Eagle's syndrome associated with lingual nerve paresthesia: a case report
Zhiwei Dong1, Haihong Bao1, Li Zhang2
1Attending Physician, Department of Oral and Maxillofacial Surgery, General Hospital of Shenyang Military Command, Shenhe District, Shenyang, People's Republic of China.
Summary
Eagle
Area of Science:
- Otolaryngology
- Neurosurgery
- Anatomy
Background:
- Eagle's syndrome involves symptoms like throat pain, dysphagia, and otalgia, often due to an elongated styloid process.
- An elongated styloid process, typically over 25 mm, can compress surrounding structures, causing various head and neck symptoms.
- Surgical resection is a standard treatment, with transoral and extraoral approaches being common.
Observation:
- A rare case of a giant styloid process (81.7 mm) is presented.
- The patient experienced hemitongue paresthesia, an uncommon symptom of Eagle's syndrome.
Findings:
- Surgical removal of the giant styloid process via an extraoral approach successfully alleviated the patient's symptoms.
- The extraoral approach is deemed appropriate for medium to severe styloid process elongation.
Implications:
- This case highlights the importance of considering rare presentations of Eagle's syndrome.
- The extraoral approach offers an effective surgical option for managing significantly elongated styloid processes.
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