MỐI LIÊN QUAN GIỮA ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH VÀ KẾT QUẢ PHẪU THUẬT CỦA BỆNH NHÂN DÀI MỎM TRÂM TẠI BỆNH VIỆN TAI MŨI HỌNG TRUNG ƯƠNG TRONG 5 NĂM (2018-2023)

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with elongated styloid process and the relationship between clinical and paraclinical and post-operative outcomes of patients with elongated styloid process. Material and methods: Retrospective descriptive study combined with prospective study on 21 patients diagnosed with elongated styloid process and surgery to remove the styloid process at the National ENT Hospital from 8/2018 – 8/2023. Results: male/female ratio is 1/2, average age of patients is 45.9 ±10.54. The majority of patients had a relatively long illness, an average about 24 months. 100% of patients present with swallowing, mainly on one side (61.90%), on clinical examination, the tip of the styloid process was palpable in 26/29 SP - 89.7%, and 100% of pation press tonsil has high pain. On CT images, the average styloid length is 3.69 ± 0.99 cm, the average α angle is 63.42 ± 3.47 and the average length of a edge is 1.69 ± 0.52 cm. Conclusion: Elongated styloid process is a easily missing diagnosis. Diagnosis is based on clinical and CT scans. Surgical treatment to remove the styloid process had the best results.