Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A Case Report of Eagle's Syndrome

Eagle씨 증후군 치험례

  • Jeon, In-Chul (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Kwon, Dae-Gun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Yoo, Dae-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Lee, Jun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • O, Se-Ri (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Kim, Hyong-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 전인철 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 권대근 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 유대현 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 이준 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오세리 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 김형우 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실)
  • Received : 2010.09.20
  • Accepted : 2010.10.04
  • Published : 2011.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Eagle's syndrome occurs when an elongated styloid process or calcified stylohyoid ligament causes recurrent throat pain or foreign body sensation, dysphagia. It is supposed that this symptoms and signs are due to the compression of the styloid process on some neural and vascular structures. More uncommonly, symptoms such as dysphagia, tinnitus, and otalgia may occur in patients with this syndrome. It may also cause stroke due to the compression of carotid arteries. The compression depends on the size, shape, and orientation of the ossified styloid process Besides, degenerative or inflammatory changes in the tendinous portion of the styloid ligament insertion or rheumatic styloiditis may also cause this syndrome. Diagnosis can usually be made on physical examination by digital palpation of the styloid process in the tonsiller fossa. Three-dimensional computed tomography can utilized for supporting diagnosis. The treatment of Eagle's syndrome is primarily surgical. The styloid process can be shortened through an intraoral and extraoral approach. We report a 62-years-old man with the symptomatology of Eagle's syndrome and literature reviews.

Keywords

References

  1. Eagle WW. Elongated styloid process: report of two cases. Arch Otolaryngol 1937;25:584. https://doi.org/10.1001/archotol.1937.00650010656008
  2. Eagle WW. Elongated styloid process; further observation and a new syndrome. Arch Otolaryngol 1948;47:630-40. https://doi.org/10.1001/archotol.1948.00690030654006
  3. Eagle WW. Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol 1949;49:490-503. https://doi.org/10.1001/archotol.1949.03760110046003
  4. Steinmann EP. A new light on the pathogenesis of styloid syndrome. Arch Otolaryngol 1970;91:171-4. https://doi.org/10.1001/archotol.1970.00770040241013
  5. Langlais RP, Miles DA, Van Dis ML. Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle's syndrome. Oral Surg Oral Med Oral Pathol 1986;61:527-32. https://doi.org/10.1016/0030-4220(86)90400-7
  6. Marchetti D. Anatomia. Patavii 1652;13:205.
  7. Weinlechner, cited by Kalvin MM. Elongated styloid process, their formation and clinical signification. Laryngoscope 1930; 40:907.
  8. Kim DS, Kim MR, Choi JW, et al. Eagle's syndrome accompanied with throat pain on swallowing: report of 2 cases. J Korean Assoc Maxillofac Plas Reconstr Surg 1999;21:395-400.
  9. Choi JY, Whang ID, Kim MJ. Eagle's syndrome: report 3 cases. J Korean Assoc Oral Maxillofac Surg 1986;12:83-9.
  10. Stafen EC, Holiinshead WH. Roentgenographic observation on the styloid chain. Oral Surg 1962;15:1195-200. https://doi.org/10.1016/0030-4220(62)90154-8
  11. Dwight T. Stylohyoid ossification. Ann Surg 1907;46:721. https://doi.org/10.1097/00000658-190711000-00010
  12. Steinmann EP. Styloid syndrome in absence of an elongated process. Acta Otolaryngol 1968;66:347-56. https://doi.org/10.3109/00016486809126301
  13. Jackson FF. Hemicrania secondary to elongated styloid process, "the Eagle syndrome". Dis Nerv Syst 1974;35:528-31.
  14. Loeser LH, Caldwell EP. Elongated styloid process, a case of glossopharyngeal neuralgia. Arch Otolaryngol 1942;36:198. https://doi.org/10.1001/archotol.1942.03760020034003
  15. Butler EI, Tarsitano JJ. Dysphagia and ossified stylohyoid ligament. Laryngoscope 1969;79:499-501. https://doi.org/10.1288/00005537-196903000-00017