.: OLGU SUNUMU
Stilo-Karotid Sendrom
Stylocarotid Syndrome
Turkiye Klinikleri J Dental Sci. 2020;26(3):545-8
doi: 10.5336/dentalsci.2019-71428
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Eagle sendromunun, klasik ve stilo-karotid sendrom olmak üzere 2 tipi vardır. Klasik tipi, yaygın olarak bilinmektedir. Stilo-karotid sendrom ise karotis damarlar ile ilgilidir. Her 2 türü de özellikle temporomandibular rahatsızlıklar ile karışabilir ya da sonuçları dental muayene ve tedavi planlamasını veya aşamalarını etkileyebilir. Bu olgu sunumunun amacı, stilo-karotid sendrom tanısı konulmuş ve tedavisi yapılmış olgudan yola çıkarak, Eagle sendromunun bu tipine dikkat çekmektir. Üst çenesinde bölümlü dişsizliği bulunan bir kadın hasta, estetik ve çiğneme sorunlarından dolayı kliniğimize başvurmuştur. Öyküsünde, her 2 karotis arterlerindeki perforasyon nedeni ile ameliyat geçirdiğini açıklamıştır. Normal uzunluktaki çift taraflı stiloid proçesler ve yerleştirilmiş stentler, panoramik filminden izlenmiştir. Hastanın protetik tedavisi, geleneksel tedavi ile gerçekleştirilmiştir. Stiloid proçesler, özgün belirtiler vermeden karotis arterlerde perforasyona yol açabilir ve hayatı tehdit edici hâle gelebilir. Dental muayene ve aşamalarında, alışılmamış ve farklı belirtiler verebilen stilo-karotid sendrom da dikkate alınmalıdır.
Anahtar Kelimeler: Eagle sendromu; karotis arterleri; temporomandibular disfonksiyon sendromu
Eagle sendromunun, klasik ve stilo-karotid sendrom olmak üzere 2 tipi vardır. Klasik tipi, yaygın olarak bilinmektedir. Stilo-karotid sendrom ise karotis damarlar ile ilgilidir. Her 2 türü de özellikle temporomandibular rahatsızlıklar ile karışabilir ya da sonuçları dental muayene ve tedavi planlamasını veya aşamalarını etkileyebilir. Bu olgu sunumunun amacı, stilo-karotid sendrom tanısı konulmuş ve tedavisi yapılmış olgudan yola çıkarak, Eagle sendromunun bu tipine dikkat çekmektir. Üst çenesinde bölümlü dişsizliği bulunan bir kadın hasta, estetik ve çiğneme sorunlarından dolayı kliniğimize başvurmuştur. Öyküsünde, her 2 karotis arterlerindeki perforasyon nedeni ile ameliyat geçirdiğini açıklamıştır. Normal uzunluktaki çift taraflı stiloid proçesler ve yerleştirilmiş stentler, panoramik filminden izlenmiştir. Hastanın protetik tedavisi, geleneksel tedavi ile gerçekleştirilmiştir. Stiloid proçesler, özgün belirtiler vermeden karotis arterlerde perforasyona yol açabilir ve hayatı tehdit edici hâle gelebilir. Dental muayene ve aşamalarında, alışılmamış ve farklı belirtiler verebilen stilo-karotid sendrom da dikkate alınmalıdır.
Anahtar Kelimeler: Eagle sendromu; karotis arterleri; temporomandibular disfonksiyon sendromu
ABSTRACT
There are two types of Eagle syndrome, classical and stylocarotid syndrome. The classical type is widely known. Stylocarotid syndrome is related to carotid vessels. Both types may be particularly confused with temporomandibular disorders, or their results may affect dental examination and treatment planning or stages. The purpose of this case report is to draw attention to this type of Eagle syndrome based on this case diagnosed and treated with stylocarotid syndrome. A female patient with partial edentulous areas in the maxilla applied to the clinic with the demand for a new denture for esthetic and functional problems. She explained to be operated because of a perforation in both carotid arteries in her history. Styloid processes with normal length and stents placed bilaterally in both carotid arteries were viewed from the panoramic film. Her prosthetic treatment was performed in conventional methods. Styloid processes can lead to perforation in the carotid arteries and become life-threatening without giving specific symptoms. Stylocarotid syndrome, which can present with unusual and different symptoms, should also be taken into consideration during dental examination and procedures.
Keywords: Eagle syndrome; carotid arteries; temporomandibular disfunction syndrome
There are two types of Eagle syndrome, classical and stylocarotid syndrome. The classical type is widely known. Stylocarotid syndrome is related to carotid vessels. Both types may be particularly confused with temporomandibular disorders, or their results may affect dental examination and treatment planning or stages. The purpose of this case report is to draw attention to this type of Eagle syndrome based on this case diagnosed and treated with stylocarotid syndrome. A female patient with partial edentulous areas in the maxilla applied to the clinic with the demand for a new denture for esthetic and functional problems. She explained to be operated because of a perforation in both carotid arteries in her history. Styloid processes with normal length and stents placed bilaterally in both carotid arteries were viewed from the panoramic film. Her prosthetic treatment was performed in conventional methods. Styloid processes can lead to perforation in the carotid arteries and become life-threatening without giving specific symptoms. Stylocarotid syndrome, which can present with unusual and different symptoms, should also be taken into consideration during dental examination and procedures.
Keywords: Eagle syndrome; carotid arteries; temporomandibular disfunction syndrome
REFERANSLAR:
- Diamond LH, Cottrell DA, Hunter MJ, Papageorge M. Eagle's syndrome: a report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg. 2001;59(12):1420-6. [Crossref] [PubMed]
- Paparella MM. Otolaryngology. 3rd ed. Philadelphia: Saunders; 1991. p.3257.
- Glogoff MR, Baum SM, Cheifetz I. Diagnosis and treatment of Eagle's syndrome.J Oral Surg 1981;39(12):941-4.
- Chase DC, Zarmen A, Bigelow WC, McCoy JM. Eagle's syndome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol. 1986;62(6):625-9. [Crossref] [PubMed]
- Iwanaga J, Watanabe K, Saga T, Tabira Y, Yamaki KI. Morphometric study of a huge elongated styloid process. Kurume Med J. 2017;63(1.2):45-8. [Crossref] [PubMed]
- Hooker JD, Joyner DA, Farley EP, Khan M. Carotid stent fracture from stylocarotid syndrome. J Radiol Case Rep. 2016;10(6):1-8. [Crossref] [PubMed] [PMC]
- Hebant B, Guegan-Massardier E, Macaigne V, Triquenot-Bagan A. Ischemic stroke due to internal carotid artery dissection associated with an elongated styloid process (Eagle syndrome). J Neurol Sci. 2017;372:466-7. [Crossref] [PubMed]
- Smoot TW, Taha A, Tarlov N, Riebe B. Eagle syndrome: a case report of stylocarotid syndrome with internal carotid artery dissection. Interv Neuroradiol. 2017;23(4):433-6. [Crossref] [PubMed] [PMC]
- Correll RW, Jensen JL, Taylor JB, Rhyne RR. Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol. 1979;48(4):286-91. [Crossref] [PubMed]
- Prabhu LV, Kumar A, Nayak SR, Pai MM, Vadgaonkar R, Krishnamurthy A, et al. An unusually lengthy styloid process. Singapore Med J. 2007;48(2):e34-6. [PubMed]
- Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D. The long styloid process syndrome or Eagle's syndrome. J Craniomaxillofac Surg. 2000;28(2):123-7. [Crossref] [PubMed]
- Okeson JP. Part II/9: History of and Examination for Temporomandibular Disorders. Management of Temporomandibular Disorders and Occlusion. 7th ed. St. Louis, Missouri: Mosby Elsevier; 2013. p.209-13.
- David J, Lieb M, Rahimi SA. Stylocarotid artery syndrome. J Vasc Surg. 2014;60(6):1661-3. [Crossref] [PubMed]
- Demirtaş H, Kayan M, Koyuncuoğlu HR, Çelik AO, Kara M, Şengeze N. Eagle syndrome causing vascular compression with cervical rotation: case report. Pol J Radiol. 2016;81:277-80. [Crossref] [PubMed] [PMC]
- Grossman E, Paiano GA. Eagle's syndrome: a case report. The Journal of Craniomandibular & Sleep Practice. 1998;16(2):126-30. [Crossref] [PubMed]
- Sowmya GV, Singh MP, Manjunatha BS, Nahar P, Astekar M. A case of unilateral atypical orofacial pain with Eagle's syndrome. J Cancer Res Ther. 2016;12(4):1323. [Crossref] [PubMed]
- Prasad KC, Kamath MP, Reddy KJM, Raju K, Agarwal S. Elongated styloid process (Eagle's syndrome): a clinical study. J Oral Maxillofac Surg. 2002;60(2):171-5. [Crossref] [PubMed]
- Russell TE. Eagle's syndome: diagnostic considerations and report of case. J Am Dent Assoc. 1977;94(3):548-50. [Crossref] [PubMed]
- Godden DR, Adam S, Woodwards RT. Eagle's syndrome: an unusual cause of a clicking jaw. Br Dent J. 1999;186(10):489-90. [Crossref] [PubMed]
- Rizzatti-Barbosa CM, Lopes EB, de Albergaria-Barbosa JR, Gomes BP. Eagle's syndrome associated with temporomandibular disorders: a clinical report. J Prosthet Dent. 1999;81(6):649-51. [Crossref] [PubMed]
- Gallaway E, Bayoumi S, Hammond D, Halsnad M. Case report: an atypical presentation of Eagle syndrome. J Surg Case Rep. 2017;2017(8):rjx152. [Crossref] [PubMed] [PMC]
- Ledesma-Montes C, Hernández-Guerrero JC, Jiménez-Farfán MD. Length of the ossified stylohyoid complex and Eagle syndrome. Eur Arch Otorhinolaryngol. 2018;275(8):2095-100. [Crossref] [PubMed]
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