Role of the Surgical Approach in the Treatment of Eagle Syndrome.

Autor: Kapoor S; Department of Otorhinolaryngology, Faculty of Medical & Health Sciences, SGT University, Gurugram, Haryana, India., Gupta A; Department of Otorhinolaryngology, ESIC Hospital & PGIMSR Basaidarapur, New Delhi, India., Satya S; Department of Anesthesia, Faculty of Medical & Health Sciences, SGT University, Gurugram, Haryana, India., Saidha PK; Department of Otorhinolaryngology, Rama Medical College, Kanpur, India., Saini U; Department of Otorhinolaryngology, ESIC Medical College & Hospital, Faridabad, Haryana, India., Singh A; Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Jazyk: angličtina
Zdroj: International archives of otorhinolaryngology [Int Arch Otorhinolaryngol] 2024 Mar 15; Vol. 28 (3), pp. e400-e406. Date of Electronic Publication: 2024 Mar 15 (Print Publication: 2024).
DOI: 10.1055/s-0043-1776717
Abstrakt: Introduction  Eagle syndrome is a rare and an often misdiagnosed entity in otorhinolaryngology. Objective  To determine the efficacy of the surgical treatment for Eagle syndrome. Methods  The present prospective study included 25 patients who presented with complaints of pain in the throat, ear, and neck, as well as difficulty and/or pain while swallowing; they were assessed for Eagle syndrome. As per patient profile, we performed a clinical assessments along with orthopantomograms (OPGs), three-dimensional computed tomography (3D CT) scans, and cone beam computed tomography (CBCT). Pain was assessed pre- and postoperatively through the Numerical Rating Scale-11 (NRS-11), whose score ranges from 0 to 10. Microscopic tonsillo-styloidectomy was performed in cases in which the conservative treatment failed to relieve pain. Results  The mean age of the entire study population was of 36.08 ± 7.19 years, and the male-to-female ratio was of 1.08:1. Referred otalgia was the commonest (44%) complaint. Radiologically, out of 25 patients, 20 patients presented elongated styloid processes. The longest symptomatic styloid process measured radiographically was of 64.7 mm while the shortest was of 28.2 mm. Out of 20 patients, 12 underwent surgery. The postoperative pain assessment through the NRS-11 was performed on day 0 (3.83 ± 0.83), day 7 (1.5 ± 0.52), week 4 (0.5 ± 0.52), and week 12 (0.41 ± 0.51). By 12 weeks, 7 patients were symptom-free, while 5 patients still reported mild pain. Conclusion  Eagle syndrome associated with an elongated styloid process is not a rarity, but it often goes undiagnosed. Microscopic tonsillo-styloidectomy shows excellent results in the management of patients with Eagle syndrome.
Competing Interests: Conflict of Interests The authors have no conflict of interests to declare.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).)
Databáze: MEDLINE
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