Eagle's Syndrome

INTRODUCTION: Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is difficult, and it is generally confounded by other manifestations of cervicopharyngeal pain. OBJECTIVE: To describe a case of Eagle's syndrome. CASE REPORT: A 53-year-old man reported lateral pain in his neck that had been present for 30 years. Computed tomography (CT) of the neck showed elongation and ossification of the styloid processes of the temporal bone, which was compatible with Eagle's syndrome. Surgery was performed for bilateral resection of the stylohyoid ligament by using a transoral and endoscopic access route. The patient continued to present pain laterally in the neck, predominantly on his left side. CT was performed again, which showed elongation of the styloid processes. The patient then underwent lateral cervicotomy with resection of the stylohyoid process, which partially resolved his painful condition. FINAL COMMENTS: Patients with Eagle's syndrome generally have a history of chronic pain. Appropriate knowledge of this disease is necessary for adequate treatment to be provided. The importance of diagnosing this uncommon and often unsuspected disease should be emphasized, given that correct clinical-surgical treatment is frequently delayed. The diagnosis of Eagle's syndrome is clinical and radiographic, and the definitive treatment in cases of difficult-to-control pain is surgical.

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Main Authors: Pinheiro,Thaís Gonçalves, Soares,Vítor Yamashiro Rocha, Ferreira,Denise Bastos Lage, Raymundo,Igor Teixeira, Nascimento,Luiz Augusto, Oliveira,Carlos Augusto Costa Pires de
Format: Digital revista
Language:English
Published: Fundação Otorrinolaringologia 2013
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300017
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spelling oai:scielo:S1809-486420130003000172015-07-15Eagle's SyndromePinheiro,Thaís GonçalvesSoares,Vítor Yamashiro RochaFerreira,Denise Bastos LageRaymundo,Igor TeixeiraNascimento,Luiz AugustoOliveira,Carlos Augusto Costa Pires de Neck Pain Osteogenesis Oral Surgical Procedures INTRODUCTION: Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is difficult, and it is generally confounded by other manifestations of cervicopharyngeal pain. OBJECTIVE: To describe a case of Eagle's syndrome. CASE REPORT: A 53-year-old man reported lateral pain in his neck that had been present for 30 years. Computed tomography (CT) of the neck showed elongation and ossification of the styloid processes of the temporal bone, which was compatible with Eagle's syndrome. Surgery was performed for bilateral resection of the stylohyoid ligament by using a transoral and endoscopic access route. The patient continued to present pain laterally in the neck, predominantly on his left side. CT was performed again, which showed elongation of the styloid processes. The patient then underwent lateral cervicotomy with resection of the stylohyoid process, which partially resolved his painful condition. FINAL COMMENTS: Patients with Eagle's syndrome generally have a history of chronic pain. Appropriate knowledge of this disease is necessary for adequate treatment to be provided. The importance of diagnosing this uncommon and often unsuspected disease should be emphasized, given that correct clinical-surgical treatment is frequently delayed. The diagnosis of Eagle's syndrome is clinical and radiographic, and the definitive treatment in cases of difficult-to-control pain is surgical.info:eu-repo/semantics/openAccessFundação OtorrinolaringologiaInternational Archives of Otorhinolaryngology v.17 n.3 20132013-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300017en10.7162/S1809-977720130003000017
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Pinheiro,Thaís Gonçalves
Soares,Vítor Yamashiro Rocha
Ferreira,Denise Bastos Lage
Raymundo,Igor Teixeira
Nascimento,Luiz Augusto
Oliveira,Carlos Augusto Costa Pires de
spellingShingle Pinheiro,Thaís Gonçalves
Soares,Vítor Yamashiro Rocha
Ferreira,Denise Bastos Lage
Raymundo,Igor Teixeira
Nascimento,Luiz Augusto
Oliveira,Carlos Augusto Costa Pires de
Eagle's Syndrome
author_facet Pinheiro,Thaís Gonçalves
Soares,Vítor Yamashiro Rocha
Ferreira,Denise Bastos Lage
Raymundo,Igor Teixeira
Nascimento,Luiz Augusto
Oliveira,Carlos Augusto Costa Pires de
author_sort Pinheiro,Thaís Gonçalves
title Eagle's Syndrome
title_short Eagle's Syndrome
title_full Eagle's Syndrome
title_fullStr Eagle's Syndrome
title_full_unstemmed Eagle's Syndrome
title_sort eagle's syndrome
description INTRODUCTION: Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is difficult, and it is generally confounded by other manifestations of cervicopharyngeal pain. OBJECTIVE: To describe a case of Eagle's syndrome. CASE REPORT: A 53-year-old man reported lateral pain in his neck that had been present for 30 years. Computed tomography (CT) of the neck showed elongation and ossification of the styloid processes of the temporal bone, which was compatible with Eagle's syndrome. Surgery was performed for bilateral resection of the stylohyoid ligament by using a transoral and endoscopic access route. The patient continued to present pain laterally in the neck, predominantly on his left side. CT was performed again, which showed elongation of the styloid processes. The patient then underwent lateral cervicotomy with resection of the stylohyoid process, which partially resolved his painful condition. FINAL COMMENTS: Patients with Eagle's syndrome generally have a history of chronic pain. Appropriate knowledge of this disease is necessary for adequate treatment to be provided. The importance of diagnosing this uncommon and often unsuspected disease should be emphasized, given that correct clinical-surgical treatment is frequently delayed. The diagnosis of Eagle's syndrome is clinical and radiographic, and the definitive treatment in cases of difficult-to-control pain is surgical.
publisher Fundação Otorrinolaringologia
publishDate 2013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300017
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