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Intraoral Styloidectomy Using an Endoscope With Tissue Retractor
Toshinori Iwai1, Masaki Iida, Satomi Sugiyama
1Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, Yokohama, Japan.
The Journal of Craniofacial Surgery
|August 30, 2022
Summary
Minimally invasive intraoral styloidectomy using endoscopy offers a safer alternative for treating Eagle syndrome. This technique avoids facial nerve injury and visible scarring associated with traditional extraoral approaches.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Head and Neck Surgery
Background:
- Extraoral styloidectomy for elongated styloid process risks facial nerve injury and scarring.
- Intraoral approach is challenging due to deep and limited surgical fields.
Observation:
- A 57-year-old female presented with pharyngeal foreign body sensation and pain.
- Diagnosis was an elongated styloid process (Eagle syndrome).
Findings:
- Endoscopically-assisted intraoral styloidectomy was performed using a piezoelectric device.
- The procedure was minimally invasive, without tonsillectomy, under general anesthesia.
- The styloid process was resected safely with an endoscope and tissue retractor.
Implications:
- This technique provides a minimally invasive intraoral option for elongated styloid process.
- It potentially reduces surgical risks and improves patient outcomes.
- Further research can explore its broader application in head and neck surgery.
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