Abstract

Eagle syndrome (also known as stylohyoid syndrome) is caused by pressure on the internal carotid artery and surrounding structures, including branches of the glossopharyngeal nerve, by an abnormally elongated styloid process, a calcified stylohyoid ligament, or both. The pain of Eagle syndrome is sharp and stabbing and occurs with movement of the mandible or turning of the neck. The pain starts below the angle of the mandible and radiates into the tonsillar fossa, temporomandibular joint, and base of the tongue. A trigger point may be present in the tonsillar fossa. Injection of the attachment of the stylohyoid ligament to the styloid process with local anesthetic and steroid serves as a diagnostic maneuver and a therapeutic maneuver.

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