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Eagle's syndrome: lesser cornu amputation: an alternative surgical solution?

A J van der Westhuijzen1, J van der Merwe, F W Grotepass

  • 1Department of Maxillofacial and Oral Surgery, Dental Faculty, University of Stellenbosch, Tygerberg, South Africa.

International Journal of Oral and Maxillofacial Surgery
|October 27, 1999
PubMed
Summary

Eagle

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Head and Neck Surgery

Background:

  • Eagle's syndrome is a rare condition characterized by orofacial pain, often stemming from abnormalities in the stylohyoid chain.
  • Elongation of the styloid process or hyoid bone lesser cornua can cause symptoms mimicking other conditions, leading to diagnostic challenges.

Observation:

  • A 42-year-old female presented with symptoms consistent with Eagle's syndrome.
  • Radiographic imaging revealed elongated styloid processes and significantly elongated lesser cornua of the hyoid bone.

Findings:

  • Surgical amputation of the elongated lesser cornua of the hyoid provided complete symptom relief.
  • The patient remained asymptomatic for over six years post-surgery, indicating a successful treatment outcome.

Implications:

  • This case highlights the lesser cornua of the hyoid as a potential, often overlooked, cause of Eagle's syndrome symptoms.
  • Surgical intervention targeting the hyoid bone anomaly can be an effective treatment for specific presentations of Eagle's syndrome.
  • Accurate radiographic assessment is crucial for diagnosing hyoid bone abnormalities contributing to Eagle's syndrome.

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