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Eagle's syndrome (elongated styloid process)

L Balbuena1, D Hayes, S G Ramirez

  • 1Otolaryngology-Head and Neck Surgery Service, Brooke Army Medical Center, Fort Sam Houston, Tex, USA.

Southern Medical Journal
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

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Eagle syndrome, caused by an elongated styloid process, leads to throat and facial pain. Surgical shortening of the styloid process is the primary treatment for this condition.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Anatomy

Background:

  • Eagle syndrome is characterized by symptoms arising from an elongated styloid process or calcified stylohyoid ligament.
  • It commonly presents as recurrent throat pain, foreign body sensation, dysphagia, or facial pain, often radiating to the ear.

Observation:

  • The styloid process in adults averages 2.5 cm and is anatomically positioned near critical neurovascular structures.
  • Inflammation or impingement on adjacent arteries or nerves by the styloid process can trigger symptoms.

Findings:

  • Diagnosis is typically confirmed via physical examination, noting pain exacerbation upon palpation of the styloid process in the tonsillar fossa.
  • Symptomatic relief following anesthetic injection in the tonsillar fossa strongly suggests Eagle syndrome.

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Implications:

  • Radiographic imaging, including skull films, aids in diagnosis.
  • Surgical intervention, involving intraoral or external approaches to shorten the styloid process, is the definitive treatment for Eagle syndrome.