Clinical Aspects of Diagnosis and Treatment of Elongated Styloid Proces Syndrome

A Modified Transoral Approach for Carotid Artery Type Eagle Syndrome

“…5,7,8,[10][11][12][13][14][15][16][20][21][22][23]25,26 Notwithstanding the differences, both approaches have proven to afford similar treatment results, and the choice of proceeding with either a transoral or a cervical approach appears to depend on the surgeon's judgment, skills, and experience. [8][9][10][11][12][13][14][17][18][19]23 A feature shared by the majority of the transoral approaches that have been described to treat Eagle's syndrome is that tonsillectomy is performed simultaneously during the surgical resection of the styloid apophysis. 7,9,11,13,15,18,20 The rationale for performing tonsillectomy is to get better visualization of the styloid apophysis.…”

“…5,12,13,[21][22][23]25,26 Comparably, the transoral approach has also been recommended, based on the ability to reduce surgical time and to avoid a cosmetically undesirable scar. 7,10,11,[14][15][16][17][18][19][20] However, despite the significant number of cases that have been described, most of the proposed transoral approaches demand concurrent performance of tonsillectomy as part of the surgical technique. 7,9,11,13,15,18,20 The aim of this article is to describe a tonsil-sparing transoral approach and to present the outcomes of our clinical experience in 11 patients with carotid artery type Eagle's syndrome.…”