An intraoral surgical approach to the styloid process in Eagle’s syndrome
- 21 July 2009
- journal article
- review article
- Published by Springer Science and Business Media LLC in Oral and Maxillofacial Surgery
- Vol. 13 (3), 145-151
- https://doi.org/10.1007/s10006-009-0164-6
Abstract
Purpose The purpose of this study is to present an alternative method to the extraoral surgical approach to remove the elongated styloid process, the intraoral surgical approach, and discuss their advantages and disadvantages. A literature review is also presented. Patients and methods A casuistic of intraoral surgical approach to remove the elongated styloid process is presented in five patients. Results Four patients experienced postoperative moderate pain and trismus for 1 week. Bilateral surgery in one patient caused severe trismus, great discomfort, and moderate difficulty in breathing. All were followed up for 6 months and showed complete relief of the oral pharyngeal symptoms and complete improvement in functional ability. Discussion The advantages of the external approach are good visualization and reduced possibility of deep neck space infection. The disadvantages are an external scar, longer duration of surgery, and risk of injury to the facial nerve. The advantages of the intraoral approach are that the method is safe, simple, and less time consuming and an external scar is avoided. The disadvantages are possible infection of deep neck spaces, risk of injury to major vessels, and poor visualization. Conclusions Intraoral resection of the styloid process is a safe treatment technique of Eagle’s syndrome. It is not recommended the bilateral intervention at the same surgery, because of possible great discomfort at postoperative time.Keywords
This publication has 31 references indexed in Scilit:
- I. Stylohyoid chain ossification: A discussion of etiologyOral Surgery, Oral Medicine, Oral Pathology, 1989
- Styloid Process Variation: Radiologic and Clinical StudyJAMA Otolaryngology–Head & Neck Surgery, 1970
- A New Light on the Pathogenesis of the Styloid SyndromeJAMA Otolaryngology–Head & Neck Surgery, 1970
- Stylalgia: Clinical Experiences of 52 CasesActa Oto-Laryngologica, 1967
- Elongated Styloid Process: Symptoms and TreatmentJAMA Otolaryngology–Head & Neck Surgery, 1958
- SYMPTOMATIC ELONGATED STYLOID PROCESS Report of Two Cases of Styloid Process-Carotid Artery Syndrome with OperationJAMA Otolaryngology–Head & Neck Surgery, 1949
- ELONGATED STYLOID PROCESS: Further Observations and a New SyndromeJAMA Otolaryngology–Head & Neck Surgery, 1948
- ELONGATED STYLOID PROCESS: A CAUSE OF GLOSSOPHARYNGEAL NEURALGIAJAMA Otolaryngology–Head & Neck Surgery, 1942
- ELONGATED STYLOID PROCESS: A CAUSE OF OBSCURE THROAT SYMPTOMSJAMA Otolaryngology–Head & Neck Surgery, 1940
- ELONGATED STYLOID PROCESSES: Report of Two CasesJAMA Otolaryngology–Head & Neck Surgery, 1937