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Stylalgia: an Indian perspective.

S P Yadav1, R Chanda, A Gera

  • 1Department of Otolaryngology, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India.

The Journal of Otolaryngology
|January 5, 2002
PubMed
Summary
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This study investigated stylalgia in Indian patients, finding it more common in rural women. Styloidectomy, particularly using a D and C curette, effectively relieved symptoms for most patients.

Area of Science:

  • Otolaryngology
  • Surgical Anatomy

Background:

  • Stylalgia, characterized by neck and throat pain, is often associated with an elongated styloid process.
  • The prevalence and specific presentation of stylalgia in Indian populations require further investigation.

Purpose of the Study:

  • To define the clinical profile of stylalgia in Indian patients.
  • To evaluate the efficacy of styloidectomy for treating stylalgia in this demographic.
  • To assess the utility of the dilation and curettage (D and C) curette in the surgical procedure.

Main Methods:

  • A prospective, hospital-based study involving random selection of patients diagnosed with stylalgia.
  • Surgical intervention via transtonsillar route for symptomatic enlarged styloid process excision.
  • Postoperative follow-up to assess pain relief and symptom resolution.

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Main Results:

  • Out of 40 surgically treated patients, 77.5% experienced complete symptom relief.
  • An additional 12.5% reported considerable improvement in their symptoms post-styloidectomy.
  • 10% of patients did not achieve significant pain relief following the procedure.

Conclusions:

  • An enlarged styloid process, a cause of stylalgia, appears more prevalent in Indian rural females, potentially linked to habitual heavy head-borne loads.
  • Styloidectomy is a highly effective treatment for stylalgia, offering significant symptom resolution.
  • The D and C curette proved to be an efficient instrument for performing styloidectomy.