Evaluation of postoperative pain after tonsil-sparing styloidectomy

Cai, Yonghua; Gu, Wei; Wang, Jian

doi:10.1007/s00405-020-05930-y

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Our data analysis confirmed that hypertrophy of adenoids and tonsils significantly impacted breathing, vocal function, and speech articulation. They obstruct proper nasal breathing, essential for maintaining correct resting lip and tongue posture, resulting in mouth breathing and incorrect jaw and cervical posture changes [ 1 , 2 , 3 , 4 , 21 , 22 , 23 , 24 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

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Effects of Adenotonsillectomy on Vocal Function

Mesolella

Motta

Allosso

et al. 2023

JPM

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Introduction: Correct breathing is a fundamental condition for adequate vocal production. Respiratory dynamics are able to modify the growth of facial mass and lingual posture, i.e., of the skull, the mandibular one. For this reason, infant mouth breathing can cause hoarseness. Materials and methods: We evaluated the actual changes in the characteristics of the voice and articulation of language in a group of subjects affected by adenotonsillar hypertrophy (grade 3–4), with frequent episodes of pharyngo-tonsillitis who underwent adenotonsillectomy. Our study included 20 children—10 boys and 10 girls—aged 4 to 11 years who had adenotonsillar hypertrophy and pharyngotonsillitis episodes exceeding 5–6 per year in the previous 2 years. The control group (Group B) included 20 children—10 boys and 10 girls—aged 4 to 11 years (average age of 6.4 years) who had not undergone surgery and shared the same degree of adenotonsillar hypertrophy as those in Group A but who did not experience recurrent pharyngotonsillitis episodes. Discussion: The hypertrophy of adenoids and tonsils significantly impacted breathing, vocal function, and speech articulation. All this is responsible for a state of tension in the neck muscles, which at the level of the vocal tract causes hoarseness. The changes objectively observed in our study in the pre- and post-operative phase demonstrate how adenotonsillar hypertrophy is responsible for an increase in resistance to the passage of air at the glottic level. Conclusions: For this reason, adenotonsillectomy has an impact on recurrent infections and can also lead to an improvement in speech, breathing, and posture.

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Section: Discussionmentioning

confidence: 99%

“…The patients were treated from Federico II University Hospital in Naples during 2022. Before undergoing adenotonsillectomy (Group A), all patients underwent a comprehensive evaluation of personal and family medical history, pediatric examination, along with cardiology and anesthesiology assessments [ 4 , 5 , 6 , 7 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of Adenotonsillectomy on Vocal Function

Mesolella

Motta

Allosso

et al. 2023

JPM

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Advanced Robotic Surgery of the Parapharyngeal Space: Transoral Robotic Styloidectomy in Eagle Syndrome

Rizzo-Riera

Rubi-Oña

García-Wagner

et al. 2020

Journal of Craniofacial Surgery

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Eagle syndrome (ES) is characterized by symptomatic elongation of the styloid process or ossification of the stylohyoid ligament causing irritation and inflammation of the trigeminal, facial, glossopharyngeal, and vagus nerves. The use of robotic surgery has been accepted as a first-line treatment for some head and neck squamous cell carcinomas but not for styloidectomy. The aim of this article is to document our experience with a transoral robotic approach to treat ES and to present the outcomes of 6 patients. The author present the transoral robotic surgery as a successful alternative for the surgical management of ES. Our experience with this approach has been excellent, granting an optimal vision of the surgical field with the consequent safe manipulation of the instruments avoiding injuries to healthy tissue.

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Stylohyoid pain syndrome—an Australian case series and review

Nicholson¹,

Nicholson²

2021

Aust J Otolaryngol

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Evaluation of postoperative pain after tonsil-sparing styloidectomy

Cited by 4 publications

References 15 publications

Effects of Adenotonsillectomy on Vocal Function

Effects of Adenotonsillectomy on Vocal Function

Advanced Robotic Surgery of the Parapharyngeal Space: Transoral Robotic Styloidectomy in Eagle Syndrome

Stylohyoid pain syndrome—an Australian case series and review

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