Failure of OPHL type IIb due to undiagnosed Eagle syndrome

A 52-year-old man with glottic-supraglottic tumour underwent open partial horizontal laryngectomy (OPHL) IIb. On the 12th day postoperative, laryngoscopy showed necrotic tissue at the level of pexy and an increased distance between tongue base and neoglottis; the neck CT showed cricoid arch rupture and rupture of the pexy. By re-examining the preoperative CT images, the ossification of stylohyoid ligament (Eagle syndrome) was detected and supposed as the possible cause of cricoid rupture due to its traction on the hyoid bone and therefore on the pexy. The stylohyoid ligaments were cut at their insertion on the hyoid bone and a tracheohyoidopexy was performed. Two months after surgery, the patient had only some swallowing impairments. This case represents a complication in OPHL II never reported in literature caused by an undiagnosed Eagle syndrome in preoperative, pointing out the importance to search for any anatomical anomaly that could jeopardise the success of the surgery.

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Liver Segmentation and Volume Estimation from Preoperative CT Images in Hepatic Surgical Planning: Application of a Semiautomatic Method Based on 3D Level Sets

Theory and Applications of CT Imaging and Analysis ◽

10.5772/16147 ◽

2011 ◽

Cited By ~ 2

Author(s):

Laura Fernandez-de-Manuel ◽

Maria J. ◽

Daniel Jimenez-Carretero ◽

Javier Pascau ◽

Jose L. ◽

...

Keyword(s):

Level Sets ◽

Surgical Planning ◽

Ct Images ◽

Volume Estimation ◽

Liver Segmentation ◽

Preoperative Ct

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A rare case of a systemic-to-pulmonary veno-venous connection: a pause during development of pulmonary and systemic venous separation

Cardiology in the Young ◽

10.1017/s1047951116002948 ◽

2017 ◽

Vol 27 (5) ◽

pp. 1011-1013

Author(s):

Jae Gun Kwak ◽

Kyung-Hee Kim ◽

Chang-Ha Lee

Keyword(s):

Left Atrium ◽

Pulmonary Vein ◽

Rare Case ◽

Ct Images ◽

Atrial Septum ◽

Caval Vein ◽

Superior Caval Vein ◽

Preoperative Ct ◽

Diameter Orifice

AbstractA 45-year-old man with dyspnoea and palpitations exhibited a unique systemic-to-pulmonary veno-venous connection on preoperative CT images. A window of 31.5-mm diameter was evident between the superior caval vein and the middle pulmonary vein, which was normally connected to the left atrium via a 30-mm-diameter orifice. The atrial septum was intact.

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Deglutition following Supraglottic Horizontal Laryngectomy

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948709600102 ◽

1987 ◽

Vol 96 (1) ◽

pp. 7-11 ◽

Cited By ~ 30

Author(s):

Minoru Hirano ◽

Morio Tateishi ◽

Shigejiro Kurita ◽

Hidetaka Matsuoka

Keyword(s):

Neck Dissection ◽

Hyoid Bone ◽

Thyroid Cartilage ◽

Radical Neck Dissection ◽

Vocal Folds ◽

Arytenoid Cartilage ◽

Cricopharyngeal Myotomy ◽

Clinical Records ◽

Horizontal Laryngectomy ◽

Base Of The Tongue

In order to determine factors that may contribute to deglutition problems following supraglottic horizontal laryngectomy or its modified techniques, clinical records of 38 patients were studied. Contribution of the following factors was investigated: Age; sex; tumor classification; radical neck dissection; extent of and symmetry in removal of the aryepiglottic folds, arytenoid cartilages, and false folds; removal of the base of the tongue, hyoid bone, and a part of the vocal folds; extent of removal of the epiglottis and thyroid cartilage; cricopharyngeal myotomy; and some complications and concomitant diseases. The results suggest that removal of the arytenoid cartilage and asymmetrical removal of the false folds contribute to deglutition problems. We conclude that the standard supraglottic horizontal laryngectomy associated with surgical approximation of the larynx to the base of the tongue and cricopharyngeal myotomy does not usually cause serious deglutition problems. When the arytenoid cartilage is removed, reconstruction of the structure is required for the prevention of severe aspiration.

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Eagle syndrome compared with stylohyoid syndrome: complete ossification of the stylohyoid ligament and joint

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2016.07.002 ◽

2017 ◽

Vol 55 (2) ◽

pp. 218-219

Author(s):

J. Ata-Ali ◽

F. Ata-Ali ◽

M. Melo ◽

J.C. Andrés-Teruel ◽

C. Soto-Sarrion

Keyword(s):

Eagle Syndrome ◽

Stylohyoid Ligament

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Spontaneous fracture of an ossified stylohyoid ligament

The Journal of Laryngology & Otology ◽

10.1017/s0022215100145402 ◽

1999 ◽

Vol 113 (9) ◽

pp. 854-855 ◽

Cited By ~ 11

Author(s):

Karin Blomgren ◽

Yrjö Qvarnberg ◽

Hannu Valtonen

Keyword(s):

Hyoid Bone ◽

Foreign Bodies ◽

Styloid Process ◽

Neck Swelling ◽

Solid Structure ◽

Spontaneous Fracture ◽

Unknown Reason ◽

Stylohyoid Ligament ◽

Painful Neck

AbstractThe stylohyoid ligament extends from the styloid process to the hyoid bone. For an unknown reason it occasionally ossifies and forms a solid structure which can break because of trauma or even spontaneously. Symptoms of the fracture may mimic tumours, foreign bodies, infections or neuralgia. In our cases a spontaneous fracture of totally ossified stylohyoid ligaments presented as a painful neck swelling. The diagnosis was achieved by an ortopantomographic radiograph. In both cases the healing was spontaneous and complete.

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A Case of a Very Elongated Styloid Process

Clinical Medicine Insights Ear Nose and Throat ◽

10.1177/1179550617728899 ◽

2017 ◽

Vol 10 ◽

pp. 117955061772889

Author(s):

YaLi Liu ◽

Huaian Yang ◽

Xiangguo Cui

Keyword(s):

Treatment Process ◽

Styloid Process ◽

Chief Complaint ◽

Chinese Woman ◽

Recurrent Pain ◽

Elongated Styloid Process ◽

Frequent Episodes ◽

Intraoral Approach ◽

Eagle Syndrome ◽

Stylohyoid Ligament

Eagle syndrome is characterized by recurrent pain in the oropharynx and face due to an elongated styloid process or calcified stylohyoid ligament. In this article, we experienced a case of an elongated styloid process which is very rare in size and detailed treatment process. The patient was a 53-year-old Chinese woman with a chief complaint of frequent episodes of radiating pain in left preauricular region for 2 years. An intraoral approach was chosen to shorten part of her styloid process, and the chief complaint disappeared immediately after the operation.

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Hypoglossal Nerve Stimulation and Airway Changes under Fluoroscopy

Otolaryngology ◽

10.1177/0194599812436472 ◽

2012 ◽

Vol 146 (6) ◽

pp. 1017-1022 ◽

Cited By ~ 28

Author(s):

George S. Goding ◽

Wondimeneh Tesfayesus ◽

Eric J. Kezirian

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Nerve Stimulation ◽

Hyoid Bone ◽

Hypoglossal Nerve ◽

Tongue Base ◽

Hypoglossal Nerve Stimulation ◽

Anterior Displacement ◽

Obstructive Sleep ◽

Airway Opening

Objective. To characterize the changes in the anteroposterior dimensions of both the retropalatal and retrolingual airway spaces of the pharynx and hyoid bone position during hypoglossal nerve stimulation under general anesthesia in subjects with obstructive sleep apnea. Study Design. Cross-sectional. Setting. Academic center. Subjects and Methods. Cross-table fluoroscopic images obtained during hypoglossal nerve stimulation were studied in 26 subjects enrolled in the Apnex Medical Hypoglossal Nerve Stimulation (HGNS) system feasibility trials. Changes in the anteroposterior dimensions (2-dimensional) of the retropalatal and retrolingual airway spaces and hyoid bone position were recorded. Measurements were estimated in millimeters and standardized to each subject’s C3 vertebral height. Opening of the pharyngeal airspace was examined relative to body mass index. Results. During hypoglossal nerve stimulation, all subjects demonstrated anterior displacement of the tongue base on fluoroscopy. The average retrolingual airway opening was 0.71 ± 0.23 C3 vertebral body heights (9 ± 3 mm). Opening of the retropalatal airway with stimulation occurred in 65% (15/23) of subjects. When present, the average opening was 0.42 ± 0.14 vertebral heights (5 ± 3 mm). Anterior displacement of the hyoid occurred in 92% (23/25) of subjects. Retrolingual airway opening was independent of baseline body mass index. Conclusion. Unilateral hypoglossal nerve stimulation results in anterior tongue base displacement and an increase in the anterior-posterior retrolingual airway dimensions of the pharynx, independent of body mass index. Opening of the retropalatal airway occurred in a majority of subjects and had a trend toward correlation with body mass index.

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