A Clinical Analysis of Eagle’s Syndrome by its Clinical Features and Therapeutic Response to Surgical Treatment
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 10
Abstract
Background: Elongated styloid process is a relatively common disorder and is frequently misdiagnosed. Elongated styloid process with or without calcified stylohyoid ligament causes recurrent throat pain, foreign body sensation throat, dysphagia cervicofacial pain, and referred otalgia. Eagle’s syndrome is defined as the symptomatic elongation of the styloid process or mineralization (ossification or calcification) of the stylohyoid ligament complex. Diagnosis is based on history, production of symptoms on palpation of tonsillar fossa with a palpable styloid process, and relief of symptoms with injection of lignocaine into the tonsillar fossa. It is confirmed by radiology. Aim of the study: The aim of this study is to evaluate the clinical, diagnostic, and therapeutic aspects of elongated styloid process. Materials and Methods: A total of 42 patients with symptoms of elongated styloid process were included and confirmed by computed tomography (CT) scan and intraoral palpation method. All the patients were thoroughly investigated and the medical and surgical treatment efficacy was evaluated. Observations and Results: Age of the 42 patients varied from 23 to 68 years. The mean age was 35.65 ± 3.10 years. The most commonly affected age group was 30–39 years. Of the total 42 patients, 18 were males and 24 were females. Conclusions: Eagle’s syndrome is a relatively common disorder that is frequently misdiagnosed. Patients with vague cervico facial pain, throat pain, foreign body sensation throat, referred otalgia, etc., should be palpated for elongated styloid process and investigated for the same. This condition has a female preponderance, and the most commonly affected age group is 30–39 years. CT scan styloid remains a radiological investigation to diagnose elongated styloid process with or without calcified stylohyoid ligament. Medical treatment will not give a long-standing symptomatic relief in elongated styloid process.
Authors and Affiliations
R T Abdul Salam
Keywords
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