also performed.
The method of radical treatment is divided into two methods:
- External mouth. In this case, a surgeon performs an incision on the outside of the neck so that there is an opportunity to gain access to the grown growth. This method is the most popular and is used more often than others.
- Intraoral. This method is carried out much less frequently, since closely located congestions of blood vessels and nerve endings interfere with the ability to work (disruptions or breaks are possible). It is used when the styloid process has reached a large size. In this case, an external mouth operation is not possible.
Surgical treatment of Eagle's syndrome refers to successful, effective and high-quality interventions. After the operation, patients discomfort disappears, which was manifested due to the elongated process of the styloid bone.
Diagnosis of an awl-sublingual syndrome in Pirogov
At the N.I. Pirogov National Medical and Surgical Center, a diagnosis is made by studying the history in conjunction with the studies carried out in the clinic.
The disease is most often detected by the following method: palpation of the cervical region or the fossa of the tonsillar part of the oral cavity occurs, resulting in pain.
Then the patient receives a referral for fluoroscopy, with which the diagnosis is confirmed. There have been cases when an increase in the size of the stylohyal process did not have a painful effect on patients. Before the discovery of pathology, they felt quite comfortable.
Conclusion
Considering the increased parameter of the appendix, it is worth noting a certain pattern - in most cases, this defective size is considered the norm and does not interfere with human life.
But it’s still important to conduct periodic examinations in order to maintain your body in a healthy state. I do not need to ignore the pathology. The sooner it is possible to start treatment, the more chances there are for a complete disposal of unpleasant sensations and consequences.