Skip to main content

Advertisement

Log in

Styloid-stylohyoid syndrome: a rare cause of cranio-facial pain—a retrospective case series of 12 patients

  • Original Article
  • Published:
Oral and Maxillofacial Surgery Aims and scope Submit manuscript

Abstract

Purpose

Elongated styloid process results in severe cranio-facial/cervico-facial pain. The purpose of this study is to determine the efficacy of treatment outcomes using transcervical approach in the management of styloid-stylohyoid syndrome/styloid syndrome.

Study design

This is a retrospective cohort study. Subjects were enrolled from out-patient clinics reporting between the periods Jan 2016–Jan 2018.

Methods & methods

Twelve patients diagnosed with styloid syndrome based on history, thorough clinical workup, and assessment were included in the study. The primary outcomes—improvement in pain and regression of chief complaints following surgery were assessed. Elongated styloid was resected using transcervical approach under general anesthesia.

Results

The intra-operative lengths of the styloid process varied from 40 to 43 mm. No post-operative complications were encountered and the symptoms regressed completely after surgery in all the patients at follow-up of 6 months.

Conclusions

Transcervical styloidectomy is an effective treatment for exposure and resection of the styloid process with minimal complications in patients with stylo-stylohyoid syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Eagle WW (1937) Elongated styloid process: report of 2 cases. Arch Otolaryngol 25:584–587

    Article  Google Scholar 

  2. Balcioglu HA, Kilic C, Akyol M, Ozan H, Kokten G (2009) Length of the styloid process and anatomical implications for Eagle’s syndrome. Folia Morphol (Warsz) 68(4):265–270

    CAS  Google Scholar 

  3. Murtagh RD, Caracciolo JT, Fernandez G (2001) CT findings associated with eagle syndrome. AJNR Am J Neuroradiol 22(7):1401–1402

    CAS  PubMed  Google Scholar 

  4. Okur A, Ozkırış M, Serin HI et al (2014) Is there a relationship between symptoms of patients and tomographic characteristics of styloid process? Surg Radiol Anat 36(7):627–632

    Article  PubMed  Google Scholar 

  5. Kawasaki M, Hatashima S, Matsuda T (2012) Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle’s syndrome, diagnosed by three-dimensional computed tomography: a case report. J Anesth 26(6):918–921

    Article  PubMed  Google Scholar 

  6. Kim E, Hansen K, Frizzi J (2008) Eagle syndrome: case report and review of the literature. Ear Nose Throat J 87(11):631–633

    Article  Google Scholar 

  7. Raina D, Gothi R, Rajan S (2009) Eagle syndrome. Indian J Radiol Imaging 19(2):107–108

    Article  PubMed Central  PubMed  Google Scholar 

  8. Costantinides F, Vidoni G, Bodin C, Di Lenarda R (2013) Eagle’s syndrome: signs and symptoms. Cranio 31(1):56–60

    Article  PubMed  Google Scholar 

  9. Leong SCL, Karkos PD, Papouliakos SM, Apostolidou MT. Unusual complications of tonsillectomy: a systematic review. Am J Otolaryngol. 28(6):419–422

  10. Öztaş B, Orhan K (2012) Investigation of the incidence of stylohyoid ligament calcifications with panoramic radiographs. J Investig Clin Dent 3(1):30–35

    Article  PubMed  Google Scholar 

  11. Camarda AJ, Deschamps C, Forest DI (1989) Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol 67:515–520

    Article  CAS  PubMed  Google Scholar 

  12. Sivers JE, Johnson GK, Lincoln MS (1985) Diagnosis of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 59:575–577

    Article  CAS  PubMed  Google Scholar 

  13. Verma R (1996) Stylagia. Indian J Otolaryngol Head Neck Surg 48(4):312–314

    Google Scholar 

  14. Buono U, Mangone GM, Michelotti A, Longo F, Califano L (2005) Surgical approach to the stylohyoid process in Eagle's syndrome. J Oral Maxillofac Surg 63(5):714–716

    Article  PubMed  Google Scholar 

  15. Chase DC, Zarmen A, Bigelow WC, McCoy JM (1986) Eagle's syndrome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol 62:625–629

    Article  CAS  PubMed  Google Scholar 

  16. Beder E, Ozgursoy OB, Ozgursoy SK (2005) Current diagnosis and transoral surgical treatment of Eagle's syndrome. J Oral Maxillofac Surg 63:1742–1745

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saurabh Arya.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Yes.

Ethical approval

Ethical approval was obtained from the institutional ethical committee.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jose, A., Arya, S., Nagori, S.A. et al. Styloid-stylohyoid syndrome: a rare cause of cranio-facial pain—a retrospective case series of 12 patients. Oral Maxillofac Surg 23, 47–51 (2019). https://doi.org/10.1007/s10006-018-0736-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10006-018-0736-4

Keywords

Navigation