An anatomical study of the subhyoid bursa

Sellers, L. T.

doi:10.1017/s002221510009099x

Cited by 2 publications

(3 citation statements)

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“…Thyrohyoid ligament is round, wide, and fibroelastic structure at the lateral margin of the thyrohyoid membrane. 3,9) The pathogenesis of thyrohyoid syndrome is related with chronic strain and inflammation of the thyrohyoid ligament and adjacent structures including cartilage and bone. 6) It is caused by voice abuse, swallowing, neck muscle overuse, and upper limb movements.…”

Section: Discussionmentioning

confidence: 99%

Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome

Choi¹,

Lee²

2022

Korean J Otorhinolaryngol-Head Neck Surg

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Background and Objectives Thyrohyoid syndrome is rare disease characterized by unilateral chronic neck pain on hyoid bone area. Currently, local triamcinolone injection was widely used, but oral steroid treatment was rarely tried. We compared the oral steroid and triamcinolone injection for the thyrohyoid syndrome. Subjects and Method Patients who had unilateral pain and tenderness at thyrohyoid membrane were enrolled while excluding those with other diseases, such as gastroesophageal reflux, by physical exam and history taking. Patients were treated with oral steroid (n=15) and local triamcinolone injection (n=11); pain scores based on the pretreatment and post-treatment numeric rating scale (NRS)-11 were compared between the groups.Results Patients with thyrohyoid syndrome were comorbid with globus (42.3%), sore throat (19.2%), and radiating pain (15.4%). In the oral steroid group, posttreatment pain scores (4.0± 2.2) significantly improved (p=0.001) more than pretreatment pain scores (7.7±1.2). In the triamcinolone injection group, posttreatment pain scores (2.3±1.7) also significantly improved (p=0.003) more than pretreatment scores (7.5±1.4). None of the patients revealed treatment related complications. Pretreatment scores were not significantly different, but post-treatment scores wre significantly better in the triamcinolone injection group than in the oral steroid group (p=0.047).Conclusion Oral steroid treatment could be easily performed and have significant effects for patients with thyrohyoid syndrome. Local triamcinolone injection was more effective than oral steroid treatment.

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Section: Discussionmentioning

confidence: 99%

Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome

Choi¹,

Lee²

2022

Korean J Otorhinolaryngol-Head Neck Surg

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“…A small cartilaginous nodule, the cartilago triticea, is frequently found in it. Another less recognized structure in the region is the retro‐ or subhyoid Boyer's bursa, located usually in the midline but can lie to the right or the left of the greater cornu of hyoid . Inflammation of the ligamentous, cartilaginous, or bursa‐related anatomical structures may contribute to the etiology of the lateral thyrohyoid ligament syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Another less recognized structure in the region is the retro-or subhyoid Boyer's bursa, located usually in the midline but can lie to the right or the left of the greater cornu of hyoid. 7 Inflammation of the ligamentous, cartilaginous, or bursarelated anatomical structures may contribute to the etiology of the lateral thyrohyoid ligament syndrome. Persistent strain or inflammation of the lateral thyrohyoid ligament can be caused by overuse or factors such as cough, voice abuse, or strenuous neck and upper limb movements.…”

Section: Discussionmentioning

confidence: 99%

A pain in the neck

2013

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A lateralized pain in the neck is a common symptom encountered by the otolaryngologist. This complaint, frequently caused by lateral thyrohyoid ligament syndrome, is often misdiagnosed. The pathophysiology of this syndrome may relate to overuse and inflammation. [change made here after initial online publication]. Typically, patients present with chronic unilateral neck pain often associated with odynophagia. The point of maximum tenderness localizes over the axis of the lateral thyrohyoid ligament. We present a series of 15 patients, in whom treatment with depot steroid and local anesthetic injection (n = 14) improved symptoms in 12 (86%), with complete resolution in nine (64%) patients.

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An anatomical study of the subhyoid bursa

Cited by 2 publications

References 1 publication

Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome

Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome

A pain in the neck

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