Transoral Styloidectomy for Eagle Syndrome: A Case Report With Intraoperative Footage

Eagle syndrome is a rare condition resulting from an elongated styloid process or calcified stylohyoid ligament compressing adjacent anatomical structures. The condition typically manifests with unilateral neck pain, facial discomfort, odynophagia, and, in some cases, neurological disturbances. Among the available treatment options, transoral styloidectomy is one of the two primary surgical approaches. Despite its technical simplicity and clinical advantages, this approach is infrequently utilized due to the rarity of this syndrome and limited surgical training materials. This technical report presents a detailed account of the transoral approach to styloidectomy, performed in conjunction with tonsillectomy, and supported by intraoperative video documentation. The described case involved a 64-year-old female diagnosed with bilateral elongated styloid processes (4.15 cm on the left and 4.00 cm on the right), who underwent transoral styloidectomy combined with tonsillectomy. The visual documentation presented in this report outlines the essential technical steps of the procedure and serves as an effective educational tool, facilitating the training of surgeons in this relatively straightforward but rarely performed procedure.