Bilateral Elongated Styloid Processes: Case Report with Literature Review

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.