The Sword in the Throat: A Rare Case of a 7.5 cm Elongated Styloid Process

Eagle syndrome is a rare condition caused by an elongated styloid process or calcification of the stylohyoid ligament, leading to symptoms such as throat pain, dysphagia, and referred otalgia. This case study presents a 21-year-old male who experienced persistent throat pain, the sensation of a foreign object in the throat, and difficulty swallowing for one year, significantly affecting his daily life. Initial assessments for gastroesophageal reflux disease (GERD) and throat infections were inconclusive, delaying diagnosis. Advanced 3D-CT imaging revealed an abnormally long styloid process measuring 7.5 cm, extending 6.45 cm from the temporal bone to the hyoid bone. A transoral styloidectomy was performed, chosen for its minimally invasive nature and cosmetic benefits. Approximately 5 cm of the styloid process was excised. Postoperative recovery was smooth, with complete resolution of symptoms noted at a one-month follow-up. This case highlights the critical role of advanced imaging in diagnosing Eagle syndrome, particularly in younger individuals, and demonstrates the efficacy of transoral surgical techniques. The findings contribute valuable insights to the literature, advocating for individualized surgical strategies in managing this rare condition.