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 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 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 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 The Potential of Computed Tomography Volumetry for the Surgical Treatment in Bilateral Macronodular Adrenal Hyperplasia: A Case Report

2021 ◽  
Vol 253 (2) ◽  
pp. 143-150
Author(s):  
Hiromu Matsunaga ◽  
Yuta Tezuka ◽  
Tomo Kinoshita ◽  
Hiroko Ogata ◽  
Yuto Yamazaki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Surgical Treatment ◽  
Adrenal Hyperplasia ◽  
Computed Tomography Volumetry

scholarly journals Computed tomography features and surgical treatment of superior mesenteric artery syndrome: A case report

2019 ◽  
Vol 14 (12) ◽  
pp. 1529-1532
Author(s):  
Hidayatullah Hamidi ◽  
Mohammad Tareq Rahimi ◽  
Sahar Maroof ◽  
Freba Ahrar Soroush
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Surgical Treatment ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome

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 Tampilan elongasi prosesus styloid pada pasien dengan gangguan sendi temporomandibula

2020 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Fitri Angraini Nasution ◽  
Azhari Azhari ◽  
Fahmi Oscandar
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Styloid Process ◽  
Temporomandibular Joint Disorders ◽  
Cone Beam ◽  
Type I ◽  
The Right ◽  
Process Length ◽  
Coronal View ◽  
Axial View

Objectives: The purpose of this case report was to report the finding of styloid process morphology in patients with TMD. Case Report: A 22-years-old female patient came to the radiology installation of Rumah Sakit Gigi dan Mulut Unpad Bandung for a Cone Beam Computed Tomography – 3 Dimension (CBCT-3D) examination with a clinical diagnosis of temporomandibular joint disorders (TMD). CBCT-3D examination results showed a change in the shape and position of the right and left condyle head. The length of the styloid process from the sagittal view on the right side was 34,0 mm and the left side 35,0 mm with the elongation type styloid process according to Langlais et al on the right and the left sides were elongated (type I). The styloid process undergoes bilateral elongation with the same type of elongation between the right and the left sides. Angulation of the styloid process from the coronal view on the right side was 68,6° and the left side 55,9°. There was a change in the shape of the right and left styloid processes from the axial view at the temporal base, middle and the tip of styloid process. Conclusion: TMD provides an abnormality in elongation of styloid process, CBCT is an effective diagnostic imaging modalities in evaluation of styloid process length.  

scholarly journals Assessment of surgical treatment of Eagle’s syndrome

2019 ◽  
Vol 73 (3) ◽  
pp. 1-5
Author(s):  
Marcin Czajka ◽  
Mariusz Szuta ◽  
Jan Zapała ◽  
Iga Janecka
Keyword(s):  
Quality Of Life ◽  
Statistical Analysis ◽  
Surgical Treatment ◽  
Styloid Process ◽  
Late Results ◽  
Wilcoxon Test ◽  
Eagle’S Syndrome ◽  
Improvement Rate ◽  
Eagle Syndrome

Introduction: The aim of the study was to assess the effectiveness of surgical treatment of patients with Eagle's syndrome, taking into account both early and late results. Materials and methods: The study group consisted of 15 patients who underwent resection of the styloid process due to Eagle syndrome in the period of 2005-2017. During the follow-up visit, the patients were asked to fill in a post-operative questionnaire that compared the pre-operative symptoms and their severity with the patients' current health condition. The VAS pain scale was used to assess each symptom, and the Laitinen scale was used to assess the quality of life. Data from patients' medical records were also included. The results of the surveys were subjected to statistical analysis. Results: The study showed that in 11 out of 15 cases there was a significant improvement in the level of pain (70.5% on average) and an improvement in quality of life (on average 65%) comparing to the pre-operative condition. The Wilcoxon test for binding pairs, the Mann-Whitney test, the Kruskal-Wallis test and the Spearman correlation coefficient were used in the statistical analysis. There were statistically significant correlations between the recorded improvement rate and the length of the resected styloid process and its setting. Discussion: The study proved that resection of prolonged styloid process from extraoral approach in most cases is an effective method of treatment of Eagle syndrome, that carries low risk of complications.

scholarly journals A case report on the importance of imaging in the diagnosis of Lipofibromatous Hamartoma of the median nerve

2020 ◽  
Vol 2 (2) ◽  
pp. 127-130
Author(s):  
Luis Adiel Medrano-Danes ◽  
◽  
Francisco Rafael Espinosa-Leal ◽  
Roberto Ceniceros-Marrufo ◽  
Edelmiro Pérez-Rodríguez ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Median Nerve ◽  
Plain Film ◽  
Surgical Biopsy ◽  
Plain Film Radiography ◽  
Lipofibromatous Hamartoma ◽  
Low Incidence

This case report presents a lipofibromatous hamartoma of the median nerve in a 31-year-old man who presents local deformity and a sensory deficit in the nerve territory. The tumor was evaluated with magnetic resonance, computed tomography, and plain film radiography, studying the pathognomonic findings of this tumor. The patient did not want surgical treatment because of prior surgical sequelae. A prior surgical biopsy was reported as a peripheral nerve with normal axonal fascicles surrounded by abundant fibroadipose tissue. This tumor has a low incidence with less than 180 cases reported in the literature.

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