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Eagle syndrome surgical treatment with piezosurgery
Dario Bertossi1, Massimo Albanese, Luigi Chiarini
1From the *Dentistry and Maxillofacial Surgery Section, University of Verona, Verona, Italy; †Department of Dentistry and Maxillo-Facial Surgery, University of Modena, Modena, Italy; ‡University of Paris, Paris, France; and §Stomatology and Oral Surgery, Department of Health Sciences, University of Eastern Piedmont "A. Avogadro," Novara, Italy.
Eagle syndrome (ES) is a rare condition caused by styloid process elongation. Piezoelectric surgery offers a safe and effective transcervical approach for treating symptomatic ES, minimizing nerve damage risks.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oral and Maxillofacial Surgery
Background:
- Eagle syndrome (ES) is an uncommon condition characterized by styloid process elongation and calcification, often symptomatic after neck trauma or tonsillectomy.
- Styloid-carotid syndrome, a variant of ES, can cause neurological symptoms due to pericarotid sympathetic fiber irritation and carotid artery compression.
- While conservative treatments exist, surgical intervention is frequently necessary for symptomatic relief.
Observation:
- A 55-year-old patient with Eagle syndrome underwent surgical treatment.
- The procedure involved shortening the calcified styloid process via an external transcervical approach.
- A piezoelectric cutting device was utilized for enhanced precision during the surgery.
Findings:
- The patient experienced no major postoperative complications, including nerve damage or hematoma.
- Complete recovery was observed at 6 months post-surgery.
- The patient remained symptom-free from Eagle syndrome at the 2-year follow-up.
Implications:
- The transcervical surgical approach for Eagle syndrome is safe and effective.
- Utilizing a piezoelectric device significantly reduces the risk of transient marginal mandibular nerve palsy due to its precise, selective, and bloodless cutting capabilities.
- This technique presents a valuable option for managing symptomatic Eagle syndrome.
