Unilateral glossodynia due to Eagle’s syndrome. Case report
Vasilis PETSINIS, Nadia THEOLOGIE-LYGIDAKIS, Iοannis IATROU
Oral & Maxillofacial Surgery Clinic. Dental School, University of Athens (Head: Professor C. Αlexandridis)
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 1, 39-47
SUMMARY: Eagle's syndrome represents a variety of craniofacial or neck symptoms caused by the elongation of the styloid process or the calcification of the stylomandibular ligament. It presents mainly with pain or the sense of a pharyngeal foreign body. In cases of unilateral glossodynia Eagle's syndrome must be included in differential diagnosis. The surgical remo val of the styloid process can be performed through an intraoral or extraoral approach with very good results. The aim of this paper is to present a case of a 57-year-old female patient suffering for twelve months of persistent unilateral glossodynia due to Eagle's syndrome. 3DComputer tomography scan re vealed elongation of both styloid processes, and the diagnosis of Eagle's syndrome was set. Trough an intraoral approach, the 4 cm long right styloid process was removed. The patient was completely relieved from the symptoms right after surgery, without any postoperative morbidity.
KEY WORDS: Eagle’s syndrome, Unilateral glossodynia, Intraoral approach
REFERENCES
Blythe JN, Matthews NS, Connor S: Eagle’s syndrome after fracture of the elongated styloid process Br J Or Maxillof Surg 47:233-5, 2009.
Balbuena L Jr, Hayes D, Ramirez SG, Johnson R: Eagle’s syndrome (elongated styloid process). South Med J 90:331–4, 1997.
Beder E, Ozgursoy OB, Ozgursoy SK: Current Diagnosis and Transoral Surgical Treatment of Eagle’s Syndrome J Oral Maxillofac Surg 63:1742-5, 2005.
Buono U, Mangone GM, Michelotti A, Longo F, Califano L: Surgi cal approach to the stylohyoid process in Eagle’s syndrome. J Oral Maxillofac Surg 63:714–6, 2005.
Buttura da Prato E, Albanese M, Trevisiol L, Nocini PF: Eagle’s syndrome secondary surgical treatment. Report of a case. Minerva Stomatol 53:527–34, 2004. Camarda AJ, Deschamps C, Forest DI: Stylohyoid chain ossification: A discussion of etiology. Oral Surg Oral Med Oral Pathol 67:515-20, 1989.
Chrcanovic BR, Custodio AL, de Oliveira DR: An intraoral surgical approach to the styloid process in Eagle’s syndrome. Or Maxill Surg13:145-51, 2009.
Chuang WC, Short JH, McKinney AM, Anker L, Knoll B, McKinney ZJ: Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: Surgical and CT angiographic correlation. AJNR Am J Neuroradiol 28:143–5, 2007.
De Souza Carvalho AC, Magro Filho O, Garcia IR Jr, de Holanda ME, de Menezes JM Jr.: Intraoral approach for surgical treatment of Eagle syndrome Br J Or Maxillof Surg 47:153–4, 2009.
Diamond LH, Cottrell DA, Hunter MJ, Papageorge M: Eagle’s syndrome: A report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg 59:1420-6, 2001.
Du Brul EL, In: Sicher’s Oral Anatomy. 7th Ed. St. Louis: Mosby Co. 1980, pp. 170–90.
Eagle WW: Elongated styloid process. Arch Otolaryngol 25:584–7, 1937.
Eagle WW: Elongated styloid process, further observations and a new syndrome. Arch Otolaryngol 47:630–40, 1948.
Eagle WW: Symptomatic elongated styloid process: Report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol 49:490–503, 1949.
Eagle WW: Elongated styloid process: Symptoms and treatment. AMA Arch Otolaryngol 67:172–6, 1958.
Eagle WW: The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg 28:1–5, 1962.
Ferrario VF, Sigurta D, Daddona A, Dalloca L, Miani A, Tafuro F, Sforza C: Calcification of the stylohyoid ligament: incidence and morphoquantitative evaluations. Oral Surg Oral Med Oral Pathol 6:524-9, 1990.
Gozil R, Yener N, Calguner E, Arac M, Tunc E, Bahcelioglu M: Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 183:527–35, 2001.
Harma R: Stylalgia: clinical experiences of 52 cases. Acta Otolaryngol 224:149, 1966.
Mendelsohn AH, Berke GS, Chhetri DK: Heterogeneity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surg 134:389–93, 2006. Παπαβασιλείου Κ, Γουλιάμος Α. Ακτινολογία. Τόμος Ι. Εκδόσεις Παρισιάνος, Αθήνα, 1987, σελ. 127-34.
Piagkou Μ, Anagnostopoulou S, Koladouros Κ, Piagkos G, Skandalakis P: Eagles Syndrome. A review of the Literature. Hellenic Arch Oral Maxillofac Surg 3:133-43, 2009a.
Piagkou M, Anagnostopoulou S, Kouladouros K, Piagkos G: Eagle’s Syndrome: A Review of the Literature. Clin Anat 22:545-58, 2009b.
Palesy P, Murray GM, De Boever J, Klineberg I: The involvement of the styloid process in head and neck pain–A preliminary study. J Oral Rehabil 27:275–87, 2000.
Perez Carro L, Nunez MP: Fracture of the styloid process of the temporal bone. A case report. Int Orthop 19:359–60, 1995.
Salamone FN, Falciglia M, Steward DL: Eagle’s syndrome reconsidered as a cervical manifestation of heterotopic ossification: Woman presenting with a neck mass. Otolaryngol Head Neck Surg 130:501–3, 2004.
Savranlar A, Uzun L, Uğur MB, Ozer T: Three-dimensional CT of Eagle’s syndrome Diagn Interv Radiol 11:206-9, 2005.
Sivers JE, Johnson GK, Lincoln MS: Diagnosis of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 59:575-7, 1985.
Snell RS: The Head and Neck. In: Clinical Anatomy for Medical Students. 4th Edition, Boston: Little, Brown and Co 1992, pp. 784.
Yavuz H, Caylakli F, Yildirim T, Ozluoglu LN: Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol 265:1393–6, 2008.
Yetiser S, Gerek M, Ozkaptan Y: Elongated styloid process: Diagnostic problems related to symptomatology. Cranio 15:236–41, 1997.
Oral & Maxillofacial Surgery Clinic. Dental School, University of Athens (Head: Professor C. Αlexandridis)
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 1, 39-47
SUMMARY: Eagle's syndrome represents a variety of craniofacial or neck symptoms caused by the elongation of the styloid process or the calcification of the stylomandibular ligament. It presents mainly with pain or the sense of a pharyngeal foreign body. In cases of unilateral glossodynia Eagle's syndrome must be included in differential diagnosis. The surgical remo val of the styloid process can be performed through an intraoral or extraoral approach with very good results. The aim of this paper is to present a case of a 57-year-old female patient suffering for twelve months of persistent unilateral glossodynia due to Eagle's syndrome. 3DComputer tomography scan re vealed elongation of both styloid processes, and the diagnosis of Eagle's syndrome was set. Trough an intraoral approach, the 4 cm long right styloid process was removed. The patient was completely relieved from the symptoms right after surgery, without any postoperative morbidity.
KEY WORDS: Eagle’s syndrome, Unilateral glossodynia, Intraoral approach
REFERENCES
Blythe JN, Matthews NS, Connor S: Eagle’s syndrome after fracture of the elongated styloid process Br J Or Maxillof Surg 47:233-5, 2009.
Balbuena L Jr, Hayes D, Ramirez SG, Johnson R: Eagle’s syndrome (elongated styloid process). South Med J 90:331–4, 1997.
Beder E, Ozgursoy OB, Ozgursoy SK: Current Diagnosis and Transoral Surgical Treatment of Eagle’s Syndrome J Oral Maxillofac Surg 63:1742-5, 2005.
Buono U, Mangone GM, Michelotti A, Longo F, Califano L: Surgi cal approach to the stylohyoid process in Eagle’s syndrome. J Oral Maxillofac Surg 63:714–6, 2005.
Buttura da Prato E, Albanese M, Trevisiol L, Nocini PF: Eagle’s syndrome secondary surgical treatment. Report of a case. Minerva Stomatol 53:527–34, 2004. Camarda AJ, Deschamps C, Forest DI: Stylohyoid chain ossification: A discussion of etiology. Oral Surg Oral Med Oral Pathol 67:515-20, 1989.
Chrcanovic BR, Custodio AL, de Oliveira DR: An intraoral surgical approach to the styloid process in Eagle’s syndrome. Or Maxill Surg13:145-51, 2009.
Chuang WC, Short JH, McKinney AM, Anker L, Knoll B, McKinney ZJ: Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: Surgical and CT angiographic correlation. AJNR Am J Neuroradiol 28:143–5, 2007.
De Souza Carvalho AC, Magro Filho O, Garcia IR Jr, de Holanda ME, de Menezes JM Jr.: Intraoral approach for surgical treatment of Eagle syndrome Br J Or Maxillof Surg 47:153–4, 2009.
Diamond LH, Cottrell DA, Hunter MJ, Papageorge M: Eagle’s syndrome: A report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg 59:1420-6, 2001.
Du Brul EL, In: Sicher’s Oral Anatomy. 7th Ed. St. Louis: Mosby Co. 1980, pp. 170–90.
Eagle WW: Elongated styloid process. Arch Otolaryngol 25:584–7, 1937.
Eagle WW: Elongated styloid process, further observations and a new syndrome. Arch Otolaryngol 47:630–40, 1948.
Eagle WW: Symptomatic elongated styloid process: Report of two cases of styloid process-carotid artery syndrome with operation. Arch Otolaryngol 49:490–503, 1949.
Eagle WW: Elongated styloid process: Symptoms and treatment. AMA Arch Otolaryngol 67:172–6, 1958.
Eagle WW: The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg 28:1–5, 1962.
Ferrario VF, Sigurta D, Daddona A, Dalloca L, Miani A, Tafuro F, Sforza C: Calcification of the stylohyoid ligament: incidence and morphoquantitative evaluations. Oral Surg Oral Med Oral Pathol 6:524-9, 1990.
Gozil R, Yener N, Calguner E, Arac M, Tunc E, Bahcelioglu M: Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 183:527–35, 2001.
Harma R: Stylalgia: clinical experiences of 52 cases. Acta Otolaryngol 224:149, 1966.
Mendelsohn AH, Berke GS, Chhetri DK: Heterogeneity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surg 134:389–93, 2006. Παπαβασιλείου Κ, Γουλιάμος Α. Ακτινολογία. Τόμος Ι. Εκδόσεις Παρισιάνος, Αθήνα, 1987, σελ. 127-34.
Piagkou Μ, Anagnostopoulou S, Koladouros Κ, Piagkos G, Skandalakis P: Eagles Syndrome. A review of the Literature. Hellenic Arch Oral Maxillofac Surg 3:133-43, 2009a.
Piagkou M, Anagnostopoulou S, Kouladouros K, Piagkos G: Eagle’s Syndrome: A Review of the Literature. Clin Anat 22:545-58, 2009b.
Palesy P, Murray GM, De Boever J, Klineberg I: The involvement of the styloid process in head and neck pain–A preliminary study. J Oral Rehabil 27:275–87, 2000.
Perez Carro L, Nunez MP: Fracture of the styloid process of the temporal bone. A case report. Int Orthop 19:359–60, 1995.
Salamone FN, Falciglia M, Steward DL: Eagle’s syndrome reconsidered as a cervical manifestation of heterotopic ossification: Woman presenting with a neck mass. Otolaryngol Head Neck Surg 130:501–3, 2004.
Savranlar A, Uzun L, Uğur MB, Ozer T: Three-dimensional CT of Eagle’s syndrome Diagn Interv Radiol 11:206-9, 2005.
Sivers JE, Johnson GK, Lincoln MS: Diagnosis of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 59:575-7, 1985.
Snell RS: The Head and Neck. In: Clinical Anatomy for Medical Students. 4th Edition, Boston: Little, Brown and Co 1992, pp. 784.
Yavuz H, Caylakli F, Yildirim T, Ozluoglu LN: Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol 265:1393–6, 2008.
Yetiser S, Gerek M, Ozkaptan Y: Elongated styloid process: Diagnostic problems related to symptomatology. Cranio 15:236–41, 1997.
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