Endoscope-assisted Transoral resection of an elongated fractured styloid process in Eagle syndrome: A case report.

INTRODUCTION AND

IMPORTANCE

Eagle's syndrome is a rare condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament; it is clinically characterized by unexplained referred pain that radiates into the mandible, ear, and throat, often misdiagnosed as various cervicocraniofacial disorders.

CASE PRESENTATION: A 38-year-old male presented with severe, unexplained neuralgic pain that persisted for about two months. The pain worsened with patient neck movements, and some relief was achieved only through lidocaine injections in the tonsillar bed. After multiple consultations with various specialists, investigations focused on a left elongated, non-displaced fracture of the styloid process, accompanied by calcification of the stylohyoid ligament, suggesting Eagle syndrome. The patient's symptoms significantly improved after surgery, with no recurrence of pain during the subsequent follow-up period.

CLINICAL DISCUSSION: Eagle syndrome is a rare condition that has no clear cause or specific treatment method and includes a group of nonspecific clinical symptoms.

CONCLUSION

It is important that this condition be diagnosed well and managed professionally, as it includes and encompasses important anatomical structures.