Endoscopy-Assisted Intraoral Removal of Elongated Styloid Process: Mini-Invasive Surgical Treatment of Eagle Syndrome

• Published in: The Journal of craniofacial surgery Vol. 30; no. 8; pp. e775 - e776
• Main Authors: Terenzi, Valentina, Giovannetti, Filippo, Barbera, Giorgio, Raponi, Ingrid, Valentini, Valentino
• Format: Journal Article
• Language: English
• Published: United States 01-11-2019
• Subjects: Adult; Dentistry; Humans; Male; Neck Pain - etiology; Neuroendoscopy; Ossification, Heterotopic - diagnostic imaging; Ossification, Heterotopic - surgery; Osteotomy; Piezosurgery; Temporal Bone - abnormalities; Temporal Bone - diagnostic imaging; Temporal Bone - surgery; Tomography, X-Ray Computed
• ISSN: 1049-2275; 1536-3732
• DOI: 10.1097/SCS.0000000000005767

The aim of this work is to illustrate a transoral mini-invasive approach to safely remove elongated styloid process in Eagle syndrome. A 34-year-old Asian male came to our center referring pharyngeal and cervical pain on the right side on swallowing and opening the mouth. Computed tomography showed elongation of the right styloid process. Surgical removal was performed through endoscopy-assisted intraoral approach using a pituitary curette to perform dissection and piezosurgery for the osteotomy. Surgical intervention was completed in 25 minutes. Postoperative period was uneventful except for transient (12 hours) right facial palsy that resolved spontaneously. Two months after surgery, patient referred resolution of symptoms. This technique is easy to perform and permits to obtain good result with reduction of surgical time and with low risk of complication.