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Ultrasonographic Evaluation of Salivary Glands for Sjogren's Syndrome: Diagnostic and Monitoring Insights

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Massively enlarged styloid process presenting as a submandibular mass.

Lorna Elizabeth Langstaff¹, Tarik Abed, Jonathan Philpott

¹Department of ENT, York Teaching Hospital NHS Foundation Trust, York, UK. lorna.langstaff@doctors.org.uk

BMJ Case Reports

|October 30, 2012

Summary

A 47-year-old man experienced persistent submandibular swelling and pain. Surgical removal of an enlarged styloid process resolved his symptoms, offering a successful treatment for Eagle syndrome.

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Area of Science:

Otolaryngology
Head and Neck Surgery
Anatomy

Background:

Eagle syndrome is a rare condition characterized by elongation of the styloid process.
Symptoms can include facial pain, dysphagia, and neck pain, often mimicking other conditions.
Submandibular swelling and pain are atypical presentations of Eagle syndrome.

Observation:

A 47-year-old male presented with a 6-month history of left submandibular swelling and pain.
Initial investigations were inconclusive.
Computed tomography (CT) imaging of the neck revealed a significantly enlarged styloid process.

Findings:

The enlarged styloid process was identified as the cause of the patient's symptoms.
Surgical excision of the elongated styloid process and stylohyoid ligament was performed.
Histopathological examination confirmed the diagnosis.

Implications:

Surgical intervention is an effective treatment for symptomatic Eagle syndrome.
Prompt diagnosis and management can lead to complete symptom resolution and improved quality of life.
This case highlights the importance of considering anatomical abnormalities in the differential diagnosis of persistent head and neck pain.