scholarly journals Transcervical Approach in Eagle Syndrome. Clinical Case Report

2020 ◽  
pp. 162-169
Author(s):  
José E. Miranda Villasana ◽  
Diego A. Ayala González ◽  
Josué Gallardo Caudillo ◽  
José E. Palma Medina
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Myofascial Pain ◽  
Styloid Process ◽  
Regional Hospital ◽  
Cervical Pain ◽  
Transcervical Approach ◽  
Eagle Syndrome ◽  
Neurovascular Structures ◽  
Hospital General

Eagle syndrome is a rare disease responsible for multiple head and neck symptoms, resulting from an elongation of the styloid process or ossification of the stylohyoid ligament compressing adjacent neurovascular structures. There are two variants, the classic one characterized mainly by pain and dysphagia and the carotid variant distinguished with pain and sometimes cerebral ischemia. We describe a clinical case report of a 45-year-old female patient, who experienced left cervical pain, performing the complete myofascial pain protocol of the Regional Hospital "General Ignacio Zaragoza" ISSSTE in Mexico City, resulting in a 50 mm elongation of the styloid process in the CT scan, confirming the diagnosis, and focusing the article on the anatomical-surgical description.

scholarly journals Surgical treatment of Eagle’s Syndrome through intraoral access: a case report and literature review

2021 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Rodrigo Cristhian Avelino Bezerra ◽  
Jonas Nogueira Ferreira Maciel Gusmão ◽  
Bruno Frota Amora Silva ◽  
Rodrigo Lemos Alves ◽  
Eliardo Silveira Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Facial Pain ◽  
Clinical Case ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Intraoral Approach ◽  
Eagle Syndrome ◽  
Review Study

The styloid process is a bone projection that originates in the tympanic portion of the temporal bone. The enlongation of the styloid process, or the ossification of the styloid process, can originate a series of symptoms such as dysphagia, odynophagia, facial pain, otalgia, headache, tinnitus and trismus, establishing the clinical picture of Eagle Syndrome. In this report, we present an important clinical case of adult patient diagnosed with Eagle’s Syndrome who underwent surgery for reduction of the enlongated styloid process, by intraoral approach, added to a literature review study.

scholarly journals Surgical Treatment of Eagle Syndrome by Intraoral Approach: A Case Report

2020 ◽  
Author(s):  
Aline Evelin Costa Klaus ◽  
Rafael Da Silva Caetano ◽  
Everton Josè Silva ◽  
Rodrigo Lacerda Barros ◽  
Luiz Evaristo Ricci Volpato
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Surgical Treatment ◽  
Styloid Process ◽  
Definitive Treatment ◽  
Pathological Feature ◽  
Intraoral Approach ◽  
Tissue Dissection ◽  
Eagle Syndrome ◽  
Neurovascular Structures

Eagle Syndrome is the sensation of presence of a foreign body along with pain in the oropharynx and face that is exacerbated by swallowing, chewing and yawning due to the elongation of the styloid process. Its aetiology is usually tonsillectomy or throat injury. The associated pathological feature is the compression of neurovascular structures surrounding the styloid process due to its lengthening. In this report, a case of 37-year-old female presenting with Eagle syndrome treated surgically by intraoral approach is presented. Computed tomography showed hyperdense bilateral areas in the regions of styloid processes suggestive of elongated styloid processes. The patient underwent general anaesthesia due to the possibility of airway obstruction during the procedure and the proximity of important neurovascular structures. In the region of the tonsillar pillars, electrocautery and tissue dissection was performed and the styloid processes were accessed. The electrocautery incisions were placed in the region of the tonsillar pillars, surrounding tissues were dissected to expose the styloid processes in oral cavity. With Kelly forceps, the styloid processes were fractured and removed. The surgical treatment with intraoral approach provided definitive treatment of the Eagle syndrome quickly, without causing obvious scarring and favouring the patient’s recovery.

scholarly journals Chronological Progression of an Enlarged Styloid Process: A Case Report of Eagle Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Daisuke Maki ◽  
Kenji Okami ◽  
Koji Ebisumoto ◽  
Akihiro Sakai
Keyword(s):  
Case Report ◽  
Hyoid Bone ◽  
Styloid Process ◽  
Time Frame ◽  
Subjective Symptoms ◽  
Transcervical Approach ◽  
Elongated Styloid Process ◽  
Appropriate Treatment ◽  
Eagle Syndrome ◽  
Over Time

Eagle syndrome is characterized by an elongated styloid process. However, the time frame over which the styloid process becomes elongated and extends is unknown. How the condition worsens over time is also unclear. To date, there has been no report describing the chronologic change that occurs in the styloid process in Eagle syndrome. We describe a 53-year-old patient with Eagle syndrome in whom the styloid process enlarged progressively over time and the elongated styloid process fused with the hyoid bone. The styloid process was resected via a transcervical approach, and the patient’s subjective symptoms improved. This is the first report showing how the styloid process can enlarge over a few years in a patient with Eagle syndrome. Surgical resection via a transcervical approach is an appropriate treatment for a patient in whom the styloid process has become excessively enlarged and elongated.

scholarly journals DRY NEEDLING TECHNIQUE IN MYOFASCIAL PAIN - CLINICAL CASE REPORT.

2017 ◽  
Vol 5 (3) ◽  
pp. 2208-2211
Author(s):  
FernandaRodrigues Teixeira ◽  
◽  
LaraMariaBueno Esteves ◽  
JúlioRoberto Martins ◽  
CarolinaAlmeida Rodrigues ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Myofascial Pain ◽  
Dry Needling

scholarly journals Elongated styloid process - a cause for cervical pain

2014 ◽  
Vol 03 (03) ◽  
pp. 159-161
Author(s):  
S. Sumathi ◽  
T. Sivakami
Keyword(s):  
Close Relation ◽  
Chronic Neck Pain ◽  
Styloid Process ◽  
Clinical Implications ◽  
Cervical Pain ◽  
Eagle’S Syndrome ◽  
Process Measures ◽  
Normal Length ◽  
Elongated Styloid Process ◽  
Neurovascular Structures

AbstractThe normal length of the styloid process is 20-25 mms. A diagnosis of Eagle's syndrome is made when the styloid process measures more than 30 mms.The symptomatology associated with an elongated styloid process is called Eagle's syndrome. Abnormal elongation of styloid process causes compression of important neurovascular structures situated in close relation to it resulting in chronic neck pain, referred pain to the ear, jaw and orbit, and globus hystericus. We report here two cases of elongated styloid processes found during our routine osteology demonstrations. The etiopathogenesis and clinical implications of an elongated styloid process are discussed.

scholarly journals Headache Attributed to Temporomandibular Disorders. Case Report

2020 ◽  
pp. 121-130
Author(s):  
Andrés Cervantes Chavarría ◽  
Adriana Espinoza Chacón
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Temporomandibular Joint ◽  
Diagnostic Criteria ◽  
Female Patient ◽  
Temporomandibular Disorders ◽  
Clinical Case ◽  
Myofascial Pain ◽  
Self Care ◽  
Diagnostic Process

The goal of this article was to review the most common temporomandibular disorders according to the Diagnostic Criteria for Temporomandibular disorders (DC/TMD) emphasizing in the criteria for headache attributed to TMD. By presenting a clinical case that shows the characteristics of a patient with masticatory myofascial pain, arthralgia of the temporomandibular joint and headache attributed to TMD. A case of a 34-year-old female patient is presented, the diagnostic process and its approach: self-care, modification of parafunctional habits and behaviors, physical therapy and pharmacological support.

scholarly journals Eagle Syndrome: Case Report and Review of the Literature

2008 ◽  
Vol 87 (11) ◽  
pp. 631-633 ◽  
Author(s):  
Esther Kim ◽  
Karla Hansen ◽  
James Frizzi
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Styloid Process ◽  
Referred Pain ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Elongated Styloid Process ◽  
Accidental Fall ◽  
Eagle Syndrome ◽  
Traumatic Incident

Eagle syndrome, which is an uncommon sequela of elongation of the styloid process, can manifest as pain in the anterolateral neck, often with referred pain to the ear. In most cases, the elongation is an acquired condition, often occurring as a result of a traumatic incident, including tonsillectomy. We describe the case of a 57-year-old man who experienced unremitting right neck pain for several years following an accidental fall. A multidisciplinary investigation identified an elongated styloid process. Surgical shortening of the structure provided definitive relief of the patient's symptoms. We review the anatomy of the peristyloid structures and discuss the etiology, diagnosis, and treatment of Eagle syndrome.

Classic Eagle’s Syndrome: Styloidectomy via the Transcervical Approach

2021 ◽  
Vol 14 (8) ◽  
pp. e244634
Author(s):  
Monika Gupta ◽  
Yajas Kumar ◽  
Harshita Vig ◽  
Aliza Rizvi
Keyword(s):  
Neck Pain ◽  
Head And Neck ◽  
Surgical Approach ◽  
Clinical Condition ◽  
Styloid Process ◽  
Cervical Pain ◽  
Eagle’S Syndrome ◽  
Transcervical Approach ◽  
Elongated Styloid Process ◽  
Marginal Mandibular Nerve

Eagle’s syndrome was first described by Watt Eagle in 1937, as a syndrome of vague orofacial and cervical pain. He reported two variants, classic styloid and stylocarotid artery syndrome. Eagle’s syndrome is a non-perceived and underdiagnosed clinical condition of the head and neck. This anomalous entity presents with neck pain, globus sensation, difficulty in turning the head, dysphagia, odynophagia and various other symptoms occurring as a result of irritation to the nearby structures. The surgical management of Eagle’s syndrome consists of two major approaches: the transoral and the transcervical approaches. We report a case of classic bilateral elongated styloid process syndrome, treated with transcervical styloidectomy for painful left elongated styloid process. This gave permanent relief to the patient. The transcervical surgical approach for resection of elongated styloid process in patients with Eagle’s syndrome appears to be safe and effective, although the risk for transient marginal mandibular nerve weakness is notable.

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