Tonsillostyloidectomy for Eagle’s syndrome: a study of 20 cases
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20160064Keywords:
Eagle’s syndrome, Misdirected, Styalgia, Styloid process, TonsillostyloidectomyAbstract
Background: Eagle’s syndrome is a pain syndrome which occurs due to elongated and misdirected styloid process. It is commoner than generally thought.
Methods: 20 cases of styalgia were diagnosed and prospectively studied at two hospitals. The characteristic symptoms were chronic throat pain and foreign body sensation in throat. Diagnosis was made with clinical symptoms, physical examination in form of intraoral palpation of styloid and radiological correlation. All patients underwent Tonsillostyloidectomy for affected sites under General anaesthesia. The patients were followed up for 12 weeks post-operatively and relief of symptoms was noted.
Results: Chronic throat pain was the commonest symptom. Most cases were associated with chronic tonsillitis or Laryngopharyngeal reflux disease (LPRD). 19 (95%) patients were symptom free by 4 weeks postoperatively.
Conclusions: In an established case of Styalgia with intraoral palpable styloid tip, tonsillostyloidectomy by intra-oral approach gives good results. Also, LPRD may be a possible aetiology of the disease. Incidentally, it was found that position of head over neck should be intraoperatively adjusted in order to suit easy approach to the styloid depending on antero-posterior angulation of styloid.References
Eagle WW. Elongated styloid process. Report of two cases. Arch Otolaryngol. 1937;25:584-7.
Corell RW, Jensen JL, Taylor JB, Rhyne RR. Mineralization of the styloid-stylomandibular ligament complex. Oral Surg Oral Med Oral Pathol. 1979;48:286-91.
Eagle WW. Elongated styloid process. Arch Otolaryngol. 1948;47:639-40.
Kaufman SM, Elzay RP, Irish EF. Styloid process variation:radiological and clinical study. Arch Otolaryngol. 1970;91:460-3.
Thot B, Revel S, Mohandas R, Rao AV, Kumar A. Eagle Syndrome. Anatomy of the styloid process. Indian J Dent Res. 2000;11:65-70.
Eagle WW. Elongated styloid process; symptoms and treatment. AMA Arch Otolaryngol. 1958;67(2):172-6.
Eagle WW. The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg. 1962.;28:1-5.
Zeckler SR, Betancur AG, Yaniv G. The eagle is landing:Eagle syndrome-an important differential diagnosis. Br J Gen Pract. 2012;62(602):501-2.
Beder E, Ozgursoy OB, Ozgursoy SK. Current diagnosis and transoral surgical treatment of Eagle’s syndrome. J Oral Maxillofacial Surg. 2005;63:1742-5.
Strauss M, Zohar Y, Haurian N. Elongated styloid process syndrome: intraoral versus extraoral approach for styloid surgery. Laryngoscope. 1985;95:976-9.
Prasad KC, Kamath MP, Reddy KJM, Raju K, Agarwal S. Elongated styloid process (Eagle’s Syndrome): a clinical study. J Oral Maxillofac Surg. 2002;60:171-5.
Nayak DR, Pujary K, Aggrawal M, Punnoose SE, Chaly VA: Role of three-dimensional computed tomography reconstruction in management of elongated styloid process: a preliminary study. J Laryngol Otol. 2007;121(4):349-53.
Hoffmann E, Rader C, Fuhrmann H, Maurer P. Styloid-caritid artery syndrome treated surgically with Piezosurgery: A case report and literature review. Jornal of Cranio-Maxilli-Facial Surgery. 2013;41:162-6.
Diamond LH, Cottrell DA, Hunter MJ, Papageorge M: Eagle’s syndrome: a report of 4 patients treated using modified extraoral approach. J Oral Maxillofac Surg. 2001;59(12):1420-6.
Naik SM, Naik SS: Tonsillo-Styloidectomy for Eagle’s Syndrome: A Review of 15 cases in KVG Medical College Sullia. Oman Med J. 2011;26920:122-6.
Maru YK, Patidar K. Styalgia and its surgical management by intra oral route- clinical experience of 332 cases. Indian Journal of Otolaryngology and Head and Neck Surgery. 2003;55(2):87–90.
Yavuz H, Caylakli F, Yildiram T, Ozluoglu LN. Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol. 2008;265:1393-6.
