A Bony Projection- Case Report

Abstract

Eagle's syndrome (ES) is noticed when there is an elongated styloid process or calcified stylohyoid ligament which causes recurrent throat pain or foreign body sensation, dysphagia, or facial pain. It is not usually reported but it is more prevalent than generally considered. In adults the length of the styloid process is approximately 25mm with a tip located between the external and internal carotid arteries, lateral to the pharyngeal wall and the tonsillar fossa. Ossification of the stylohyoid and stylomandibular ligament leads to prolongation of the styloid process causing clinical symptoms. It is diagnosed radiologically as well as by physical examination. Advanced radiological modality like CBCT is very valuable in knowing the exact length and extent of the styloid process. The treatment is primarily surgical. The physician's knowledge of possible clinical variations and its diverse symptomatology is critical.