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The hyoid syndrome: a pain in the neck

Published online by Cambridge University Press:  29 June 2007

P. J. Robinson ,
J. P. Davis  and
J. G. Fraser
P. J. Robinson*
Affiliation:
Departments of OtolaryngologyUniversity College and Middlesex Hospitals, London.
J. P. Davis
Affiliation:
Departments of Otolaryngology, Barnet General Hospital, London.
J. G. Fraser
Affiliation:
Departments of OtolaryngologyUniversity College and Middlesex Hospitals, London.
*
Mr. P. J. Robinson, F.R.C.S., Dept. of Otolaryngology, Southmead Hospital, Westbury on Trym, Bristol BS10 5NB.
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Abstract

This paper reports on 13 patients with a pain syndrome arising from the region of the greater cornu of the hyoid bone. It is often missed and yet is readily treatable. The syndrome causes pain on swallowing in the region of the hyoid which may radiate to the ear, face and lower jaw or may be felt also in the pharynx. Treatment by an injection of a mixture of depomedrone and one per cent lignocaine is very effective.

The underlying pathology is discussed and it is suggested that in some cases the pain and discomfort experienced by patients may be due to tenosynovitis of the intermediate tendon of the digastric muscle. Greater recognition of this relatively common condition would not only result in more effective treatment but would also avoid unnecessary investigation and surgery.

Keywords

NeckPainHyoid boneTenosynovitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 10 , October 1994 , pp. 855 - 858
Copyright
Copyright © JLO (1984) Limited 1994

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References

Bossy, J. (1958) A propos de l'innervation proprioceptive du muscle stylo-hyoidien et du ventre posterieur du muscle digastrique. Archives d'Anatomie Microscopique et du Morphologic Experimentale 41: 35–44.Google Scholar
Brown, L. A. (1954) Hyoid bone syndrome. Southern Medical Journal 47: 1088–1091.CrossRefGoogle ScholarPubMed
Eagle, W. W. (1937) Elongated styloid process. Archives ofOtolaryngology 25: 584–587.CrossRefGoogle Scholar
Eagle, W. W. (1962) The symptoms, diagnosis and treatment of the elongated styloid process. American Journal of Surgery 28: 1–5.Google ScholarPubMed
Ernest, E. A., Salter, E. G. (1991) Hyoid bone syndrome: a degenerative injury of the middle pharyngeal constrictor muscle with photomicroscopic evidence of insertion tendinosis. Journal of Prosthetic Dentistry 66: 78–83.CrossRefGoogle ScholarPubMed
Gray's Anatomy (1989) Myology, the suprahyoid muscles. In Gray's Anatomy. 37th Edition. (Williams, P. L., Warwick, R., Dyson, M., Bannister, H. L., eds.), Churchill-Livingstone, Edinburgh, pp 584–585.Google Scholar
Howard, D. (1987) Pharyngeal neurological lesions. In Scott-Brown's Otolaryngology. 5th Edition, vol. 5. (Kerr, A. G., Stell, P. M, eds.), Butterworths, London, pp 172–178.Google Scholar
Kopstein, E. (1975) Hyoid syndrome. Archives of Otolaryngology 101: 484–485.CrossRefGoogle ScholarPubMed
Langman, J., Sadler, T. W. (1985) Longmans Embryology, 5th Edition, Williams and Wilkins, Baltimore, USA, p 286.Google Scholar
Lennartsson, B. (1980) Number and distribution of muscle spindles in the masticatory muscles of the rat. Journal of Anatomy 130: 279–288.Google ScholarPubMed
Neustadt, D. H. (1991) Local corticosteroid injection therapy in soft tissue rheumatic conditions of the hand and wrist. Arthritis and Rheumatism 34: 923–926.CrossRefGoogle ScholarPubMed
Pearson, A. A. (1949) Development and connections of the mesencephalic root of the trigeminal nerve in man. Journal of Comparative Neurology 90: 1–46.CrossRefGoogle ScholarPubMed
Rodineau, J. (1991) Tendinitis and tenosynovitis of the wrist. Revue Du Praticien 41: 2699–2706.Google ScholarPubMed
Rokx, J. T., Juch, P. J., Van Willigen, J. D. (1985) On the bilateral innervation of masticatory muscles: a study with retrograde tracers. Journal of Anatomy 140: 237–243.Google ScholarPubMed
Shenoi, P. M. (1972) Stylohyoid syndrome. Journal of Laryngology and Otology 86: 1203–1211.CrossRefGoogle ScholarPubMed
Steinmann, E. P. (1968) Styloid syndrome in the absence of an elongated styloid process. Ada Oto-Laryngologica 66: 347–356.CrossRefGoogle Scholar
Widmalm, S. E., Lillie, J. H., Ash, M. M. Jr. (1988) Anatomical and electromyographic studies of the digastric muscle. Journal of Oral Rehabilitation 15: 3–21.CrossRefGoogle ScholarPubMed