Case report

Head & Face Medicine

, 8:21

Open Access This content is freely available online to anyone, anywhere at any time.

Endoscopy-assisted transoral resection of the styloid process in Eagle's syndrome. Case report

  • Fumihiko MatsumotoAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine Email author 
  • , Kaori KaseAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine
  • , Misato KasaiAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine
  • , Hiroaki KomatsuAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine
  • , Takako OkizakiAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine
  • , Katsuhisa IkedaAffiliated withDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine

Abstract

Eagle's syndrome is often associated with elongated styloid process or ossified stylohyoid or stylomandibular ligament. Patients with this syndrome present with recurrent cervicofacial pain. Surgical removal of the elongated styloid process is a standard treatment and can be accomplished through either a transoral or extraoral approach. Both approaches have advantages and disadvantages, and the best surgical approach remains controversial. In our case, the elongated styloid process was removed by transoral approach assisted by endoscopy. Endoscopy provides clear surgical view thus lessen the chance of neurovascular injury and other intraoperative complications. Endoscopy-assisted transoral resection is an optional alternative surgical procedure for Eagle's syndrome.

Keywords

Eagle's syndrome Three dimensional computer tomography Transoral approach Endoscopy