Asian Journal of Case Reports in Surgery

Bilateral Elongated Styloid Processes: Case Report with Literature Review

Chebaatha Anas *

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

M. Laachoubi

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

N. Hmamed

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Y. Oukessou

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

S. Rouadi

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

R. Abada

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

M. Roubal

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

M. Mahtar

Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Eagle’s syndrome,also khown as stylohyoid complex syndrome, is a rare facial pain syndrome characterised by pain orofacial, a sensation of a foreign body in the region of the tonsil lodge with irritation of the ipsilateral lateropharyngeal wall, linked to an abnormal enlargement . Symptoms can be bilateral or, more frequently, unilateral. The incidence is 4-8 per 10,000 people. The clinic
is variable and the diagnosis is essentially based on the presence of a syndrome cervico-facial pain, migraine-like, increasing during chewing movements, swallowing and head rotationThe surgical management of the Eagle syndrome consists in the shortening of the elongated styloid process, with the surgical access by intra oral or cervical. We report a case of a 32-years old men admitted to our otorhinolaryngology department with sharp neck pain and a sensation of having a foreign body in the throat.. CT scan with 3D reconstruction revealed bilatéral elongated styloid processes. The patient was treated by excision of styloid processes by intra oral approach.

Keywords: Eagle syndrome, elongation of the stylohyoid process, intra oral surgery

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