Eagle’s syndrome: retromandibular approach as a surgical management
DOI:
https://doi.org/10.18203/2349-2902.isj20261185Keywords:
Eagle’s syndrome, Retromandibular, Styloidectomy, Extraoral approach, Cervical pain, Aesthetic scarAbstract
Eagle's syndrome is a pathology characterized by sign and symptoms affecting the pharyngeal and cervical regions, due to enlarged styloid process or calcified stylomandibular or stylohyoid ligaments originating from same. The styloid process is thin, cylindrical and pointed bony structure originating from tympanic part of temporal bone projecting inferiorly and anteriorly at base of skull, which is in close proximity to vital neuro vascular structure of cervical region. The styloid process is considered normal in length in Asian population, when it's dimensions do not exceeds 30 mm. Diagnosis can be made clinically by palpating bony prominence between angle of mandible and mastoid process, and transoral palpation of tip of styloid process. Diagnosis can be confirmed by radiographic investigation, most preferably computed tomography (CT) imaging. Extraoral retromandibular approach of styloidectomy is best and most efficient.
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References
Guzzo FA do V, Macedo JAGC, Barros RS, Almeida DC. Eagle Syndrome: Case Report. Rev Para Med. 2006;20(4):47-51. DOI: https://doi.org/10.5123/S0101-59072006000400009
Callahan B, Kang J, Dudekula A, Eusterman V, Rabb CH. New Eagle's syndrome variant complicating management of intracranial pressure after traumatic brain injury Injury Extra. 2010;41:41-4. DOI: https://doi.org/10.1016/j.injury.2010.01.109
Badhey A, Jategaonkar A, Anglin Kovacs AJ, Kadakia S, De Deyn PP, Ducic Y, et al. Eagle syndrome: A comprehensive review. Clin Neurol Neurosurg. 2017;159:34-8. DOI: https://doi.org/10.1016/j.clineuro.2017.04.021
Farina R, Foti PV, Pennisi I, Conti A, Meli GA, Vasile T, et al. Stylo-Jugular Venous Compression Syndrome: Lessons Based on a Case Report. Am J Case Rep. 2021;22:e932035. DOI: https://doi.org/10.12659/AJCR.932035
Piemonte JL de L, Mello JM de, Bespalhok D das N. Morphometry of the styloid process related to Eagle Syndrome: Literature Review UK. 2014;42:85-92. DOI: https://doi.org/10.46311/2318-0579.42.eUJ1189
Bagga MB, Kumar CA, Yeluri G. Clinical evaluation of styloid process calcification. Imaging Sci Dent. 2012;42:155-61. DOI: https://doi.org/10.5624/isd.2012.42.3.155
Lee S, Hillel A. Three-dimension al computed tom ographyimaging of Eagle's syndrome. Am I OtolaryngoI. 2004;25(2):109. DOI: https://doi.org/10.1016/j.amjoto.2003.09.013
Beder EOO, Karatayli OS, Anadolu Y. Three-dimensional computed tomography and surgical treatment for Eagle’s syndrome. Ear Nose Throat J. 2006;85:443-5. DOI: https://doi.org/10.1177/014556130608500715
Eagle WW. Elongated styloid process: report of 2 cases. Arch Otolaryngol. 1937;25:584. DOI: https://doi.org/10.1001/archotol.1937.00650010656008
Chase DC, Zarmen A, Bigelow WC, McCoy JM. Eagle's syndrome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol. 1986;62(6):625-9. DOI: https://doi.org/10.1016/0030-4220(86)90253-7
Yoshimura Y, Oka M. Does Eagle’s syndrome always require operative intervention for treatment? Two case reports. Cranio. 1989;7:235-8. DOI: https://doi.org/10.1080/08869634.1989.11678290
Watkins A. Elongated styloid process and its treatment. Med J Aust. 1966;2:448-9. DOI: https://doi.org/10.5694/j.1326-5377.1966.tb73712.x
Papadiochos I, Papadiochou S, Sarivalasis ES, Goutzanis L, Petsinis V. Treatment of Eagle syndrome with transcervical approach secondary to a failed intraoral attempt: Surgical technique and literature review. J Stomatol Oral Maxillofac Surg. 2017;118(6):353-8. DOI: https://doi.org/10.1016/j.jormas.2017.06.017
Landa LE, Tartan BF, Acartuk A, Skouteris CA, Gordon C, Sotereanos GC. The transcervical incision for use in oral and maxillofacial surgical procedures. J Oral Maxillofac Surg. 2003;61(3):343-6. DOI: https://doi.org/10.1053/joms.2003.50035
Hinds EC, Girotti WJ. Vertical subcondylar osteotomy: A reapparaisal. Oral Surg Oral Med Oral Pathol. 1967;24:164-70. DOI: https://doi.org/10.1016/0030-4220(67)90256-3
Koberg WR, Momma WG. Treatment of fractures of the auricular process by functional stable osteosynthesis using miniature dynamic comprssion plates. Int J Oral Surg. 1978;7:256-62. DOI: https://doi.org/10.1016/S0300-9785(78)80091-X
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