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More about pain in the neck: thyroid cartilage and mastoid process syndromes

Published online by Cambridge University Press:  29 June 2007

Tsila Hefer*
Affiliation:
Department of Otorhinolaryngology, Rambam Medical Center, Technion-Faculty of Medicine, Haifa, Israel.
Dan Nir
Affiliation:
Department of Otorhinolaryngology, Rambam Medical Center, Technion-Faculty of Medicine, Haifa, Israel.
Henry Zvi Joachims
Affiliation:
Department of Otorhinolaryngology, Rambam Medical Center, Technion-Faculty of Medicine, Haifa, Israel.
*
Address for correspondence: Dr Tsila Hefer, Department of Otolaryngology, P.O. Box 3360, Haifa 31033, Israel. Fax: 972-4-8542772

Abstract

Eight patients with cervical pain were examined. The only positive finding was an impressive tenderness over the thyroid cartilage (in seven patients) or over the area of the insertion of the sternocleidomastoid muscle to the mastoid process (in one patient). The diagnosis of thyroid cartilage syndrome and mastoid process syndrome were suggested and the patients were treated with oral and topical non-steroidal anti-inflammatorydrugs (NSAIDs) which reduced the symptoms. These syndromes are rare. The thyroid cartilage syndrome has been previously reported only once in the literature and this is the firstreport on the mastoid process syndrome. These syndromes, although rare, should be included in the list of causes for cervical pain and better recognition of the syndromes will save patients from undergoing unnecessary investigation and inappropriate treatment.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Brown, L. A. (1954) Hyoid bone syndrome. Southern MedicalJournal 47: 10881091.CrossRefGoogle ScholarPubMed
Day, L. J., Bovill, E. G., Trafton, P. G., Cohen, H. A., Jegesen, F. H. (1983) Orthopedics. In Current Surgical Diagnosis and Treatment. (Way, L. H., ed.), 6th Edition. Chap 45: Lange Medical Publications, Los Altos, California, pp 998999.Google Scholar
Ernest, E. A., Salter, E. G. (1991) Hyoid bone syndrome: Adegenerative injury of the middle pharyngeal constrictor muscle with photomicroscopic evidence of insertion tendinosis. Journal of Prosthetic Dentistry 66 (7): 7883.CrossRefGoogle ScholarPubMed
Kopstein, E. (1975) Hyoid syndrome. Archives of Otolaryngology 101: 484485.CrossRefGoogle ScholarPubMed
Kunachak, S. (1995) Anterior cervical pain syndromes: hyoid, thyroid and cricoid cartilage syndromes and their treatment with triamcinolone acetonide.Journal of Laryngology and Otology 109 (1): 4952.CrossRefGoogle ScholarPubMed
Packer, J. W. (1988) Upper extremity trauma. In Emergency Medicine–A Comprehensive Study Guide. (Tintinalli, J. E., Krome, R. L., Ruiz, E., eds.), 2nd Edition. Chap. 153, McGraw-Hill, New York, p 895.Google Scholar
Robinson, P. J., Davis, J. P., Fraser, J. G. (1994) The hyoid syndrome: a pain in the neck. Journal of Laryngology and Otology 108 (10): 855858.CrossRefGoogle Scholar