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Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2022

26.08.2020 | Original Article

Stylalgia: Our Experience of 101 Cases Treated by Intraoral Styloidectomy

verfasst von: Dheeraj V. Lambor, Radhika Ranganath Shetgaunkar, Carnegie De Sa

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 2/2022

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Abstract

Evidence from research and literature suggest that Eagle’s syndrome may present with a variety of symptoms creating diagnostic predicament amongst clinicians. We describe a detailed clinical review of symptomatology, diagnosis and management of hundred and one cases of stylalgia. The aim of our study was to asses effectiveness of intraoral styloidectomy as a definitive modality of treatment in stylalgia. A prospective clinical study was conducted in a tertiary referral centre and included 101 patients presenting with symptoms suggestive of stylalgia. The diagnosis of stylalgia was confirmed by history and clinical examination supplemented by orthopentomogram. All patients underwent intra oral styloidectomy following adequate trial of medical treatment. The success rate of intraoral styloidectomy was found to be 80. 19% i.e. 81 out of 101 patients were considered as cured based on pain assessment using visual analogue scale pre and post operatively. Though medical treatment can provide short term relief of symptoms, styloidectomy is the proven definitive modality of treatment for stylalgia.
Literatur
1.
Zurück zum Zitat Valerio CS, Peyneau PD, de Sousa AC, Cardoso FO, de Oliveira DR, Taitson PF, Manzi FR (2012) Stylohyoid syndrome: surgical approach. J Craniofac Surg 23(2):138–140 Valerio CS, Peyneau PD, de Sousa AC, Cardoso FO, de Oliveira DR, Taitson PF, Manzi FR (2012) Stylohyoid syndrome: surgical approach. J Craniofac Surg 23(2):138–140
2.
Zurück zum Zitat Bagoji I, Hadimani G, Patil B et al (2013) Bilateral elongated styloid process its anatomical embryological and clinical implications. Int J Med Res Health Sci 2(2):273–276 Bagoji I, Hadimani G, Patil B et al (2013) Bilateral elongated styloid process its anatomical embryological and clinical implications. Int J Med Res Health Sci 2(2):273–276
3.
Zurück zum Zitat Grossman JR, Tarsitano JJ (1977) The styloidstylohyoid syndrome. J Oral Surg 35:555–560 Grossman JR, Tarsitano JJ (1977) The styloidstylohyoid syndrome. J Oral Surg 35:555–560
4.
Zurück zum Zitat Chrcanovic BR, Custódio AL, De Oliveira DR (2009) An intraoral surgical approach to the styloid process in Eagle’s syndrome. J Oral Maxillofac Surg 13(3):145–151 Chrcanovic BR, Custódio AL, De Oliveira DR (2009) An intraoral surgical approach to the styloid process in Eagle’s syndrome. J Oral Maxillofac Surg 13(3):145–151
5.
Zurück zum Zitat Blythe JN, Matthews NS, Connor S (2009) Eagle’s syndrome after fracture of the elongated styloid process. Br J Oral Maxillofac Surg 47(3):23–35 Blythe JN, Matthews NS, Connor S (2009) Eagle’s syndrome after fracture of the elongated styloid process. Br J Oral Maxillofac Surg 47(3):23–35
6.
Zurück zum Zitat Kay DJ, HarEl G, Lucente FE (2001) A complete stylohyoid bone with a stylohyoid joint. Am J Otolaryngol 22(5):358–361PubMed Kay DJ, HarEl G, Lucente FE (2001) A complete stylohyoid bone with a stylohyoid joint. Am J Otolaryngol 22(5):358–361PubMed
7.
Zurück zum Zitat Yetiser S, Gerek M, Ozkaptan Y (1997) Elongated styloid process: diagnostic problems related to symptomatology. Cranio 15(3):236–241PubMed Yetiser S, Gerek M, Ozkaptan Y (1997) Elongated styloid process: diagnostic problems related to symptomatology. Cranio 15(3):236–241PubMed
8.
Zurück zum Zitat Fusco DJ, Asteraki S, Spetzler RF (2012) Eagle’s syndrome: embryology, anatomy, and clinical management. Acta Neurochir 154:1119–1126PubMed Fusco DJ, Asteraki S, Spetzler RF (2012) Eagle’s syndrome: embryology, anatomy, and clinical management. Acta Neurochir 154:1119–1126PubMed
9.
Zurück zum Zitat Diamond LH, Cotrell DA, Hunter MJ, Papageorge M (2001) Eagle’s syndrome: a report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg 59:1420–1426PubMed Diamond LH, Cotrell DA, Hunter MJ, Papageorge M (2001) Eagle’s syndrome: a report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg 59:1420–1426PubMed
10.
Zurück zum Zitat Bozkir MG, Boga H, Dere F (1999) The evaluation of styloid process in panoramic radiographs in edentulous patients. Turk J Med Sci 29(2):481–485 Bozkir MG, Boga H, Dere F (1999) The evaluation of styloid process in panoramic radiographs in edentulous patients. Turk J Med Sci 29(2):481–485
11.
Zurück zum Zitat Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D (2000) The long styloid process syndrome or Eagle’s syndrome. J Craniomaxillofac Surg 28(2):123–127PubMed Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D (2000) The long styloid process syndrome or Eagle’s syndrome. J Craniomaxillofac Surg 28(2):123–127PubMed
12.
Zurück zum Zitat Martin TJ, Friedland DR, Merati AL (2008) Transcervical resection of the styloid process in Eagle syndrome. Ear Nose Throat J 87(7):399–401PubMed Martin TJ, Friedland DR, Merati AL (2008) Transcervical resection of the styloid process in Eagle syndrome. Ear Nose Throat J 87(7):399–401PubMed
13.
Zurück zum Zitat Strauss M, Zohar Y, Laurian N (1985) Elongated styloid process syndrome: intraoral versus external approach for styloid surgery. Laryngoscope 95(8):976–979PubMed Strauss M, Zohar Y, Laurian N (1985) Elongated styloid process syndrome: intraoral versus external approach for styloid surgery. Laryngoscope 95(8):976–979PubMed
14.
Zurück zum Zitat Rathwa A, Dharati M, Kumar S (2013) Study of styloid process: anatomical variation in length, angulation and distance between two styloid processes. Int J Recent Trends Sci Technol 8(2):109–112 Rathwa A, Dharati M, Kumar S (2013) Study of styloid process: anatomical variation in length, angulation and distance between two styloid processes. Int J Recent Trends Sci Technol 8(2):109–112
15.
Zurück zum Zitat Eagle WW (1973) Elongated styloid process report of two cases. Arch Otolaryngol 25(5):584–587 Eagle WW (1973) Elongated styloid process report of two cases. Arch Otolaryngol 25(5):584–587
16.
Zurück zum Zitat Steinman EP (1968) Styloid syndrome in absence of an elongted process. Acta Otolaryngol 66:347–356 Steinman EP (1968) Styloid syndrome in absence of an elongted process. Acta Otolaryngol 66:347–356
17.
Zurück zum Zitat Moffat DA, Ransden RT, Shaw HJ (1977) The styloid process syndrome: aetiological factors and surgical management. J. Larygol Otol 91(4):279–294 Moffat DA, Ransden RT, Shaw HJ (1977) The styloid process syndrome: aetiological factors and surgical management. J. Larygol Otol 91(4):279–294
18.
Zurück zum Zitat Kaufman SM, Elzay RP, Irish EF (1970) Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 91:460–463PubMed Kaufman SM, Elzay RP, Irish EF (1970) Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 91:460–463PubMed
19.
Zurück zum Zitat Lindeman P (1985) The elongated styloid process as a cause of throat discomfort. Four case reports. J Laryngol Otol 99(5):505–508PubMed Lindeman P (1985) The elongated styloid process as a cause of throat discomfort. Four case reports. J Laryngol Otol 99(5):505–508PubMed
20.
Zurück zum Zitat Correll RW, Jensen JL, Taylor JB, Rhyne RR (1979) Mineralization of the stylohyoidstylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol 48(4):286–291PubMed Correll RW, Jensen JL, Taylor JB, Rhyne RR (1979) Mineralization of the stylohyoidstylomandibular ligament complex. A radiographic incidence study. Oral Surg Oral Med Oral Pathol 48(4):286–291PubMed
21.
Zurück zum Zitat Langlais RP, Miles DA, Van Dis ML (1986) Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 61:527–532PubMed Langlais RP, Miles DA, Van Dis ML (1986) Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 61:527–532PubMed
22.
Zurück zum Zitat Montalbetti L, Ferrandi D, Pergami P, Savoldi F (1995) Elongated styloid process and Eagle’s syndrome. Cephalalgia 15(2):80–93PubMed Montalbetti L, Ferrandi D, Pergami P, Savoldi F (1995) Elongated styloid process and Eagle’s syndrome. Cephalalgia 15(2):80–93PubMed
23.
Zurück zum Zitat Monsour PA, Young WG (1986) Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol 61(5):522–526PubMed Monsour PA, Young WG (1986) Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol 61(5):522–526PubMed
24.
Zurück zum Zitat Igluy M, Igluy D, Guler N, Bayirli G (2005) Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 33(1):96–102 Igluy M, Igluy D, Guler N, Bayirli G (2005) Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 33(1):96–102
25.
Zurück zum Zitat More CB, Asrani MK (2010) Evaluation of the styloid process on digital panoramic radiographs. Indian J Radiol Imaging 20(4):2615 More CB, Asrani MK (2010) Evaluation of the styloid process on digital panoramic radiographs. Indian J Radiol Imaging 20(4):2615
26.
Zurück zum Zitat Mortellaro C, Biancucci P, Picciolo G, Vercellino V (2002) Eagle’s syndrome: importance of a corrected diagnosis and adequate surgical treatment. J Craniofac Surg 13(6):7558 Mortellaro C, Biancucci P, Picciolo G, Vercellino V (2002) Eagle’s syndrome: importance of a corrected diagnosis and adequate surgical treatment. J Craniofac Surg 13(6):7558
27.
Zurück zum Zitat Kim E, Hansen K, Frizzi J (2008) Eagle syndrome: case report and review of the literature. Ear Nose Throat J 87(11):6313 Kim E, Hansen K, Frizzi J (2008) Eagle syndrome: case report and review of the literature. Ear Nose Throat J 87(11):6313
28.
Zurück zum Zitat Singhania AA, Chauhan NV, George A, Rathwala K (2013) Lidocine infiltration test: an useful test in the prediction of results of styloidectomy for Eagle’s syndrome. Indian J Otolaryngol Head Neck Surg 65(1):20–23PubMed Singhania AA, Chauhan NV, George A, Rathwala K (2013) Lidocine infiltration test: an useful test in the prediction of results of styloidectomy for Eagle’s syndrome. Indian J Otolaryngol Head Neck Surg 65(1):20–23PubMed
29.
Zurück zum Zitat Epifanio G (1962) Long styloid processes and ossification of stylohyoid chain. Rad Prat 12:127–132 Epifanio G (1962) Long styloid processes and ossification of stylohyoid chain. Rad Prat 12:127–132
30.
Zurück zum Zitat Ceylan A, Köybaioğlu A, Çelenk F, Yilmaz O, Uslu S (2008) Surgical treatment of elongated styloid process: experience of 61 cases. Skull Base 18(5):289–295PubMedPubMedCentral Ceylan A, Köybaioğlu A, Çelenk F, Yilmaz O, Uslu S (2008) Surgical treatment of elongated styloid process: experience of 61 cases. Skull Base 18(5):289–295PubMedPubMedCentral
31.
Zurück zum Zitat Malik JN, Monga S, Sharma AP, Nabhi N, Naseeruddin K (2018) Stylalgia revisited: clinical profile and management. Iran J Otorhinolaryngol 30(6):335–340PubMedPubMedCentral Malik JN, Monga S, Sharma AP, Nabhi N, Naseeruddin K (2018) Stylalgia revisited: clinical profile and management. Iran J Otorhinolaryngol 30(6):335–340PubMedPubMedCentral
32.
Zurück zum Zitat Sun CK, Mercuri V, Cook MJ (2006) Eagle syndrome: an unusual cause of head and neck pain. Arch Neurol 63(2):294–295PubMed Sun CK, Mercuri V, Cook MJ (2006) Eagle syndrome: an unusual cause of head and neck pain. Arch Neurol 63(2):294–295PubMed
33.
Zurück zum Zitat Häärma R (1966) Stylalgia: clinical experiences of 52 cases. Acta Otolaryngol 224:149–155 Häärma R (1966) Stylalgia: clinical experiences of 52 cases. Acta Otolaryngol 224:149–155
34.
Zurück zum Zitat Naik SM, Naik SS (2011) Tonsillo styloidectomy for Eagle’s syndrome: a review of 15 cases in KVG Medical College Sullia. Oman Med J 26(2):1221–1226 Naik SM, Naik SS (2011) Tonsillo styloidectomy for Eagle’s syndrome: a review of 15 cases in KVG Medical College Sullia. Oman Med J 26(2):1221–1226
35.
Zurück zum Zitat Murtagh RD, Caracciolo JT, Fernandez G (2001) CT findings associated with Eagles syndrome. Am J Neuroradiol 22(70):1401–1402PubMedPubMedCentral Murtagh RD, Caracciolo JT, Fernandez G (2001) CT findings associated with Eagles syndrome. Am J Neuroradiol 22(70):1401–1402PubMedPubMedCentral
36.
Zurück zum Zitat Camarda AJ, Deschamps C, Forest D (1989) Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol 67:508–514PubMed Camarda AJ, Deschamps C, Forest D (1989) Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol 67:508–514PubMed
37.
Zurück zum Zitat Prasad KC, Kamath MP, Reddy KJ, Raju K, Agarwal S (2002) Elongated styloid process (Eagle’s syndrome): a clinical study. J Oral Maxillofac Surg 60:171–175PubMed Prasad KC, Kamath MP, Reddy KJ, Raju K, Agarwal S (2002) Elongated styloid process (Eagle’s syndrome): a clinical study. J Oral Maxillofac Surg 60:171–175PubMed
38.
Zurück zum Zitat Nakagawa D, Ota T, Lijima A, Saito N (2011) Diagnosis of Eagles syndrome with 3 dimensional angiography and near infrared spectroscopy: case report. Neurosurgery 68:E847–E849PubMed Nakagawa D, Ota T, Lijima A, Saito N (2011) Diagnosis of Eagles syndrome with 3 dimensional angiography and near infrared spectroscopy: case report. Neurosurgery 68:E847–E849PubMed
39.
Zurück zum Zitat Farhat HI, Elhammady MS, Ziayee H, Aziz Sultan MA, Heros RC (2009) Eagle syndrome as a cause of transient ischemic attacks. J Neurosurg 110(1):90–93PubMed Farhat HI, Elhammady MS, Ziayee H, Aziz Sultan MA, Heros RC (2009) Eagle syndrome as a cause of transient ischemic attacks. J Neurosurg 110(1):90–93PubMed
40.
Zurück zum Zitat Lorenzen M, Wedegartner U, Weber C, Lockemann U, Adam G, Lorenzen J (2005) Dose optimisation for multislice computed tomography protocols of the mid-face. Diagn Intervent Radiol 177:2651 Lorenzen M, Wedegartner U, Weber C, Lockemann U, Adam G, Lorenzen J (2005) Dose optimisation for multislice computed tomography protocols of the mid-face. Diagn Intervent Radiol 177:2651
41.
Zurück zum Zitat Sadaksharam J, Singh K (2012) Stylocarotid syndrome: an unusual case report. Contemp Clin Dent 3(4):5036 Sadaksharam J, Singh K (2012) Stylocarotid syndrome: an unusual case report. Contemp Clin Dent 3(4):5036
42.
Zurück zum Zitat Gokce C, Sisman Y, Tarim Ertas E, Akgunlu F, Ozturk A (2008) Prevalence of styloid process elongation on panoramic radiography in the Turkey population from Cappodocia region. Eur J Dent 2(1):18–22PubMedPubMedCentral Gokce C, Sisman Y, Tarim Ertas E, Akgunlu F, Ozturk A (2008) Prevalence of styloid process elongation on panoramic radiography in the Turkey population from Cappodocia region. Eur J Dent 2(1):18–22PubMedPubMedCentral
43.
Zurück zum Zitat Keur JJ, Campbell JP, McCarthy JF, Ralph WJ (1986) The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol 61:399–404PubMed Keur JJ, Campbell JP, McCarthy JF, Ralph WJ (1986) The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol 61:399–404PubMed
44.
Zurück zum Zitat Erol B (1996) Radiological assessment of elongated styloid process and ossified stylohyoid ligament. J Marmara Univ Dent Fac 2:554–556PubMed Erol B (1996) Radiological assessment of elongated styloid process and ossified stylohyoid ligament. J Marmara Univ Dent Fac 2:554–556PubMed
45.
Zurück zum Zitat Scheller K, Eckert AW, Scheller C (2014) Transoral, retromolar, paratonsillar approach to the styloid process in 6 patients with Eagle’s syndrome. Med Oral Patol Oral Cir Bucal 19(1):e61–e66PubMed Scheller K, Eckert AW, Scheller C (2014) Transoral, retromolar, paratonsillar approach to the styloid process in 6 patients with Eagle’s syndrome. Med Oral Patol Oral Cir Bucal 19(1):e61–e66PubMed
46.
Zurück zum Zitat Gervickas A, Kubilius R, Sabalys G (2004) Clinic, diagnostics and treatment peculiarities of Eagle’s syndrome. Stomatol Bal Dent Maxillofac J 6:11–13 Gervickas A, Kubilius R, Sabalys G (2004) Clinic, diagnostics and treatment peculiarities of Eagle’s syndrome. Stomatol Bal Dent Maxillofac J 6:11–13
47.
Zurück zum Zitat Maru YK, Patidar K (2003) Stylalgia and its surgical management by intra oral route clinical experience of 332 cases. Indian J Otolaryngol Head Neck Surg 55(2):8790 Maru YK, Patidar K (2003) Stylalgia and its surgical management by intra oral route clinical experience of 332 cases. Indian J Otolaryngol Head Neck Surg 55(2):8790
48.
Zurück zum Zitat Chase DC, Zarmen A, Bigelow WC, McCoy JM (1986) Eagle’s syndrome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol 62(6):625–629PubMed Chase DC, Zarmen A, Bigelow WC, McCoy JM (1986) Eagle’s syndrome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol 62(6):625–629PubMed
49.
Zurück zum Zitat Ghosh LM, Dubey SP (1999) The syndrome of elongated styloid process. Auris Nasus Larynx 26(2):169–175PubMed Ghosh LM, Dubey SP (1999) The syndrome of elongated styloid process. Auris Nasus Larynx 26(2):169–175PubMed
50.
Zurück zum Zitat Colby CC, Del Gaudio JM (2011) Stylohyoid complex syndrome: a new diagnostic classification. Arch Otolaryngol Head Neck Surg 137(3):248–252PubMed Colby CC, Del Gaudio JM (2011) Stylohyoid complex syndrome: a new diagnostic classification. Arch Otolaryngol Head Neck Surg 137(3):248–252PubMed
Metadaten
Titel
Stylalgia: Our Experience of 101 Cases Treated by Intraoral Styloidectomy
verfasst von
Dheeraj V. Lambor
Radhika Ranganath Shetgaunkar
Carnegie De Sa
Publikationsdatum
26.08.2020
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 2/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-020-02074-7

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