Abstract
Objective: To study the clinical, radiological along with the management outcome of Eagles syndrome. Study design: Prospective.Setting: Department of Otolaryngology - Head and Neck Surgery, Ibn Sina Medical College Hospital and Ibn Sina Hospital, Dhaka, Bangladesh. Methods: This study included twenty patients with Eagles syndrome presented to Ibn Sina Medical College, Dhaka and Ibn Sina Hospital, Dhaka, from April 2009 to January 2012. The data of each patient included age, sex, presenting symptoms and signs, radiological investigations, operative notes and state at follow up.Results: Out of twenty patients, twelve (60%) were female and eight (40%) were male. Maximum nine patients (45%) belonged to the fourth decade. The mean age of presentation was 42.5 years. Maximum patients (100%) presented with pain and foreign body sensation throat. In all cases, a sharp prick was felt and pain was increased on palpation of the upper part of tonsillar fossa. In fourteen cases (70%) elongated styloid process was bilateral and in six cases (30%) it was unilateral. X-ray Townes view, lateral view of skull base & neck and CT scan were excellent diagnostic tools as well as to measure the length of styloid process. In all cases partial styloidectomy was done via intra-oral approach. Eighteen patients (90%) were symptom free in three months follow up. Two patients (10%) had pain in throat and other symptoms even after three months follow up and were treated with oral carbamazepine.Conclusion: Eagles syndrome associated with elongated styloid process is a rare clinical entity. The diagnosis can easily be made with clinical examination and radiological findings. Awareness of this syndrome is important to all ENT practitioners and related specialty involved in diagnosis and treatment of Head and Neck pain. DOI: http://dx.doi.org/10.3329/bjo.v18i2.12006 Bangladesh J Otorhinolaryngol 2012; 18(2): 149-155
Highlights
Eagle described a group of patients who had symptoms of intermittent and nagging pain in the pharynx that radiated to the mastoid region, a foreign-body sensation in the throat, dysphagia and taste disturbance[5]. His original patients had a history of tonsillectomy that resulted in scar tissue in the tonsillar fossa
All patients presented with pain and foreign body sensation of throat
Tonsillectomy followed by partial styloidectomy was done except for 3 cases where only partial styloidectomy was done as tonsillectomy has been done previously by other surgeon
Summary
Eagle’s syndrome is defined as secondary glossopharyngeal neuralgia due to elongated styloid process, resulting from abnormal stylohyoid chain ossification[2]. Asymptomatic, it occurs in adult patients ranged from 30 to 50 years[3]. Eagle described a group of patients who had symptoms of intermittent and nagging pain in the pharynx that radiated to the mastoid region, a foreign-body sensation in the throat, dysphagia and taste disturbance[5]. His original patients had a history of tonsillectomy that resulted in scar tissue in the tonsillar fossa. Postoperative follow up has been done up to 3 months in each case
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