scholarly journals A case of a very elongated styloid process 8 cm in length with frequent throat pain for 10 years

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Takeshi Kusunoki ◽  
Hirotomo Homma ◽  
Yoshinobu Kidokoro ◽  
Aya Yanai ◽  
Mitsuhisa Fujimaki ◽  
...  
Keyword(s):  
Parapharyngeal Space ◽  
Styloid Process ◽  
External Approach ◽  
Throat Pain ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
Surgical Methods ◽  
Old Japanese ◽  
Cervical Approach ◽  
Left And Right

We experienced a case of an elongated styloid process that was 8 cm in length. The patient was a 68-year-old Japanese man with frequent episodes of left-sided throat pain for 10 years. The elongated styloid process could be diagnosed by 3D-computed tomography (left and right length: 7.8 cm and 8.0 cm, respectively) and successfully treated with surgery, since the anatomic relationships could be fully visualized. Surgical methods for shortening an elongated styloid process involve an intraoral or external approach. The external approach to the styloid process involves a trans-cervical approach to the parapharyngeal space, which enables wider visualization in the operative field than an intraoral approach. In the present case, the styloid process reached the parapharyngal space. Therefore, we selected the external approach and shortened only the left-sided styloid process (the same side as the throat pain). The chief complaint disappeared immediately after the operation.

scholarly journals Clinicoradiologic Evaluation of Eagle’s Syndrome and its Management

2015 ◽  
Vol 11 (4) ◽  
pp. 305-309 ◽  
Author(s):  
M Pokharel ◽  
S Karki ◽  
I Shrestha ◽  
BL Shrestha ◽  
K Khanal ◽  
...  
Keyword(s):  
Ct Scan ◽  
Styloid Process ◽  
History Taking ◽  
3D Ct ◽  
Ct Reconstruction ◽  
Eagle’S Syndrome ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
3D Ct Scan ◽  
Significant Difference

Background Eagle’s syndrome (Elongated styloid process) is often misdiagnosed due to its vague symptomatology. The diagnosis relies on detail history taking, palpation of styloid process in tonsillar fossa and imaging modalities.Objective To assess the length and medial angulation of elongated styloid process with the help of three dimensional computed tomography (3D CT) scan and to describe our clinical and surgical experience with patients suffering from Eagle’s syndrome.Method Prospective, analytical study conducted from August 2011 to August 2012 among 39 patients with Eagle’s syndrome. Detailed history taking, clinical examination and 3D CT scan was performed. Length and medial angulation was calculated. Patients with styloid process length longer than 2.50 cm underwent surgical excision via intraoral approach. Medial angulation of styloid process on both sides was correlated with each other using rank correlation coefficient. Wilcoxon Signed Rank test was applied to test significant difference between pre-operative and post-operative symptoms scores.Result Significant positive correlation was found between the medial angulation of styloid process on right side and left side (? =0.81, p<0.001). Significant difference was also observed between pre and post-operative symptoms scores (z=-5.16, p<0.001) .Conclusion Possibility of Eagle’s syndrome should always be considered while examining patients with vague neck pain. 3D CT reconstruction is a gold standard investigation which helps in studying the relation of styloid process with surrounding structures along with accurate measurement of its length and medial angulation.Kathmandu Univ Med J 2013; 11(4): 305-309

Own experience in the diagnosis and treatment of elongated styloid process syndrome

2020 ◽  
Vol 74 (6) ◽  
pp. 1-5
Author(s):  
Magdalena Wacławek ◽  
Piotr Pietkiewicz ◽  
Piotr Niewiadomski ◽  
Jurek Olszewski
Keyword(s):  
Treatment Time ◽  
Correct Diagnosis ◽  
Styloid Process ◽  
The Body ◽  
Eagle’S Syndrome ◽  
Elongated Styloid Process ◽  
Intraoral Approach ◽  
Cosmetic Effect ◽  
Male Patients ◽  
Medical University

<b>Introduction:</b> The aim of the study was to present selected cases with Eagle’s syndrome diagnosed and treated at the Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics, Medical University of Lodz, in the years 2016–2020. <br><b>Material and method:</b> Five selected clinical cases with Eagle’s syndrome are presented, including three male patients and two female patients, aged 28 to 42 years. <br><b>Results:</b> The prevalence of Eagle’s syndrome was similar for both female and male patients. The carotid artery syndrome, which is characterized by: visual disturbances, unilateral pain located along cervical vessels, headache and migraine, was more common. Lack of proper diagnosis of Eagle’s syndrome often significantly delays the implementation of proper treatment and thus exposes patients to long-term struggle with pain. Our observations have shown that the time between the onset of symptoms and correct diagnosis in patients averaged about five years. 3D-CT scan is the gold standard for detecting Eagle’s syndrome. An intraoral approach was used in surgical treatment. Although this approach offers shorter treatment time and better cosmetic effect, there is also a greater risk of complications associated with limited visibility of the surgical field and infection. <br><b>Conclusions:</b> Although styloid syndrome usually occurs bilaterally, these patients reported unilateral symptoms. No correlations were found between the prevalence of Eagle’s syndrome and sex, the length of the styloid process or age, nor side of the body. The best healing effect is obtained by surgical correction/reduction of the elongated styloid process.

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.

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 Intraoral and extraoral approach for surgical treatment of Eagle's syndrome: a retrospective study

2021 ◽  
Author(s):  
Jing Wang ◽  
Zhibin Wang ◽  
KaiSheng Yan ◽  
Yan Liu
Keyword(s):  
Clinical Symptoms ◽  
Average Length ◽  
Ct Scanning ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Medical College ◽  
Surgical Methods ◽  
Significant Difference ◽  
Cervical Approach ◽  
Absolute Criterion

Abstract Background We evaluated the clinical characteristics and postoperative efficacy of 94 patients with Eagle’s syndrome based on their clinical symptoms, imageological examination, and physical examination. Through the multi center clinical study of Tongji Medical College and Dalian Medical University, we found some characteristics of Eagle’s syndrome in operation and imaging. Methods In total, 94 patients with Eagle’s syndrome (treated from January 2010 to January 2019) were retrospectively enrolled. The postoperative curative effect was analysed by three surgical methods: styloid process resection through the external cervical approach, tonsillectomy + styloidectomy, and preservation of the tonsil for styloidectomy. Results The average length of the styloid process was 33 mm (range, 25–61 mm). The patients were followed up for 3–36 months (average, 15 months). Of the 94 patients, 20 underwent styloid process resection through the external cervical approach, 45 underwent tonsillectomy and styloidectomy, and 29 underwent styloidectomy with preservation of the tonsil. The treatment cured 45 (48%) cases, was effective in 31 (33%), and ineffective in 18 (19%). The SPSS 19.0 software was used to conduct a rank sum test, and there was no significant difference between the three types of operations (H = 0.521, P = 0.771). Conclusions Operation is an effective method for treating Eagle’s syndrome. There were no significant differences between the effects of the intraoral and external cervical approaches. Imaging examination—especially CT scanning and 3D reconstruction of the styloid process—is very helpful for diagnosis, but not an absolute criterion for the selection of surgery protocol.

scholarly journals An Elongated Styloid Process Surgically Shortened with External Approach.

2000 ◽  
Vol 93 (11) ◽  
pp. 971-977 ◽  
Author(s):  
Hirofumi SAKAGUCHI ◽  
Jyunshi ASANO ◽  
Fumihiko SADO ◽  
Nobuhiro MASUDA ◽  
Akira TAKADA ◽  
...  
Keyword(s):  
Styloid Process ◽  
External Approach ◽  
Elongated Styloid Process

scholarly journals A clinical study of the patients with elongated styloid process

2017 ◽  
Vol 3 (2) ◽  
pp. 400 ◽  
Author(s):  
Suhas Y. Choudhari ◽  
Aravind B. Sangavi
Keyword(s):  
Serum Calcium ◽  
Facial Pain ◽  
Styloid Process ◽  
X Ray ◽  
Throat Pain ◽  
Elongated Styloid Process ◽  
Body Sensation ◽  
A Prospective Study ◽  
Hematological Tests ◽  
Rule Out

<p class="abstract"><strong>Background:</strong> The elongation of styloid process is considered an anomaly which can cause throat pain and cervico-facial pain and trigger a series of symptoms such as dysphagia, odynophagia, facial pain, ear pain, headache, tinnitus and trismus. The present study was undertaken find out the length of styloid process in patients with throat pain.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted among 150 patients. A detailed ENT and general examination was done apart from palpation of the styloid along the posterior tonsillar pillar, a routine Hematological tests with estimation of serum calcium levels, and X-ray towne view was done.  </p><p class="abstract"><strong>Results:</strong> The female to male ratio was found to be 1.6:1. Of the 150 cases 92 were middle aged females, the severity of symptoms were directly proportional to the length and the thickness of the styloid. The symptoms ranged from foreign body sensation in the throat to cervicofacial pain and otalgia. Serum Calcium levels were elevated in 60% of the cases.</p><p><strong>Conclusions:</strong> Elongation of the styloid being multi-factorial in origin. A strong suspicion is required on the part of the surgeon to rule out this particular entity. A simple palpitation and an x- ray Towne view can establish the diagnosis of elongated styloid process.</p>

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.

Carotid artery dissection due to elongated styloid process

Neurology ◽  
1999 ◽  
Vol 53 (8) ◽  
pp. 1886-1886 ◽  
Author(s):  
M. Zuber ◽  
J. F. Meder ◽  
J. L. Mas
Keyword(s):  
Carotid Artery ◽  
Styloid Process ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Elongated Styloid Process

scholarly journals Styloid process elongation and calcification in subjects with tmd: clinical and radiographic aspects

2012 ◽  
Vol 23 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Kelly Machado de Andrade ◽  
Carolina Almeida Rodrigues ◽  
Plauto C. Aranha Watanabe ◽  
Marcelo Oliveira Mazzetto
Keyword(s):  
Orofacial Pain ◽  
Panoramic Radiograph ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Linear Measurements ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Cephalometric Radiograph ◽  
Lateral Cephalometric Radiograph ◽  
Process Length

Knowledge of the Eagle's syndrome shows that its symptoms can be very easily confused with other types of craniomandibular disorders, especially temporomandibular disorders (TMD). The aim of this study was to find a possible correlation between the presence of TMD and elongation of the styloid process as well relate to presence of calcification of the stilohyoid chain. Fifty patients with TMD, confirmed from the RDC/TMD, were examined clinically and radiographically. Radiographic documentation consisted of digital panoramic radiograph and digital lateral cephalometric radiograph. Radiocef software (Radiomemory) was used for the analysis of radiographs by means of specific cephalometric tracing and linear measurements of the styloid process. Each radiograph was traced and measured three times with intervals of 1 month to spread the error. Statistical analysis was performed by Pearson's test (p=0.001) using Biostat 4.0 statistical software. Result showed an incidence of 76% elongation of the styloid process in the sample. There was a correlation between the bilateral measures taken in panoramic radiographs (?<0.001) and also for measures of styloid process length carried out in different panoramic radiographs and lateral cephalometric radiographs (?<0.001). It was concluded that there is prevalence of elongated styloid process in patients with TMD. However, no relationship was found between measurements on the stylohyoid chain and symptoms of headache, orofacial pain, tinnitus and vertigo.

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