PathologyEndoscope-Assisted Resection of Elongated Styloid Process Through a Retroauricular Incision: A Novel Surgical Approach to Eagle Syndrome
Section snippets
Patients
From June 2010 to August 2013, 133 patients (227 sides; 53 men and 80 women; mean age, 48 yr; range, 20 to 78 yr) with Eagle syndrome underwent endoscope-assisted resection of an elongated styloid process at the Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University (Guangzhou, China). The patients met the following criteria: 1) a history of recurrent throat pain or foreign body sensation in the pharynx triggered or exacerbated by head rotation, swallowing, or chewing; 2) exacerbation of pain
Results
One hundred thirty-three patients underwent EAS. Ninety-four surgical procedures were bilateral and 39 were unilateral procedures. In total, 227 sides were treated. None of the surgeries required conversion to the open approach because of bleeding or technical difficulties. Operative durations of styloidectomy were 24.7 ± 6.7 minutes for 1 side and 50.2 ± 9.1 minutes for 2 sides. Bleeding losses were 6.3 ± 2.8 mL for 1 side and 12 ± 5.3 mL for 2 sides. At postoperative evaluation, 107 patients
Discussion
In general, surgical shortening is the mainstay treatment for Eagle syndrome.3, 4 Resection of the styloid process traditionally uses intraoral and transcervical approaches. The intraoral approach usually requires tonsil sacrifice. Access to the process through the oral cavity is limited and carries the risks of neurovascular injuries and inadequate shortening of the styloid process. In addition, the intraoral approach is a nonsterile surgical technique that could lead to a deep cervical
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Cited by (0)
Drs Chen, Liang, and Huang contributed equally to this work.
This work was supported by grants from the Sun Yat-Sen University Clinical Research 5010 Program (2010008).
Conflict of Interest Disclosures: None of the authors have any relevant financial relationship(s) with a commercial interest.