Endoscopic transoral resection of an elongated styloid process: a case report
Keywords:Eagle’s syndrome, Endoscopy/methods, X-ray computed
Eagle’s syndrome is an aggregate of craniocervicofacial symptoms due to an elongated styloid process/calcified stylohyoid ligament. Adequate history, clinical and radiological examination, and sound knowledge of mimicking pathology can help in its diagnosis. Computerised tomography (CT) with 3D reconstruction is the most accurate investigation currently available. Treatment can be either surgical or non-surgical. Surgical excision of the abnormally elongated styloid process is preferred. Extraoral and intraoral approaches are available, each with their inherent advantages/disadvantages. Endoscope-assisted transoral resection resolves the disadvantages associated with the latter, representing a favourable advancement. We report a case who presented with craniocervicofacial pain, diagnosed clinically and on 3D-CT with Eagle’s Syndrome, and treated successfully by endoscope-assisted transoral resection.
Kapoor J, Jindal G, Garg S. Eagle’s Syndrome: A New Surgical Technique for Styloidectomy. J Maxillofac Oral Surg. 2015;14(1):360–5.
Murtagh RD, Caracciolo JT, Fernandez G. CT Findings Associated with Eagle’s Syndrome. AJNR Am J Neuroradiol. 2001;22:1401–2.
Baharudin A, Rohaida I, Khairudin A. Transoral Surgical Resection of Bilateral Styloid Processes Elongation (Eagle’s Syndrome). Acta Inform Med. 2012;20(2):133-5.
Han MK, Kim DW, Yang JY. Non Surgical Treatment of Eagle’s Syndrome–A Case Report. Korean J Pain. 2013;26(2):169-72.
Thoenissen P, Bittermann G, Schmelzeisen R, Oshima T, Fretwurst T. Eagle’s syndrome—A non-perceived differential diagnosis of temporomandibular disorder. International J Surgery Case Rep. 2015;15:123–6.
Müderris T, Bercin S, Sevil E, Beton S, Kiris M. Surgical management of elongated styloid process: intraoral or transcervical? Eur Arch Otorhinolaryngol. 2014;271(6):1709-13.
Nayak DR, Pujary K, Aggarwal M, Punnoose SE, Chaly VA. Role of three-dimensional computed tomography reconstruction in the management of elongated styloid process: A preliminary study. J Laryngol Otol. 2007;121(4):349–53.
Matsumoto F, Kase K, Kasai M, Komatsu H, Okizaki T, Ikeda K. Endoscopy-assisted transoral resection of the styloid process in Eagle's syndrome. Case report Head Face Med. 2012;8:21.
Santini L, Achache M, Gomert R. Transoral surgical treatment of Eagle's syndrome: Case report and review of literature. Rev Laryngol Otol Rhinol (Bord). 2012;133(3):141-4.
Naik SM, Naik SS. Tonsillo-Styloidectomy for Eagle’s Syndrome: A Review of 15 Cases in KVG Medical College Sullia. Oman Med J. 2011;26(2):122-6.
Cawich S, Gardner M, Johnson P, Shetty R, Wolf K. The clinical significance of an elongated styloid process. Internet J Family Pract. 2007;6(1):1-5.
Politi M, Toro C, Tenani G. A Rare Cause for Cervical Pain: Eagle’s Syndrome. International J Dentistry. 2009;doi:10.1155/2009/781297.
Ceylan A, Koybasioglu A, Celenk F, Yilmaz O, Uslu S. Surgical treatment of elongated styloid process: Experience of 61 cases. Skull Base. 2008;18(5):289-95.
Weteid AS, Miloro M. Transoral endoscopic-assisted styloidectomy: How should Eagle syndrome be managed surgically? International J Oral Maxillofacial Surg. 2015;44(9):1181-7.