Abstract
Eagle's syndrome is often associated with elongated styloid process or ossified stylohyoid or stylomandibular ligament. Patients with this syndrome present with recurrent cervicofacial pain. Surgical removal of the elongated styloid process is a standard treatment and can be accomplished through either a transoral or extraoral approach. Both approaches have advantages and disadvantages, and the best surgical approach remains controversial. In our case, the elongated styloid process was removed by transoral approach assisted by endoscopy. Endoscopy provides clear surgical view thus lessen the chance of neurovascular injury and other intraoperative complications. Endoscopy-assisted transoral resection is an optional alternative surgical procedure for Eagle's syndrome.
Highlights
The clinical features of Eagle's syndrome were first described by Eagle in 1937 [1]
We report here a case of Eagle's syndrome in whom the elongated styloid process was removed endoscopically through a transoral approach
The diagnosis is best made with a successful local injection of an anesthetic agent, and surgical intervention provides the best confirmation following postoperative cessation of all symptoms. 3D-CT images reformatted from the raw data obtained with a spiral scanner provide the necessary information on the styloid process, including its length, direction, and anatomical relation to adjacent tissues
Summary
The clinical features of Eagle's syndrome were first described by Eagle in 1937 [1]. The syndrome is characterized by recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. Surgical treatment involves decompression of the glossopharyngeal nerve by resection of the elongated styloid process, which may be accomplished through either a transoral or extraoral approach [3,4,5]. Each of these two approaches has advantages and disadvantages, and the best surgical approach for Eagle's syndrome remains controversial. We report here a case of Eagle's syndrome in whom the elongated styloid process was removed endoscopically through a transoral approach. Case report A 42-year-old man presented with a 3-months history of right neck pain that worsened on turning to the left He did not complain of any other symptoms such as globus sensation or odynophagia.
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