Resection of calcified elongated styloid process (Eagle's syndrome) with Piezosurgery: A case report and review of literature

Abstract

Eagle’s syndrome is the term given for the symptomatic elongation of the styloid process or mineralization of the stylohyoid or stylomandibular ligament. The basic symptoms are recurrent neck, throat, and hemifacial pain; sensation of a foreign body in the throat; dysphagia; change in voice; otalgia; and pain radiating to the upper extremities. Treatment usually involves a medical approach (e.g., administration of non-steroidal anti-inflammatory medications or even carbamazepine) or surgical intervention. The main treatment approach involves partial excision of the styloid process. A 58-year-old woman visited Chosun University Dental Hospital with a foreign body sensation and pain in the oropharyngeal area during swallowing, as well as a headache and radiating pain to the ear. Operation was performed under general anesthesia via an intra-oral approach with resection via Piezosurgery. The patient had no postoperative complications and was free of symptoms for 9 months after the operation.