2014
DOI: 10.5125/jkaoms.2014.40.5.246
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Nonsurgical treatment of stylohyoid (Eagle) syndrome: a case report

Abstract: Eagle syndrome is a rare condition caused by elongation of the styloid process or calcification of the stylohyoid ligament. Patients with Eagle syndrome typically present with dysphagia, dysphonia, cough, voice changes, otalgia, sore throat, facial pain, foreign body sensation, headache, vertigo, and neck pain. Here we report a case in which the patient initially presented with sore throat, left-sided facial pain, and cough. This case report provides a brief review of the diagnosis and nonsurgical management o… Show more

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Cited by 35 publications
(27 citation statements)
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“…Calcification of the styloid complex shows great variability in the population [8]. The elongation of the styloid process was considered when it exceeded 30mm from the inferior border of the external acoustic meatus using the digital DPT editing tool [8][9][10][11][12][13]. In our study, this calcification was the most prevalent, and was encountered in a total of 310 cases (13.1%) (table 3 and 4), differing from other radiographic studies found in the literature, where prevalence rates range from 52.1%, 38.57%, 3.7% [8,13,14].…”
Section: Discussionmentioning
confidence: 99%
“…Calcification of the styloid complex shows great variability in the population [8]. The elongation of the styloid process was considered when it exceeded 30mm from the inferior border of the external acoustic meatus using the digital DPT editing tool [8][9][10][11][12][13]. In our study, this calcification was the most prevalent, and was encountered in a total of 310 cases (13.1%) (table 3 and 4), differing from other radiographic studies found in the literature, where prevalence rates range from 52.1%, 38.57%, 3.7% [8,13,14].…”
Section: Discussionmentioning
confidence: 99%
“…Conservative management should be the first line of treatment as it has a high success rate (80% of cases) and can lead to can lead to complete resolution of symptoms. Conservative management of ES includes multimodal analgesics such as non-steroidal anti-inflammatory drugs, which may have added benefit to reduce local inflammation, gabapentinoids and tricyclic antidepressants for the neuropathic components of the pain (14,15). If conservative management fails or in the presence of acute severity of symptoms, an en-bloc excision, either extra-oral or endoscopically guided, of the styloid process offers definitive management (11).…”
Section: Discussionmentioning
confidence: 99%
“…A length of approximately 2.5 cm is considered normal. Styloid elongation is present in about 6% of the general population on radiographic review, but an elongated styloid process does not always result in the symptoms of Eagle syndrome . Ossification of the stylohyoid ligament or lengthening of the process may be due to genetic predisposition, trauma, or inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…Styloid elongation is present in about 6% of the general population on radiographic review, but an elongated styloid process does not always result in the symptoms of Eagle syndrome. 3 Ossification of the stylohyoid ligament or lengthening of the process may be due to genetic predisposition, trauma, or inflammation. Symptoms of Eagle syndrome include ear pain, foreign body sensation in the throat, head or neck pain, and pain with deglutition.…”
Section: Discussionmentioning
confidence: 99%