Ðe vevesese wɔnuku sia le wò kɔ kple mo (Eagle Syndrome)? Mina míaƒo nu tso eŋu!

Ðe nèsea veve wɔnuku aɖe si doa dziku na wò ɣeaɖewoɣi le wò kɔ, mo, alo ŋɔti mea? Màte ŋu anya nusi tututu le edzi yim o, eye ɖe nèse le ɖokuiwò me kpɔ be vevesese sia nu sẽna ɖe edzi ne èmi nu, ƒo nu, alo le ta ʋuʋum tso axa ɖeka yi axa? Ekema esia nye nusi ate ŋu anye nu vevi aɖe na wò ŋutɔ. Míeyɔa nɔnɔme sia be Eagle Syndrome . Togbɔ be ŋkɔa aɖi nusi wɔ nuku vie hã la, le nyateƒe me la, enye atikewɔwɔ.

Eyata nukae nye Hɔ̃ ƒe Dɔléle?

Kpuie ko la, Eagle Syndrome nye vevesese si tso wò styloid ƒe dɔwɔwɔ ƒe didime alo stylohyoid ligament ƒe ƒoƒo , si wɔnɛ be wòsẽna eye wòɖia ƒu gbɔ.

Bu eŋu kpɔ be, ƒu sue aɖe si le tsɛ si woyɔna be styloid process le wò to ɖesiaɖe te. Emae nye nusi styloid ƒe dɔwɔwɔ nye. Lãmetsi aɖe li si tso ƒu sia dzi yi hyoid ƒu si le wò kɔ ƒe ŋgɔgbe si woyɔna be stylohyoid ligament . Zi geɖe la, ele be lãkusi sia nate ŋu abla abe rababa ene. Gake le amesiwo ŋu Eagle syndrome le gome la, ɣeaɖewoɣi la, lãkusi sia ate ŋu aƒo ŋutɔ eye wòasẽ , abe ƒu ene.

Èse egɔme fifiaa? Ne ƒu sia si keke alo lãkusi si sesẽ la dze lãmekawo alo ʋuka siwo toa teƒe ma tete ɖe wo nɔewo ŋu gɔmee nèdzea dzesiwo kpɔkpɔ gɔme.

Aleke gbegbee Hɔ̃ ƒe Dɔléle sia bɔe?

Le nyateƒe me la, esia nye vevesese ƒe dɔléle si mebɔ kura o . Edzea ame siwo mede 0.16% o le amewo katã dome. Ema mede ame ɖeka le ame akpe ɖeka me o.

Gake le ameawo ƒe 4% lɔƒo gome la, ƒu sia si woyɔna be styloid process ate ŋu adidi wu alesi wòle dzɔdzɔmee. Le mama dedie nu la, ƒu sia didi abe sentimeta 2.5 ene (si mede sentimeta ɖeka vie o). Styloid ƒe dɔwɔwɔ didi nye esi didi wu sentimeta 3 (wu sentimeta ɖeka vie). Gake menye amesiame si si ƒu didi sia le lae akpɔ Eagle syndrome ƒe dzesiwo o. Wo dometɔ ʋɛ aɖewo koe ase veve sia.

Gawu la, nyɔnuwo ate ŋu axɔ dɔlélea zi gbɔ zi etɔ̃ wu ŋutsuwo. Wokpɔnɛ zi geɖe le amesiwo le woƒe ƒe 30 alo 40-awo me ŋu.

Nukae nye Eagle Syndrome ƒe dzesiwo?

Dzesiawo nɔ te ɖe lãmeka kple ʋuka siwo ŋu wò styloid process alo stylohyoid ligament le tetem ɖe wo dzi dzi.

Esiawoe nye dzesi siwo woate ŋu akpɔ le goawo katã me:

• Vevesese le mo, kɔ, alo ŋɔti me . Vevesese sia ate ŋu asẽ ɖe edzi ne èle nu ɖum, le hũ ɖem, le nu ƒom, alo le ta trɔm.
• Seselelãme si nye be nane tsi ŋɔti me . Ate ŋu ase le eɖokui me abe aŋe alo bɔl sue aɖee tsi ene.
• Nuɖuɖu mimi sesẽ (dysphagia) .
• Towo ƒe ɖiɖi sese (tomeʋuʋu) . Eɖina abe "ringing" gbeɖiɖi ene.
• Taɖuame .
• Taɖuame .

Ðewohĩ styloid ƒe dɔwɔwɔ didi aɖe anɔ ame geɖe siwo ŋu Eagle syndrome le la ƒe ta ƒe akpa eveawo. Gake nukutɔe la, akpa ɖeka koe wosea veve le akpa gãtɔ me .

Aleke Eagle syndrome ƒe vevesesea sena le eɖokui me?

Le ame aɖewo gome la, vevesese sia ate ŋu aɖi lãmekawo ƒe dɔléle aɖe si woyɔna be glossopharyngeal neuralgia . Ne styloid ƒe dɔwɔwɔ te glossopharyngeal nerve , si nye lãmeka vevi aɖe si le wò kɔ me goglo la, àte ŋu ase veve sesẽ aɖe si le abe elektrikŋusẽ ene le wò tonsils alo wò aɖe megbe. Vevesese sia ate ŋu akeke ɖe wò to me ɣeaɖewoɣi.

Ame bubuwo gblɔ tso lãmekawo ƒe vevesese si dona tso Hɔ̃ ƒe dɔlélea me ŋu be enye vevesese si gbugbɔna, si nu sẽ, si me mekɔna o, eye wònɔa ʋuʋum vivivi .

Nukae hea Eagle Syndrome vɛ?

Abe alesi míeƒo nu tso eŋu va yi ene la, dzesiawo dzena ne styloid ƒe dɔwɔwɔ didi alo ƒu si le ʋeʋẽm si woyɔna be stylohyoid ligament te ɖe lãmeka siwo sea veve alo ʋuka siwo le wò ta kple kɔ me dzi. Gake nukpɔsusu vovovowo gakpɔtɔ le eŋutinunyalawo dome le nusita tututu ƒu sia didina alo ƒunukpeƒea tsina ŋu.

Le ƒe 1937 me la, Ðɔkta Watt Eagle, amesi tsɔ ŋkɔ na dɔlélea, do susua ɖa be ɣeaɖewoɣi le tonsillectomy megbe la, stylohyoid ligament ossifies , si fia be esesẽna abe ƒu ene.

Nu bubu siwo ate ŋu ahe esia vɛ dometɔ aɖewoe nye:

• Dɔlékui aɖewo.
• Kɔ ƒe abixɔxɔ.
• Lãmetsiŋusẽ megate ŋu nɔa te o ne míele tsitsim.

Kuxi kawoe ate ŋu ado tso Eagle Syndrome me?

Togbɔ be esia mebɔ kura o hã la, ɣeaɖewoɣi la, styloid ƒe dɔwɔwɔ didi sia ate ŋu aƒo ʋuka gãwo abe wò carotid ʋukawo ene . Carotid ʋukawoe nye ʋuka vevi siwo naa ʋu yia wò ahɔhɔ̃ me.

Ne edzɔ alea la, àte ŋu ase veve le wò ŋkuwo te. Alo, àte ŋu akpɔ dzesi siwo ɖi transient ischemic attack (TIA) , mini-stroke, alo full-blown stroke gɔ̃ hã . Esiawo dometɔ aɖewoe nye:

• Mo ƒe akpa ɖeka ƒe ʋuʋu (hemiparesis) .
• Taɖuame .
• Nukpɔkpɔ si me mekɔ o .
• Amesi ƒe tagbɔ gblẽ alo alɔ̃madɔmadɔ (syncope) ..
• Nuƒoƒo ƒe tɔtrɔ (abe nyawo ƒe ʋuʋu ene) .

Vevietɔ: Le Eagle syndrome me la, zi geɖe la, dzesi siawo dzɔna ɣeaɖewoɣi. Eyae nye be wobuna le ɣeyiɣi aɖe megbe. Gake ɣeaɖewoɣi la, woate ŋu afia atikewɔwɔ me nɔnɔme sesẽ aɖe ŋutɔ (le kpɔɖeŋu me, ʋuka aɖe si wotso alo xɔ abi).

Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò la, yi kɔdzi si te ɖe ŋuwò alo yɔ dɔnɔdzikpɔʋu si kpɔa dɔnɔwo gbɔ kpata enumake. Esia menye nusi woahe ɖe megbe o!

Aleke wokpɔa Hɔ̃ ƒe Dɔlélea?

Wò ɖɔkta awɔ atikewɔwɔ ŋutinya tsitotsito (abe ta alo kɔ ƒe dɔwɔwɔ alo afɔku ɖesiaɖe si wowɔ va yi ene) gbã eye emegbe wòado wò ŋutilã kpɔ .

Ɣeaɖewoɣi la, ɖɔkta ate ŋu ase styloid ƒe dɔwɔwɔ didi sia si mesɔ o ne ese wò kɔ. Alo, woate ŋu ase le wò nu me, afisi wò aɖuɖɔtoewo le, eye woabia be èle veve sem le afima hã.

Gake be woate ŋu anya styloid ƒe dɔwɔwɔ alo stylohyoid ligament sia si mesɔ o nyuie la, ele be woawɔ nɔnɔmetatawo dodokpɔ tɔxɛwo . Esiawo dometɔ aɖewoe nye:

• CT scan (Computed Tomography - CT scan) : Esia zãa X-ray siwo kplɔ wo nɔewo ɖo tsɔ ɖea wò styloid ƒe dɔwɔwɔ kple stylohyoid ligament ƒe foto. Woƒo nɔnɔmetata siawo nu ƒu be woawɔ nɔnɔmetata si le akpa etɔ̃ (3D) me, ale be wò ɖɔkta nate ŋu akpɔe nyuie nenye be wò styloid ƒe dɔwɔwɔ keke.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : Esia nye ʋukawo ƒe X-ray nɔnɔmetata. Wò ɖɔkta ate ŋu aɖe gbe be woado wò kpɔ ne wosusu be wò styloid process alo ligament le ʋukawo, abe wò carotid artery ene, tem.

Nɔnɔme bubu kawoe woate ŋu abu vodadatɔe be Hɔ̃ ƒe Dɔléle?

Ele vevie ŋutɔ be woaɖe nɔnɔme bubu siwo hea dzesi siwo ɖi Eagle ƒe dɔlélea vɛ la ɖa. Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo atsɔ aɖe nɔnɔme siawo ɖa:

• Ta kple kɔ ƒe dɔdzẽ ƒe nɔnɔmewo : le kpɔɖeŋu me , sinusitis , tonsillitis , insertion tendinitis .
• Temporomandibular joint (TMJ) disorders : Esiawo nye aɖu ƒe ƒunukpeƒe ƒe dɔlélewo.
• Glossopharyngeal ahɔhɔ̃mekawo ƒe dɔléle .
• Myofascial vevesese ƒe dɔléle .
• Ta kple kɔ me kansa .
• Taɖuame si nye taɖuame .
• Aɖuŋutinunya ƒe kuxiwo .

Aleke wodaa Hɔ̃ ƒe Dɔléleae?

Ðewohĩ wò ɖɔkta aŋlɔ atikewo na wò be nàtsɔ aɖu vevesesea dzi. Alo, woate ŋu aɖo aɖaŋu be woawɔ dɔ na wò be wòana wò styloid ƒe dɔwɔwɔ nanɔ kpuie (styloidectomy) . Atikewɔwɔa nɔ te ɖe alesi wò dzesiawo nu sẽe kple nenye be ame nyui aɖee nènye be woawɔ dɔ na wò dzi.

Atike siwo wozãna tsɔ daa dɔe nye:

• Vevesesenutsitikewo (vevesesenutsitikewo) .
• Blanuilélenutsitikewo : Wozãa esiawo hã na lãmekawo ƒe vevesese aɖewo.
• Steroid dodo : Ðe abi kple abi dzi kpɔtɔna.
• Lidocaine dodo : ɖea vevesese dzi kpɔtɔna hena ɣeyiɣi aɖe.
• Woate ŋu ano Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) kple ɖɔkta ƒe atikewɔmɔnu alo womazãe o .

Amekoko (Styloidectomy): Dɔwɔwɔ na ame:

Woate ŋu ada Eagle ƒe dɔlélea keŋkeŋ to amekoko me be woaɖɔ wò styloid ƒe dɔwɔwɔ ɖo. Amekola ate ŋu awɔ amekoko sia le mɔ eve dometɔ ɖeka nu:

1. Intraoral/Transoral approach : Le mɔnu sia me la, amekolaa kpɔa styloid ƒe dɔwɔwɔ tso wò nu me. Viɖe si le mɔnu sia ŋue nye be gotagome abi aɖeke mele eŋu o . Gake esesẽna vie na amekolaa be wòaɖo egbɔ nyuie wu mɔnu bubuawo.

2. Extraoral/Transcervical approach : Le mɔnu sia me la, amekolaa lãa nu sue aɖe le wò kɔ me be wòate ŋu age ɖe styloid ƒe dɔwɔwɔ me. Togbɔ be mɔnu sia wɔnɛ be amekolaa te ŋu ɖoa lãkusia gbɔ tẽ hã la, amekokoa xɔa ɣeyiɣi didi wu eye wògblẽa abi ɖi le ewɔwɔ vɔ megbe .

Wò ɖɔkta anɔ te ɖe dɔléle si wokpɔ le ŋuwò dzi aɖe mɔnu si nyo na wò la me na wò.

Kuxi kawoe dona tso amekoko si woɖena le styloidectomy me?

Amekoko ɖesiaɖe hea afɔku aɖewo vɛ. Ne lãmenugbagbeviawo gblẽ le amekoko me la, ate ŋu ana abi naxɔ wo eye woaxɔ dɔlékui siwo le ŋɔti me goglo. Esiawo ate ŋu anye nu sesẽwo ne womewɔ atike na wo o.

Amekola si bi ɖe ta kple kɔ ƒe dɔwɔwɔ me yiyi ate ŋu aɖe kuxi siawo ƒe afɔkua dzi akpɔtɔ.

Nukae nye Hɔ̃ ƒe Dɔlélea ƒe hayahaya ƒe agbɔsɔsɔme?

Alesi wòhayanae nyo ŋutɔ . Ame siwo woɖe styloidectomy na la dometɔ siwo ade 80% kpɔa dzesiawo nu yi keŋkeŋ . Le ame akpa gãtɔ gome la, woate ŋu atsɔ vevesesenutsitike siwo womeƒlena o kple atike siwo woŋlɔ na wo la akpɔ vevesese kple vevesese gbɔ.

Nukae dzɔna ne womewɔ atike na Eagle Syndrome o?

Ne womewɔ atike na wò o la, àte ŋu ayi edzi anɔ dzesiwo ɖem fia wò. Esia menye nɔnɔme si anyo ɖe edzi le eɖokui si o.

Ke hã, ele vevie be míaɖo ŋku esia dzi. Esi wò styloid-mɔ̃a me yɔ fũ kple calcium, alo didi ta la, mefia be Eagle syndrome le ŋuwò o. Azɔ hã, woate ŋu awɔ dɔ na ame aɖewo siwo ƒe styloid ƒe dɔwɔwɔ didi eye Eagle syndrome ƒe dzesiwo le wo ŋu, gake woƒe dzesiwo manyo ɖe edzi o.

Esia tae wòle vevie ŋutɔ be woakpɔ ɖɔkta si bi ɖe dɔléle sia didi kple edzikpɔkpɔ me . Elabena ate ŋu asesẽ ɣeaɖewoɣi be woanya amesiwo tututu amekoko aɖe aɖe vi na. Wò ɖɔkta aɖo aɖaŋu na wò le atikewɔmɔnu siwo sɔ na wò ŋu.

Ðe woate ŋu axe mɔ ɖe Hɔ̃ ƒe Dɔlélea nua?

Le nyateƒe me la, naneke meli nàte ŋu awɔ atsɔ axe mɔ na Eagle syndrome be wòagadzɔ o. Gake amekoko be woaɖe styloid ƒe dɔwɔwɔ ɖa ate ŋu aɖe wò dzesiwo ɖa keŋkeŋ .

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia wò ɖɔkta nyawo abe:

• Nukae anya na nye styloid ƒe dɔwɔwɔ didi wu?
• Ðe nye styloid-dɔwɔwɔ le lãmeka gãwo alo ʋukawo tem ɖe anyia?
• Dzesi kawoe mate ŋu akpɔ mɔ na tso lãmeka si vuvu me?
• Ðe wòahiã be woawɔ dɔ nam, alo ɖe mate ŋu atsɔ atike adaea?
• Ne wole dɔ wɔm na wò la, aleke wowɔnɛ?

Le Eagle syndrome me la, lãmeka siwo ƒo tititi sentimeta ʋɛ aɖewo gɔ̃ hã ate ŋu ana nàse veve ale gbegbe be asesẽ be nàtrɔ ta alo atrɔ wò mo ƒe dzedzeme. Gake nya nyuiae nye be mehiã be agbenɔnɔ kple Eagle syndrome ƒe dzesiwo nanye wò nɔnɔme yeye o. Eagle syndrome nye dɔléle si woate ŋu ada. Wò ɖɔkta aɖo aɖaŋu na wò nenye be ehiã be nàzã atike alo awɔ dɔ na wò.

Gbedasi si Wotsɔ Yi Aƒeme

Eyata ne vevesese atraɖii le wò kɔ, mo, alo ŋɔti me si womate ŋu aɖe o, nu mimi sesẽ na wò, alo nèsena le ɖokuiwò me abe ɖe nane tsi wò ŋɔti me ene la, mègaŋe aɖaba ƒu edzi ko o. Ate ŋu anye Hɔ̃ ƒe Dɔléle.

Togbɔ be esia nye dɔléle si mebɔ o hã la, woate ŋu adae keŋkeŋ ne wokpɔ dɔlélea le eŋu hedae nyuie . Mègatsi dzodzodzoe o, gake ne dzesiwo le ŋuwò la, ele be nàyi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò. Ɣeaɖewoɣi la, atike bɔbɔewo ate ŋu akpe ɖe ŋuwò nàɖe vevesesea dzi akpɔtɔ, alo amekoko sue aɖe ate ŋu akpe ɖe ŋuwò nàhaya bliboe. Nu vevitɔe nye be nànya nusi tututu gbɔ wò vevesese tso eye nàxɔ atike nyuitɔ na esia.

` Eagle Syndrome, kɔve, moveve, ŋɔti me vevesese, styloid ƒe dɔwɔwɔ, stylohyoid ligament, nu mimi sesẽ