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Transoral para-tonsillar robotic approach for eagle syndrome: A technical note and exemplifying case
Pietro Perotti1, Alessandro Ioppi1, Lorenzo Trevisiol2
1Department of Otorhinolaryngology-Head and Neck Surgery, S. Chiara Hospital, Azienda Sanitaria Universitaria Integrata del Trentino (ASUIT), Trento, Italy.
Journal of Stomatology, Oral and Maxillofacial Surgery
|March 22, 2026
Summary
Eagle Syndrome, characterized by styloid process elongation causing orofacial pain, can be treated surgically. Transoral robotic surgery offers a minimally invasive tonsil-sparing approach for styloidectomy.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Minimally Invasive Surgery
Background:
- Eagle Syndrome involves styloid process elongation or stylohyoid ligament calcification, leading to orofacial pain.
- Current treatments include conservative measures or surgical styloidectomy via transoral or transcervical routes, each with limitations and risks.
Purpose of the Study:
- To describe a novel transoral robotic surgery (TORS) approach for styloidectomy in Eagle Syndrome.
- To present a tonsil-sparing TORS technique for improved patient outcomes.
Main Methods:
- A transoral robotic surgery approach was utilized for styloidectomy.
- The technique specifically preserved the tonsil to minimize surgical trauma.
Main Results:
- The transoral robotic surgery tonsil-sparing approach facilitated effective styloidectomy.
- This minimally invasive method potentially reduces operative morbidity associated with traditional techniques.
Conclusions:
- Transoral robotic surgery represents a promising, minimally invasive option for Eagle Syndrome treatment.
- The described tonsil-sparing TORS technique offers a viable alternative for styloidectomy, potentially improving patient recovery.
