Transcervical Approach in Eagle Syndrome. Clinical Case Report

Authors

  • José E. Miranda Villasana Jefe del Servicio de Cirugía Oral y Maxilofacial del Hospital Regional “General Ignacio Zaragoza”, ISSSTE-UNAM, Ciudad de México, México. Author
  • Diego A. Ayala González Residente de tercer año de Cirugía Oral y Maxilofacial del Hospital Regional "General Ignacio Zaragoza", ISSSTE-UNAM, Ciudad de México, México. Author
  • Josué Gallardo Caudillo Cirujano oral y maxilofacial del Servicio de Cirugía Oral y Maxilofacial del Hospital Regional “General Ignacio Zaragoza”, ISSSTE-UNAM, Ciudad de México, México. Author
  • José E. Palma Medina Residente de primer año de Cirugía Oral y Maxilofacial del Hospital Regional "General Ignacio Zaragoza", ISSSTE-UNAM, Ciudad de México, México. Author

DOI:

https://doi.org/10.15517/ijds.2021.44324

Keywords:

Pre-styloid compartment; Post-styloid compartment; Myofascial pain; Ossification; Ligament; Styloid process (source: MeSH NLM).

Abstract

Eagle syndrome is a rare disease responsible for multiple head and neck symptoms, resulting from an elongation of the styloid process or ossification of the stylohyoid ligament compressing adjacent neurovascular structures. There are two variants, the classic one characterized mainly by pain and dysphagia and the carotid variant distinguished with pain and sometimes cerebral ischemia.

We describe a clinical case report of a 45-year-old female patient, who experienced left cervical pain, performing the complete myofascial pain protocol of the Regional Hospital "General Ignacio Zaragoza" ISSSTE in Mexico City, resulting in a 50 mm elongation of the styloid process in the CT scan, confirming the diagnosis, and focusing the article on the anatomical-surgical description.

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References

Oueslati S., Douira W., Dhieb R., Ben Farhat L., Mnif N., Rezgui L., et al. Le syndrome de Eagle. Ann d’Oto-Laryngologie Chir Cervico-Faciale. 2006; 123, 3, 152-156. https://doi.org/10.1016/s0003-438x (06) 76657-9. DOI: https://doi.org/10.1016/S0003-438X(06)76657-9

Bouguila J., Khonsari R.H., Pierrefeu A., Corre P. Eagle syndrome: A rare and atypical pain! Revue de Stomatologie et de Chirurgie Maxillo-Faciale. 2011; 112 (6): 348-352. https://doi.org/ 10.1016/j.stomax.2011.08.007. DOI: https://doi.org/10.1016/j.stomax.2011.08.007

Müderris T., Bercin S., Sevil E., Beton S., Kiris M. Surgical management of elongated styloid process: Intraoral or transcervical? Eur Arch Oto-Rhino-Laryngology. 2014; 271: 1709-1713. https://doi.org/10.1007/s00405-013-2664-0. DOI: https://doi.org/10.1007/s00405-013-2664-0

Naik S.M., Naik S.S. Tonsillo-styloidectomy for Eagle’s syndrome: A review of 15 cases in KVG Medical College Sullia. Oman Med J. 2011; 26 (2): 122-126. https://doi.org/10.5001/omj.2011.30. DOI: https://doi.org/10.5001/omj.2011.30

Fusco D.J., Asteraki S., Spetzl R.F. Eagle’s syndrome: Embryology, anatomy, and clinical management. Acta Neurochirurgica. 2012; 154 (7): 1119-1126. https://doi.org/10.1007/s00701-012-1385-2. DOI: https://doi.org/10.1007/s00701-012-1385-2

Badhey A., Jategaonkar A., Anglin Kovacs A.J., Kadakia S., De Deyn P.P., Ducic Y., et al. Eagle syndrome: A comprehensive review. Clinical Neurology and Neurosurgery. 2017; 159: 34-38. https://doi.org/10.1016/j.clineuro.2017.04.021. DOI: https://doi.org/10.1016/j.clineuro.2017.04.021

Eagle W.W. Elongated Styloid Processes: Report of Two Cases. Arch Otolaryngol - Head Neck Surg. 1937; 25(5):584-587. https://doi.org/ 10.1001/archotol.1937.00650010656008. DOI: https://doi.org/10.1001/archotol.1937.00650010656008

Lorman J.G., Biggs J.R. The eagle syndrome. Am J Roentgenol. 1983; 140 (5): 881-882. https://doi.org/10.2214/ajr.140.5.881. DOI: https://doi.org/10.2214/ajr.140.5.881

Kawasaki M., Hatashima S., Matsuda T. Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle’s syndrome, diagnosed by three-dimensional computed tomography: A case report. J Anesth. 2012; 26 (6): 918-921. https://doi.org/10.1007/s00540-012-1437-z. DOI: https://doi.org/10.1007/s00540-012-1437-z

EAGLE W.W. Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol. 1949; 49 (5): 490-503. https://doi.org/10.1001/archotol.1949.03760110046003. DOI: https://doi.org/10.1001/archotol.1949.03760110046003

Eagle W.W. Elongated Styloid Process: Symptoms and Treatment. AMA Arch Otolaryngol. 1958; 67 (2): 172-176. https://doi.org/10.1001/archotol.1958.00730010178007. DOI: https://doi.org/10.1001/archotol.1958.00730010178007

Raina D., Gothi R., Rajan S. Eagle syndrome. Indian J Radiol Imaging. 2009; 19: 107-8. https://doi.org/10.4103/0971-3026.50826. DOI: https://doi.org/10.4103/0971-3026.50826

Costantinides F., Vidoni G., Bodin C., Di Lenarda R. Eagle’s syndrome: signs and symptoms. Cranio : the journal of craniomandibular practice. 2013; 31 (1): 56-60. https://doi.org/10.1179/crn.2013.008. DOI: https://doi.org/10.1179/crn.2013.008

Correll R.W., Jensen J.L., Taylor J.B., Rhyne RR. Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral Surgery, Oral Med Oral Pathol. 1979; 48 (4): 286-291. https://doi.org/10.1016/0030-4220(79)90025-2. DOI: https://doi.org/10.1016/0030-4220(79)90025-2

Monsour P.A., Young W.G. Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surgery, Oral Med Oral Pathol. 1986; 61 (5): 522-526. https://doi.org/10.1016/0030-4220(86)90399-3. DOI: https://doi.org/10.1016/0030-4220(86)90399-3

Montalbetti L., Ferrandi D., Pergami P., Savoldi F. Elongated styloid process and Eagle’s syndrome. Cephalalgia. 1995; 15 (2): 80-93. https://doi.org/10.1046/j.1468-2982.1995.015002080.x. DOI: https://doi.org/10.1046/j.1468-2982.1995.015002080.x

Mann A., Kujath S., Friedell M.L., Hardouin S., Wood C., Carter R., et al. Eagle Syndrome Presenting after Blunt Trauma. Ann Vasc Surg. 2017; Apr; 40: 295.e5-295.e8. https://doi.org/10.1016/j.avsg.2016.07.077 DOI: https://doi.org/10.1016/j.avsg.2016.07.077

Langlais R.P., Miles D.A., Van Dis M.L. Elongated and mineralized stylohyoid ligament complex: A proposed classification and report of a case of Eagle’s syndrome. Oral Surgery, Oral Med Oral Pathol. 1986; 61 (5): 527-532. https://doi.org/10.1016/0030-4220(86)90400-7. DOI: https://doi.org/10.1016/0030-4220(86)90400-7

Loeser L.H., Cardwell E.P. Elongated Styloid Process: A Cause of Glossopharyngeal Neuralgia. Arch Otolaryngol - Head Neck Surg. 1942; 36 (2): 198-202. https://doi.org/10.1001/archotol.1942.03760020034003. DOI: https://doi.org/10.1001/archotol.1942.03760020034003

Pigache P., Fontaine C., Ferri J., Raoul G. Transcervical styloidectomy in Eagle’s syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 2018; 135 (6): 433-436. https://doi.org/10.1016/j.anorl.2018.05.001. DOI: https://doi.org/10.1016/j.anorl.2018.05.001

Published

2026-05-27