Eagle's syndrome: A report of 4 patients treated using a modified extraoral approach

Diamond, Leslie H.; Cottrell, David A.; Hunter, Malcolm; Papageorge, Maria B

doi:10.1053/joms.2001.28276

Cited by 71 publications

(75 citation statements)

References 26 publications

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“…The syndrome's symptoms may comprise pain, localised in either or both sides of the throat, with or without referred pain to the ear and mastoid area on the ipsilateral side [21]. Other symptoms are pain on rotation of the head, recurrent headache, vertigo, facial pain, otalgia and cephalgia [5,10].…”

Section: Introductionmentioning

confidence: 99%

Radiological evaluation of the styloid process length in the normal population

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Radiological evaluation of the styloid process length in the normal population

et al. 2013

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“…The preferred method is orthopantomography, however. 2,5 In our study, as in Erol, 12 we used panoramic radiographs of the patients to enable us to identify any elongated styloid processes.…”

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Incidence of the Type and Calcification Patterns in Patients with Elongated Styloid Process

et al. 2005

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We investigated the incidence of elongated styloid process (Eagle's syndrome) using panoramic radiographs taken of 860 patients referred to our clinic. Any styloid process identified was classified according to its length, type and the pattern of calcification. Fifty-nine elongated styloid processes were identified in 32 patients (3.7%), most being bilateral; 24 patients were female and eight were male (female/male ratio: 3:1). The mean age of these patients was 43 ± 14 years (range: 18 -78 years). Type I (elongated) was the most frequent type on both sides (42/59); and the most frequent patterns of calcification were partially calcified on the left side (18/59) and completely calcified on the right side (16/59). Only two patients were symptomatic. A corrected differential diagnosis is important to distinguish elongated styloid process from other pathologies with partially overlapping symptoms. We would recommend that clinicians consider the possibility of Eagle's syndrome when both the clinical and radiographic evidence support this diagnosis.

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“…Cependant, la dissection est plus longue, plus complexe et la cicatrice visible mais celle-ci peut être acceptable. Une paresthésie postopératoire du nerf grand auriculaire est souvent associée [4,21,46].…”

Section: Thérapeutiqueunclassified

Prise en charge chirurgicale par voie endobuccale d’une patiente atteinte d’un syndrome d’Eagle : cas clinique et revue de la littérature

Bizet

Margottin

Lagarde

et al. 2016

Med Buccale Chir Buccale

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Résumé -Introduction :Le syndrome d'Eagle est un ensemble de symptômes cervicaux résultant de l'élongation du ligament stylohyoïdien puis de son ossification. De diagnostic souvent tardif, la prise en charge thérapeutique est liée à l'ampleur de la symptomatologie associée. Observation : Une patiente de 35 ans avait été adressée par son médecin généraliste pour des douleurs sous-angulomandibulaires postérieures et cervicales droites modérées depuis trois ans. La rotation de la tête était difficile et la flexion provoquait une sensation d'étouffement. L'examen clinique exobuccal révélait une tuméfaction de faible volume, parotidienne et sous-angulomandibulaire droite, ferme et douloureuse à la palpation. Une radiographie panoramique initiale était réalisée et révélait l'inclusion de la 18 et la présence de processus styloïdiens droit et gauche minéralisés, démesurément longs. Une imagerie complémentaire tomodensitométrique précisait l'élongation et la minéralisation bilatérale des ligaments stylohyoïdiens. L'accumulation de tous ces signes faisait suspecter un syndrome d'Eagle. Un traitement chirurgical, justifié par la symptomatologie douloureuse, avait été proposé en première intention. Une approche intra-orale avait été privilégiée sous anesthésie générale. Un an après l'intervention, la patiente rapportait une nette amélioration des symptômes initiaux. Discussion : Les caractéristiques principales et documentées du syndrome d'Eagle sont répertoriées et discutées à partir d'une revue de la littérature. Celles mises en évidence dans le cas clinique rapporté s'y superposent presque totalement. Conclusion : Le chirurgien oral et le chirurgien-dentiste doivent connaître le syndrome d'Eagle comme une cause de douleur cervico-faciale. Ils ont toute leur place dans le dépistage et la prise en charge des patients concernés par cette pathologie.Abstract -Oral approach for surgical treatment in a patient affected by Eagle syndrome : case report and review of the literature. Introduction: Eagle syndrome is defined as a set of cervical symptoms resulting from the styloid process elongation and then its mineralization. Most often diagnosed late, the therapeutic management is related to the extent of the associated symptoms. Observation: A 35-year-old female patient was referred by her doctor for persistent but moderate pains of the posterior right mandibular angle for the past 3 years. Head rotation was difficult and the flexion induced a sensation of suffocation. An extra-oral clinical exam revealed a weak swelling of the right parotidian and posterior mandibular area, which was firm and painful. An initial panoramic X-ray revealed impaction of the right upper wisdom tooth and elongated right and left styloid processes. A CT scan showed the extension of these mineralized processes. All these signs strongly suggested Eagle syndrome. Based on the painful symptoms, surgical management was proposed to the patient, by a seldom-used oral approach under general anesthesia. One year after, the patient reported a drastic improveme...

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Eagle's syndrome: A report of 4 patients treated using a modified extraoral approach

Cited by 71 publications

References 26 publications

Radiological evaluation of the styloid process length in the normal population

Radiological evaluation of the styloid process length in the normal population

Incidence of the Type and Calcification Patterns in Patients with Elongated Styloid Process

Prise en charge chirurgicale par voie endobuccale d’une patiente atteinte d’un syndrome d’Eagle : cas clinique et revue de la littérature

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