Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome
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Background and Objectives Thyrohyoid syndrome is rare disease characterized by unilateralchronic neck pain on hyoid bone area. Currently, local triamcinolone injection was widelyused, but oral steroid treatment was rarely tried. We compared the oral steroid and triamcinoloneinjection for the thyrohyoid syndrome. Subjects and Method Patients who had unilateral pain and tenderness at thyrohyoid membranewere 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) andlocal triamcinolone injection (n=11); pain scores based on the pretreatment and post-treatmentnumeric 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 triamcinoloneinjection 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 treatmentrelated complications. Pretreatment scores were not significantly different, but post-treatmentscores wre significantly better in the triamcinolone injection group than in the oral steroidgroup (p=0.047). Conclusion Oral steroid treatment could be easily performed and have significant effectsfor patients with thyrohyoid syndrome. Local triamcinolone injection was more effective thanoral steroid treatment.
Abstract
Background and Objectives Thyrohyoid syndrome is rare disease characterized by unilateralchronic neck pain on hyoid bone area. Currently, local triamcinolone injection was widelyused, but oral steroid treatment was rarely tried. We compared the oral steroid and triamcinoloneinjection for the thyrohyoid syndrome. Subjects and Method Patients who had unilateral pain and tenderness at thyrohyoid membranewere 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) andlocal triamcinolone injection (n=11); pain scores based on the pretreatment and post-treatmentnumeric 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 triamcinoloneinjection 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 treatmentrelated complications. Pretreatment scores were not significantly different, but post-treatmentscores wre significantly better in the triamcinolone injection group than in the oral steroidgroup (p=0.047). Conclusion Oral steroid treatment could be easily performed and have significant effectsfor patients with thyrohyoid syndrome. Local triamcinolone injection was more effective thanoral steroid treatment.
참고문헌 (10)
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