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Paratonsilar Approach to Styloid Process in Eagle's Syndrome-A Retrospective Analysis.

Priyadarshini Govindarajalu1, Yojana Sharma1, Monil Parsana1

  • 1Department of ENT, Pramukhswami Medical College, Karamsad, Anand, Gujarat 388325 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|December 1, 2022
PubMed
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A new paratonsillar approach offers a safe, minimally invasive surgical option for Eagle's syndrome, characterized by an elongated styloid process. This day care procedure demonstrated no postoperative complications in a recent study.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Head and Neck Surgery

Background:

  • Eagle's syndrome involves morphological abnormality or ossification of the styloid process.
  • Traditional surgical approaches include post-tonsillectomy or invasive external cervical methods.
  • These conventional methods can be associated with significant morbidity.

Purpose of the Study:

  • To introduce and evaluate a novel paratonsillar approach for surgical excision of the elongated styloid process in Eagle's syndrome.
  • To assess the safety, efficacy, and patient outcomes of this minimally invasive technique.

Main Methods:

  • Retrospective analysis of medical records for patients undergoing styloid process excision via a paratonsillar approach over a two-year period.
  • Inclusion of 26 patients who underwent the paratonsillar styloid process excision procedure.
Keywords:
ExcisionMinimally invasiveStyalgia

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Main Results:

  • The paratonsillar approach was predominantly used in middle-aged patients (30-50 years), accounting for 73% of cases.
  • Symptomatic elongated styloid processes were more common on the right side (65%) than the left (35%).
  • The procedure duration was 15-30 minutes in 62% of patients, with no documented postoperative complications.

Conclusions:

  • The paratonsillar approach is a safe and minimally invasive surgical option for elongated styloid process excision in Eagle's syndrome.
  • This technique functions as a day care procedure with a favorable safety profile and minimal postoperative complications.