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[Elongated styloid process syndrome].

C C Chien1, W R Kuo, K H Juan

  • 1Department of Otolaryngology, Kaohsiung Medical College, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|December 1, 1991
PubMed
Summary
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Elongated styloid process (Eagle syndrome) causes craniofacial and neck pain. Surgical shortening of the styloid process effectively relieves symptoms, with minimal complications.

Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Pain Management

Background:

  • Elongated styloid process can lead to Eagle syndrome, presenting with craniofacial and cervical pain.
  • Symptoms include dysphagia, sore throat, glossodynia, headache, and hemifacial pain, potentially mimicking dental issues.

Observation:

  • Diagnosis is confirmed via radiographic examination and palpation of the tonsillar fossa.
  • Surgical styloid process shortening is the definitive treatment for symptomatic cases.

Findings:

  • Three patients (2 female, 1 male) with symptomatic elongated styloid process underwent surgical resection.
  • Procedures included cervical and intraoral approaches under general anesthesia.
  • All patients experienced complete symptom relief post-surgery, with one case of transient cervical numbness.

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Implications:

  • Surgical intervention offers a highly effective solution for Eagle syndrome.
  • Minimally invasive approaches can achieve excellent outcomes with low complication rates.
  • This highlights the importance of considering Eagle syndrome in differential diagnoses for head and neck pain.