A Modified Transoral Approach for Carotid Artery Type Eagle Syndrome

Torres, Arnulfo C.; Guerrero, Jaime Santiago; Silva, Helen C.

doi:10.1177/0003489414538770

Cited by 31 publications

(28 citation statements)

References 30 publications

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“…Blunt dissection is used to identify the styloid tip. However, it seems that tonsillectomy increases both morbidity and the operation time [11]. Kapoor et al [12] proposed an incision along the ascending border of the ramus and stressed that the dissection should be made medial to the medial pterygoid muscle and lateral to the superior constrictor muscle (anterior compartment of the parapharyngeal space) to avoid vital structures and glossopharyngeal nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Montevecchi

Caranti

Cammaroto

et al. 2018

ORL

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Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervical approach. An effective styloidectomy may be either total or partial, provided the bony residue’s length is within the range of normality. Here, we report our experience with a bilateral robotic-assisted styloidectomy in a young female patient. Our experience showed that this procedure is a safe alternative to traditional surgical approaches, granting an excellent view and a safe manipulation by robotic arms, and, thereby, avoiding iatrogenic damage to neurovascular structures. Moreover, transoral robotic surgery could represent the gold standard for the treatment of bilateral Eagle syndrome cases allowing a quick and safe single-time surgery.

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Section: Discussionmentioning

confidence: 99%

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Montevecchi

Caranti

Cammaroto

et al. 2018

ORL

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“…The length over than this can be regarded as abnormal. Treatment can be surgical or nonsurgical, however surgical shortening of the styloid apophysis is the most satisfactory and effective treatment through either trans-oral or cervical approach [6].…”

Section: Discussionmentioning

confidence: 99%

Three Dimensional Reconstructed Computed Tomography Features of Eagle Syndrome

Hamidi¹

2018

CRIJ

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“…Ob tem niso opazili porasta števila zapletov. Kar 91 % bolnikov je bilo že teden dni po posegu brez težav (28). Prednosti pristopa skozi usta so: enostavnejša izvedba, manjša travma, hitrejše okrevanje in boljši estetski učinek.…”

Section: Uvodunclassified

Eaglov sindrom

et al. 2017

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Background: In the present article we present the characteristics of Eagle syndrome, which is an often overlooked cause of chronic pain in the neck and head. The syndrome is caused by the compression of an elongated styloid process on the adjacent cranial nerves or the carotid arteries. Since there are disparate data in the literature regarding the proportion of people with an elongated styloid process, we conducted a survey to determine the percentage of patients with an elongated styloid process in a group of subjects who underwent computed tomographic imaging of the neck vessels in our institution.Methods: We analyzed the images of 104 patients who were referred to our institution for computed tomographic angiography of the neck between the years 2014 and 2016. With the help of a software measurement tool, we determined the length of the styloid processes and compared the length of the processes on both sides and in both genders. Patients with an elongated styloid process were reviewed for any symptoms of Eagle syndrome.Results: The average age of the reviewed patients was 67.1 years. Both genders were equally represented (51 % men and 49 % women). The average length of the styloid process was 23.8 (7.0) mm, with 23 patients (22.1 %) having a styloid process longer than 30 mm. In one third of those patients the styloid process was elongated bilaterally. There were no diﬀerences in the average length of the styloid process between men and women and between the left and the right side. Among patients with an elongated styloid process, only one (4.3 %) had symptoms attributable to the Eagle syndrome.Conclusions: Eagle syndrome should be suspected in a patient with repetitive, dull pain in the throat and neck, which worsens during speaking, chewing or swallowing. The diagnosis is confirmed by computed tomography which could demonstrate an elongated styloid process and exclude other causes for neck pain. With regard to the results of our study, an elongated styloid process is found in a relatively high percentage of patients but the condition is only rarely symptomatic.

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A Modified Transoral Approach for Carotid Artery Type Eagle Syndrome

Abstract: The tonsil-sparing transoral surgical approach described is suitable for treating patients with elongated styloid apophyses.

Cited by 31 publications

References 30 publications

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome

Three Dimensional Reconstructed Computed Tomography Features of Eagle Syndrome

Eaglov sindrom

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