DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20175647

A rare case report of Eagle’s syndrome complicated with chronic mouth opening, its management and complete rehabilitation; dental perspective

A. Navin Kumar, Bhushan Kumar, Gaurav Dua, Sandeep Mehta

Abstract


Eagle’s syndrome is a rare condition of either elongated styloid process or ossification of its ligaments; which is less appreciated and often ignored condition by clinicians because of its vague symptoms which can be easily confused with other oral or paraoral conditions presenting with similar signs and symptoms. Since it is not a routine clinical problem, it is not given the first priority thought while diagnosing such a case; especially in the absence of sound clinical knowledge and good radiographs. This article is aimed to summarize unusual clinical presentations, diagnosis and standardized tonsil-sparing trans-oral surgical approach for Eagle’s Syndrome case and its unique postoperative management. A 80 years old female patient presented with the tendency of uncontrolled wide mouth opening with severe pain in both ears, temporal region; submandibular area extending up to back of neck with intensity on right side. The patient was diagnosed as a case of the Eagle’s syndrome with a unique finding of pain relief on wide mouth opening. The patient was operated for bilateral styloidectomy followed by postsurgical rehabilitation with custom made chin cup appliance and mouth opening exercises. 


Keywords


Eagle syndrome, Styloidectomy, Elongated styloid process

Full Text:

PDF

References


Ferreira de Albuquerque R Jr, Mu¨ ller K, Hotta TH, Gonçalves M. Temporomandibular disorder or Eagle’s syndrome? A clinical report. J Prosthet Dent. 2003;90:317–20.

Eagle WW. Elongated styloid process: further observations and a new syndrome. Arch Otolaryngol. 1948;47:630-40.

Eagle WW. The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg. 1962;28:1-5.

Dinkar, Amonkar SS. Eagle’s syndrome: review of literature and case report. Indian J Dent Res. 2003;14:162-8.

Soh KB. The glossopharyngeal nerve, glossopharyngeal neuralgia and the Eagle’s syndrome--current concepts and management. Singapore Med J. 1999;40:659-65.

Ceylan A, Ko¨ybasioglu A, Celenk F, Yilmaz O, Uslu S. Surgical treatment of elongated styloid process: Experience of 61 cases. Skull Base. 2008;18:289–95.

Rodríguez-Vázquez JF, Mérida-Velasco JR, Verdugo-López S, Sanchez-Montesinos I, Merida Velasco JA. Morphogenesis of the second pharyngeal arch cartilage (Reichert’s cartilage) in human embryos. J Anat. 2006;208:179-89.

Miloro M. Fracture of the styloid process: A case report and review of the literature. J Oral Maxillofac Surg. 1994;52:1073.

Rezui-Marhoul L, Douira W, Saı¨d W, Bouslama K. Dridi MB, Hendaoui L. Le syndrome de Eagle: a` propos d’un cas. Rev Stomatol Chir Maxillofac. 2004;105:50–2.

Ghosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx. 1999;26:169–5.

Savranlar A, Uzun L, Ugur MB, Ozer T. Three-dimensional CT of Eagle’s syndrome. Diagn Interv Radiol. 2005;11:206–9.

Akhaddar A, Elasri A, Zalagh M, Boucetta M. Eagle’s syndrome (Elongated styloid process). Intern Med. 2010;49:1259.

Karam C, Koussa S. Syndrome de Eagle: Eagle syndrome: the role of CT scan with 3D reconstructions. J Neuroradiol. 2007;34:344–8.

Dao A, Karnezis S, Lane JS 3rd, Fujitani RM, Sarem F. Eagle syndrome presenting with external carotid artery pseudoaneurysm. Emerg Radiol. 2011;18:263-5.

Andrade MG, Marchionni AM, Rebello IC, Martinez M, Flores PS, Reis SR. Three-dimensional identification of vascular compression in Eagle’s syndrome using computed tomography: case report. J Oral Maxillofac Surg. 2008;66:169-76.

Diamond LH, Cottrell DH, Hunter MJ, Papageorge M. Eagle syndrome: A report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg. 2001;59(12):1420-6.

Beder E, Ozgursoy OB, Ozgursoy SK. Current diagnosis and transoral surgical treatment of eagle’s syndrome. J Oral Maxillofac Surg. 2005;63:1742-5.

Messer EJM, Abramson AM. The styloid syndrome. J Oral Surg. 1975;33:664.

Sivers JE, Johnsoon GK, Lincoln MS. Diagnosis of Eagle’s Syndrome. Oral Surg Oral Med Oral Pathol. 1985;59:575.

De Souza Carvalho AC, Magro Filho O, Garcia IR Jr. Intraoral approach for surgical treatment of Eagle syndrome. Br J Oral Maxillofac Surg. 2009;47:153–4.

Chrcanovic BR, Custo´dio AL, de Oliveira DR. An intraoral surgical approach to the styloid process in Eagle’s syndrome. Oral Maxillofac Surg. 2009;13:145–51.

Politi M, Toro C, Tenani G. A rare cause of cervical pain: Eagle’s syndrome. Int J Dent. 2009;1-3.