Biography
Biography: Fazel Khaliq Omari
Abstract
Introduction
Eagle syndrome is characterized by recurrent pain in the oropharynx and face due to an elongated styloid process or calcified stylohyoid ligament. Eagle syndrome (ES) first described in1937, by an otolaryngologist at Duke University, Watt W. Eagle. The stylohyoid complex is made of styloid process, stylohyoid ligament, and the small cornus of the hyoid bone.The normal length of the styloid process is individually variable, but in the majority of patients it is about 20 mm.Eagle’s syndrome is treated surgically and nonsurgically. A pharmacological approach by transpharyngeal infiltration of steroids or anesthetics in the tonsillar fossa has been used, but styloidectomy is the treatment of choice. Styloidectomy can be performed by an intra- or an extraoral approach.
Case presentation
A 22 years old male, presented with complain of recurrent sore throat with frequently odynophagia and sometime earache on both side (predominantly on left side) since one year. By taking the history, pharyngoscopy and evaluating the radiography, the diagnosis of elongated processus styloideus and recurrent acute tonsillitis was made. After completing the blood examination and anesthesia consultation, patient selected for tonsillectomy and bilateral styloidectomy under local anesthesia. At first tonsillectomy was done, then processus styloideus identified intraorally and dissected from periost, and 1cm from the middle end catted. The pharyngeal wall was repaired no serious bleeding, Augmentin injection advised preoperatively and postoperatively, patient discharged from hospital after 48hr. Three months after procedure patient checked again with no complain.
conclusion
Already eagle syndrome is a rare case, sometime the coexistence of recurrent acute tonsillitis(RAT) and chronic tonsillitis(CT) at the same patient may mask the diagnosis of elongated process styloideus and for that reason if the odynophagia is persistent in a patient with RAT and CT, for evaluation of processus styloidus it is better to do at least the plain neck lateral radiography.