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手术联合抗抑郁药物治疗Eagle综合征的疗效评价

钟江龙 潘集阳 陈伟良

广东牙病防治2016,Vol.24Issue(1):26-29,4.
广东牙病防治2016,Vol.24Issue(1):26-29,4.DOI:10.12016/j.issn.2096-1456.2016.01.005

手术联合抗抑郁药物治疗Eagle综合征的疗效评价

The evaluation of Eagle syndrome treatment by surgery combined with antidepressant therapy

钟江龙 1潘集阳 1陈伟良1

作者信息

  • 1. 中山大学孙逸仙纪念医院口腔颌面外科,广东 广州 510120
  • 折叠

摘要

Abstract

Objective To evaluate the effect of Eagle syndrome treatment by styloid resection from extraoral approach combined with antidepressants therapy. Methods 32 patients with Eagle syndrome got a score over 49 in a self-rating depression scale preoperatively, and they were all diagnosed as depression. All patients underwent resection of the elon-gated styloid processes under general anesthesia via an extra-oral approach, furthermore 16 patients in the experiment group were treated with fluoxetine 20 mg/day for 3 weeks postoperatively, which was not used in the control group. Be-side this, other treatment were all the same. They were all followed for 12-36 months for the comparation of their treat-ment effect. Results No surgical complications were observed. The cure rate in the experiment group is 93. 8% whichin the control group is 68. 8%. No complications occurred in any patient with depression medicine intervention. All patients had satisfactory cosmetic results and no paresthesias. Conclusion Dissection of styloid process via an extra-oral ap-proach is operationable and reliable, as depression is one of the main problems in patients with Eagle syndrome, dissec-tion of styloid process combined with antidepressants ( fluoxetine) is preferred for treating Eagle syndrome.

关键词

Eagle综合征/抑郁/抗抑郁药物/氟西汀

Key words

Eagle' s syndrome/Depression/Antidepressants/Fluoxetine

分类

医药卫生

引用本文复制引用

钟江龙,潘集阳,陈伟良..手术联合抗抑郁药物治疗Eagle综合征的疗效评价[J].广东牙病防治,2016,24(1):26-29,4.

基金项目

国家自然科学基金(81172563/H1625) (81172563/H1625)

广东牙病防治

OACSTPCD

1006-5245

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