scholarly journals Eagle’s syndrome - a report of two cases

2015 ◽  
Vol 72 (5) ◽  
pp. 458-462 ◽  
Author(s):  
Aleksandar Kiralj ◽  
Miroslav Ilic ◽  
Bojan Pejakovic ◽  
Borislav Markov ◽  
Sasa Mijatov ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Styloid Process ◽  
Surgical Approaches ◽  
Advantages And Disadvantages ◽  
Postoperative Control ◽  
First Case ◽  
Intraoral Approach ◽  
Body Sensation ◽  
Eagle Syndrome ◽  
Stylohyoid Ligament

Introduction. Eagle?s syndrome is defined as elongation of the styloid process or the stylohyoid ligament mineralization complex which consist of styloid process, stylohyoid ligament and lesser horn of hyoid bone. It is a rare entity, is not commonly suspected in clinical practice. It is characterized by recurrent facial and throat pain, dysphagia, odynophagia, parapharingeal foreign body sensation, otalgia and neck pain. Eagle?? syndrome can be treated conservatively (lacing local anesthetic into the styloid process and stylomandibular ligament attachment) or surgically. Its pathogenesis and threatment modalities are still being debated while different theories have been presented. Case report. The two traditional surgical approaches to styloidectomy (removal of the elongated portion of the styloid process) were presented the intraoral approach and the extraoral approach. We presented two cases (49 years and 34 years old males), with bilateral and unilateral elongated styloid process. The surgical treatment included unilateral right side stiloidectomy by intraoral approach in the first case and right styloidectomy by extraoral approach in the second case. In both eases post-operative course passed regularly with no complaints at regular postoperative control. Conclusion. Surgical techniques for treatment of Eagle?s syndrome have many advantages and disadvantages. We believe that the length of the styloid process or the calcified ligament is a decisive parameter for the selection of techniques and approach.

scholarly journals A Case of a Very Elongated Styloid Process

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.

Eagle Syndrome: an underdiagnosed cause of orofacial pain

2021 ◽  
Vol 14 (1) ◽  
pp. e238161
Author(s):  
João Ferreira de Barros ◽  
Maria Vieira Rodrigues ◽  
Leonor Aurélio Barroso ◽  
Isabel Cruz Amado
Keyword(s):  
Orofacial Pain ◽  
Rare Condition ◽  
Styloid Process ◽  
High Clinical Suspicion ◽  
Body Sensation ◽  
Cervical Approach ◽  
Considerable Length ◽  
Eagle Syndrome

Eagle Syndrome (ES), also termed stylohyoid syndrome or styloid syndrome, is a rare condition characterised by a cluster of symptoms related to an elongation of the styloid process (SP) of the temporal bone. These may range from mild pharyngeal foreign body sensation and dysphagia to severe orofacial pain. High clinical suspicion is necessary owing to the unspecific clinical picture and limited diagnostic clues. Until a definitive diagnosis is achieved, these patients may develop symptoms which significantly impact their quality of life. The aim of this article is to report a case of ES in which a considerable length of SP was documented. Diagnosis was made years after the initial complaints and several medical workups by different specialties. Surgical resection of the elongated process by cervical approach was the adopted treatment modality. Patient recovery and follow-up was satisfactory, with remission of the afflicting symptoms.

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 Management of anterior inferior cerebellar artery aneurysms: an illustrative case and review of literature

2009 ◽  
Vol 26 (5) ◽  
pp. E6 ◽  
Author(s):  
Nicholas C. Bambakidis ◽  
Sunil Manjila ◽  
Shervin Dashti ◽  
Robert Tarr ◽  
Cliff A. Megerian
Keyword(s):  
Surgical Techniques ◽  
Surgical Approaches ◽  
Anterior Inferior Cerebellar Artery ◽  
Parent Artery ◽  
Illustrative Case ◽  
Detailed Knowledge ◽  
Clinical Effects ◽  
Advantages And Disadvantages ◽  
Parent Artery Occlusion ◽  
Cerebellar Artery

Aneurysms of the anterior inferior cerebellar artery (AICA) are relatively rare among intracranial aneurysms. They can occur in 1 of 3 regions of the AICA: 1) craniocaudal (high or low riding), 2) mediolateral-premeatal (proximal), and 3) meatal-postmeatal (distal). The management strategies for treatment differ according to the location and configuration of the aneurysm. The existing body of neurosurgical literature contains articles published on aneurysms arising from the AICA near the basilar artery (BA), intracanalicular/meatal aneurysms, and distal AICA. Several therapeutic options exist, encompassing microsurgical and endovascular techniques. The authors describe a case of treatment involving a large BA-AICA aneurysm approached via exposure of the presigmoid dura using a retromastoid suboccipital craniectomy and partial petrosectomy. Treatment of these lesions requires detailed knowledge of the anatomy, and an anatomical overview of the AICA with its arterial loops and significant branches is presented, including a discussion of the internal auditory (labyrinthine) artery, recurrent perforating arteries, subarcuate artery, and cerebellosubarcuate artery. The authors discuss the various surgical approaches (retromastoid, far lateral, subtemporal, and transclival) with appropriate illustrations, citing the advantages and disadvantages in accessing these AICA lesions in relation to these approaches. The complications of these different surgical techniques and possible clinical effects of parent artery occlusion during AICA surgery are highlighted.

scholarly journals Styloidectomy: our experience with intraoral approach

2020 ◽  
Vol 6 (11) ◽  
pp. 2106
Author(s):  
Purigali S. Maradesha ◽  
Subash Chandrashekhar ◽  
Samatha K. Jayaramaiah
Keyword(s):  
Retrospective Study ◽  
Local Anesthesia ◽  
Styloid Process ◽  
Study Group ◽  
Eagle’S Syndrome ◽  
Quick Recovery ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
Symptom Complex ◽  
Stylohyoid Ligament

<p><strong>Background:</strong> 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.</p><p><strong>Methods:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> 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.<strong></strong></p>

scholarly journals Polydactyly Of The Foot Repair With Circumferential Racquet-Shaped Incision Technique And Collateral Ligament Reconstruction: Case Report And Literature Reviews

2020 ◽  
Vol 6 (2) ◽  
pp. 266-269
Author(s):  
Saktrio D. Subarno ◽  
M. Idris Ibnu Ikhsan
Keyword(s):  
Ligament Reconstruction ◽  
Surgical Techniques ◽  
Collateral Ligament ◽  
Complete Excision ◽  
Congenital Diseases ◽  
Advantages And Disadvantages ◽  
Postoperative Control ◽  
Syringe Needle ◽  
Foot Reconstruction ◽  
Incision Technique

Introduction: Polydactyly of the foot is the most common anomaly in congenital diseases. This abnormality is characterized by the presence of additional digits outside the normal complement of the foot. Polydactyly has reported about 1 in 1,000 births. The Watanabe classification is used in assessing polydactyly in the feet as a fifth ray duplication. Various operating techniques can sometimes be an option. Each method has advantages and disadvantages that can be considered in the selection of surgical in the correction polydactyly. Patient and Method: we report a case of polydactyly of the foot reconstruction using circumferential racquet-shaped incision, osteotomy and collateral ligament reconstruction that was carried out at Bahteramas Hospital, Kendari. A circumferential racquet-shaped incision design was performed over the sixth MTP joint. Complete excision of the lateral sixth toe was performed, followed by osteotomy of the fifth metatarsal lateral head with a micro-sagittal oscillating saw. The collateral ligament was reconstructed using ligamentoperiosteal flap and fixed using syringe needle to replace K-Wire. Result : After postoperative control for 3 months the patient was declared good wound healingConclusion: Optimal surgical planning, good patient orientation and surgical techniques that are carefully considered are essential for optimal results. Herein, we report a case of polydactyly and racquet shaped incision technique performed to reconstruct the polydactyly.

scholarly journals Relato de caso: Dissecção Carotídea associada a Síndrome de Eagle

2021 ◽  
Author(s):  
Vinícius de Queiroz Aguiar ◽  
Gustavo Sales França ◽  
Bernardo Costa Berriel Abreu ◽  
Talles Henrique Caixeta ◽  
Alexandre Henrique de Azevedo Dias ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Clinical Manifestations ◽  
Styloid Process ◽  
Left Internal Carotid Artery ◽  
Partial Recovery ◽  
Body Sensation ◽  
Eagle Syndrome ◽  
Vessel Dissection

Context: Eagle syndrome is characterized by the elongation or disfiguration of the styloid process, which leads to a range of clinical manifestations resulting from the structures that are affected by the prolongation of the bone, and the classic presentation is composed of pain and foreign body sensation in the throat, otalgia, and dysphagia. Case report: We describe the case of a 60-year-old man with an ischemic stroke due to dissection of the left internal carotid artery, associated with compression resulting from Eagle syndrome. At clinical presentation, the patient presented right hemiparesis and severe dysphagia, with NIH=18, characterizing the stroke. An angiotomography of the skull and brain was performed, which showed an image compatible with dissection of the left internal carotid artery from the prolongation of the styloid process, characterizing Eagle syndrome stylocarotid syndrome. The patient was submitted to thrombolysis with rt-PA, presenting a partial response, and surgical bone reduction. Patient evolved with partial recovery, with NIH=10, and, at the time of discharge, presented RANKIN 1, symptoms without disabilities. Conclusion: The Eagle syndrome, while it occurs more frequently in women, in general, with the classic presentation, can evolve with a more severe picture, associated with vessel dissection and brain involvement.

scholarly journals Peyronie's Disease: Evolving Surgical Management and the Role of Phosphodiesterase 5 Inhibitors

2009 ◽  
Vol 9 ◽  
pp. 822-845 ◽  
Author(s):  
Tariq F. Al-Shaiji ◽  
Gerald B. Brock
Keyword(s):  
Tunica Albuginea ◽  
Surgical Techniques ◽  
Peyronie’S Disease ◽  
Surgical Approaches ◽  
Penile Curvature ◽  
Advantages And Disadvantages ◽  
Phosphodiesterase 5 Inhibitors ◽  
Peyronie's Disease ◽  
Phosphodiesterase 5

Peyronie's disease (PD) is a fibrotic disorder of the tunica albuginea of the penis. It is characterized by different degrees of penile curvature and sexual dysfunction. Several medical treatments have been employed to manage the disorder, with variable success rates. Surgical therapy is reserved for patients with severe penile deformity that fails to improve with medical treatment and impedes coital function. The advantages and disadvantages of various surgical approaches have long been debated. Herein, we describe the evolving surgical techniques for PD using knowledge obtained from the contemporary literature. In addition, we discuss the emerging data regarding the role of phosphodiesterase 5 inhibitors in the management of PD.

scholarly journals Review of the Surgical Approaches for Peyronie's Disease: Corporeal Plication and Plaque Incision with Grafting

2008 ◽  
Vol 2008 ◽  
pp. 1-4 ◽  
Author(s):  
Viet Q. Tran ◽  
Dennis H. Kim ◽  
Timothy F. Lesser ◽  
Sherif R. Aboseif
Keyword(s):  
Patient Satisfaction ◽  
Surgical Management ◽  
Vein Graft ◽  
Surgical Techniques ◽  
Peyronie’S Disease ◽  
Surgical Approaches ◽  
Clinical Aspects ◽  
Advantages And Disadvantages ◽  
Exact Etiology ◽  
Peyronie's Disease

The understanding and management of Peyronie's disease (PD) has improved but elucidating the exact etiology of the disease has yet to be achieved. In this paper, we review the historical and clinical aspects of PD. We focus on the evolution of surgical management for PD and review recent published articles that compare popular surgical techniques such as plication and plaque incision with vein graft. These two techniques have been reported to be equivalent with respect to patient satisfaction; however, each technique has its own advantages and disadvantages.

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.

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