Styloidectomy: our experience with intraoral approach
Keywords:Styloidectomy, Eagle’s symdrome, Intraoral approach
Background: Eagle’s syndrome is a symptom complex arising due to elongated styloid process or calcification of stylohyoid ligament. Surgical treatment is regarded as the foremost option. The study aims to put forth our experience with intraoral approach to styloidectomy in 17 subjects.
Methods: A retrospective study was conducted between January 2017 to December 2019. The study included 17 subjects with a diagnosis of elongated styloid process. All the subjects underwent styloidectomy by intraoral approach and were followed up.
Results: In our study, the median age of the study group was 33.76 and out of 17 subjects 13 were female and 4 male. The procedure was done under local anesthesia in 13 subjects and under general anesthesia in 4 subjects. Styloidectomy by intraoral approach was done in all subjects among which 15 were bilateral and 2 unilateral. 88% of the subjects were symptom free by third week.
Conclusions: The study suggests that styloidectomy by intraoral approach is minimally invasive and can be done under local anesthesia with an added advantage of quick recovery.
Eagle W. Elongated styloid process: report of two cases. Arch Otolaryngol. 1937;25:584-6.
Baddour HM, McAnear JT, Tilson HB. Eagle’s syndrome. Report of a case. Oral Surg Oral Med Oral Pathol. 1978;46:486-94.
Winkler S, Sammartino FJ Sr, Sammartino FJ Jr, Monari JH. Stylohyoid syndrome. Report of a case. Oral Surg Oral Med Oral Pathol. 1981;51:215-7.
Eagle WW. Elongated styloid process; further observations and a new syndrome. Arch Otolaryngol. 1948;47(5):630-40.
Prasad KC, Kamath MP, Reddy K JM, Raju K, Agarwal S. Elongated styloid process (Eagle’s syndrome): a clinical study. J Oral Maxillofac Surg. 2002;60(2):171-5.
Ilguy M, Ilguy D, Guler N, Bayirli G. Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res. 2005;33(1):96-102.
Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol. 2004;33(2):119-24.
Naik SM, Naik SS. Transoral transtonsillar styloidectomy: a minimally invasive technique for stylohyoid syndrome. Int J Head Neck Surg. 2020;11(2):23-5.
Custodio AL, Silva MR, Abreu MH, Araújo LR, de Oliveira LJ. Styloid process of the temporal bone: morphometric analysis and clinical implications. Biomed Res Int. 2016;2016:8792725.
Piagkou M, Anagnostopoulou S, Kouladouros K, Piagkos G. Eagle's syndrome: a review of the literature. Clin Anat. 2009;22(5):545-58.
Badhey A, Jategaonkar A, Anglin KAJ, Kadakia S, De Deyn PP, Ducic Y, et al. Eagle syndrome: a comprehensive review. Clin Neurol Neurosurg. 2017;159:34-8.
Steinmann EP. Styloid syndrome in absence of an elongated process. Acta Otolaryngol. 1968;66(4):347-56.
Steinmann EP. A new light on the pathogenesis of the styloid syndrome. Arch Otolaryngol. 1970;91(2):171-4.
Jalisi S, Jamal BT, Grillone GA. Surgical management of long-standing eagle's syndrome. Ann Maxillofac Surg. 2017;7:232-6.
Langlais RP, Miles DA, Van Dis ML. Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol. 1986;61:527-32.
Walli AK, Thorawade VP, Parelkar K, Nagle S, Kulsange KL. Intraoral styloidectomy in Eagle’s syndrome-a risky and infrequently performed approach. J Clin Diagn Res. 2018;12(1):MD01-2.
Saccomanno S, Greco F, De Corso E, Lucidi D, Deli R, D’Addona A, et al. Eagle’s syndrome, from clinical presentation to diagnosis and surgical treatment: a case report. Acta Otorhinolaryngol Ital. 2018;38(2):166-9.
Gosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx. 1999;26:169-75.