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Letters to the Editor
Sep 2011

Stylohyoid Complex Syndrome: Is 1 More Classification Needed?

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, Washington Hospital Center and Georgetown University Hospital, Washington, DC.

Arch Otolaryngol Head Neck Surg. 2011;137(9):952. doi:10.1001/archoto.2011.733

In their article, “Stylohyoid Complex Syndrome: A New Diagnostic Classification,” Colby and Del Gaudio1 review their experience in the surgical treatment of 7 patients who presented with symptoms of pain in the lateral aspect of the neck and face that fit into what they propose as a new classification of the stylohyoid complex syndrome. Three patients underwent external resection of the lesser and greater cornua of the hyoid because of an “elongated” hyoid bone. What part of the hyoid bone was elongated and what reference for normal dimensions of this bone the authors followed are not mentioned in the text. It seems that this subgroup of patients underwent what can be appropriately called a lateral hemihyoidectomy for a symptom complex that is rare and vague at best, without a clear definition of an elongated hyoid bone. This procedure may result in temporary or chronic dysphagia because of disruption of the suprahyoid musculature.

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