SCIENTIFIC-PRACTICAL JOURNAL

| укр | рус |

 

 
Home Editorial ethics For authors Current issue Archive Contacts

No4-5(2) 2019

Back to the issue


DOI 10.37219/2528-8253-2019-4-67
Zinchenko D.O., Zabolotnaya D.D., Savchenko T.D., Rylska O.G., Peleshenko N.O., Chohcia M.S.
Modern approaches to diagnosis and treatment of Eagle’s syndrome
Zinchenko Dmitro O.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Head of Department of inflammatory diseases of the ENT organs with an endoscopy group
Candidate of Medical Sciences
E-mail: zinchenko-d@yandex.ua

Zabolotna Diana D
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine.
Head of Department of Rhinology and Allergology with a group of radiology
Doctor of Medical Sciences
E-mail: dianazab@ukr.net
https://orcid.org/0000-0001-7807-8148

Savchenko Tamila D.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Department of Inflammatory Diseases of ENT Organs
Senior Researcher
E-mail: tamilads@ukr.net
ORCID ID: https://orcid.org/0000-0001-5550-5530

Rylska Oksana G.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Department of Inflammatory Diseases of ENT Organs
Senior Researcher
Email: oxanar@ua.fm

Peleshenko Natalia O.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Department of Inflammatory Diseases of ENT Organs
Senior Researcher
E-mail: peleshenkon@gmail.com

Chochia Mirza Semenovich
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Department of radiation diagnostics and radiation therapy
Radiologist
E-mail: amtc@kndio.kiev.ua

Abstract

Stylohyoid syndrome (Eagle Sterling syndrome) – a complex of symptoms caused by the change in the position, shape and size of the styloideus process and (or) calcification of the stylohyoideus and submucosal ligaments, resulting in irritation of the dorsal and posterior process and muscle structures.
As a rule, this disease is not diagnosed because of the low awareness of practitioners. Patients with different diagnoses are treated by different specialists: dentists, ENTs, neurologists, and prolonged symptomatic treatment is ineffective. In patients with the presence of Eagle Sterling syndrome impaired performance is present and dramatically reduced quality of life, which determines the social significance and relevance of problem of diagnosis and treatment of this disease.
Materials and methods: During the period from 2009 to 2020 in the department of inflammatory diseases of ENT-organs of the State Institution «O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Sciences of Ukraine» 13 persons with this pathology (10 men and 3 women) aged from 25 to 60 years, who turned to our institution after unsuccessful treatment by a neurologist, dentist and specialists of other related specialties, were examined and operated. 3 people were diagnosed with a stylo-carotid and in 10 – stylopharyngeal type of SHS.
Surgical removal of styloideus process of the temporal bone, depending on the anatomical features of the styloideus process, was performed by external access at the anterior edge of the nodding muscle (10 patients) or transoral access (3 patients).
Results: No patients were observed in the postoperative period, the wounds healed with primary intention.
The disappearance of the pain syndrome a few days after surgery was noted in 7 patients, in others complaints it persisted up to 1 month, while there was a positive trend, and only 1 patient remained the intensity and nature of the pain syndrome.
Thus, patients with the Eagle’s syndrome have a high effect of surgical treatment and relatively short postoperative rehabilitation, which significantly improves their quality of life.

Keywords

Eagle syndrome, diagnosis, treatment..


Reference

  1. Damulin IV, Ratbil OE, Schmidt TE, Levchenko AG. [Clinical observation: neuralgia of the glossopharyngeal nerve]. Russian Journal of Pain. 2013;
    2 (39): 37-41. [In Russian].
  2. Lebedyantsev VV. [Eagle's syndrome (topographic and anatomical foundations, clinic, diagnosis, treatment principles)] [dissertation]. Moscow;
    1984. 48 p. [In Russian].
  3. Nikitin AA, Lapshin VP, Titova NV. [A clinical example of a patient suffering from megastyloid]. Clinical Dentistry. 2009; (2): 70-1. [In Russian].
  4. Ayyildiz VA, Senel FA, Dursun A, Ozturk K. Morphometric examination of the styloid process by 3D-CT in patients with Eagle syndrome. Eur
    Arch Otorhinolaryngol. 2019;276(12):3453-9. doi: 10.1007/s00405-019-05602-6.
  5. Balbuena LJr, Hayes D, Ramirez SG, Johnson R. Eagle's syndrome (elongated styloid process). South Med J. 1997; 90(3): 331-4.
    doi: 10.1097/00007611-199703000-00014.
  6. Chandler JR. Anatomical variations of the stylohyoid complex and their clinical significance. Laryngoscope. 1977;87(10 Pt 1):1692-701.
    doi: 10.1288/00005537-197710000-00013.
  7. Correll RW, Wescott WB. Eagle's syndrome diagnosed after history of headache, dysphagia, otalgia,
    and limited neck movement. J Am Dent Assoc. 1982; 104(4): 491-2. doi: 10.14219/jada.archive. 1982.0220.
  8. Eagle WW. Symptomatic elongated styloid process; report of two cases of styloid processcarotid artery syndrome with operation. Arch Otolaryngol.
    1949; 49(5): 490-503. doi: 10.1001/ archotol. 1949.03760110046003.
  9. Eagle WW. The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg. 1962;(28):1-5.
  10. Fagan JJ. Open Access Publishing of Textbooks and Guidelines for Otolaryngologists in Developing Countries. OTO Open. 2019;10;3(3).
    doi: 10.1177/2473974X19861567.
  11. Ghosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx. 1999; 26(2): 169-75.
    DOI: 10.1016/s0385-8146(98)00079-0.
  12. Grossmann E, Paiano GA. Eagle's syndrome: a case report. Cranio. 1998; 16(2): 126-30. doi: 10.1080/08869634.1998.11746049.
  13. Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol. 2004;
    33(2): 119-24. doi: 10.1259/dmfr/13491574.
  14. Kent DT, Rath TJ, Snyderman C. Conventional and 3-Dimensional Computerized Tomography in Eagle's Syndrome, Glossopharyngeal Neuralgia,
    and Asymptomatic Controls. Otolaryngol Head Neck Surg. 2015; 153(1): 41-7. doi: 10.1177/0194599815583047.
  15. Kiely ML, Sawyer DR, Gowgiel JM. Styloid chain ossification: report of a case with articulations. Clin Anat. 1995; 8(5): 359-62.
    doi: 10.1002/ca.980080509.
  16. Kumai Y, Hamasaki T , Yumoto E. Surgical management of Eagle's syndrome: an approach to shooting craniofacial pain. Eur Arch Otorhinolaryngol.
    2016; 273(10): 3421-7. doi: 10.1007/s00405-016-4057-7.
  17. O'Neill BP, Aronson AE, Pearson BW, Nauss LA. Superior laryngeal neuralgia: carotidynia or just another pain in the neck? Headache. 1982;22(1):6-
    9. doi: 10.1111/j.1526-4610.1982.hed2201006.x.
  18. Savic D, Djeric D. Surgical anatomy of the hypotympanum. J Laryngol Otol. 1987;101(5):419-25. 19. Yetiser S, Gerek M, Ozkaptan Y. Elongated styloid process: diagnostic problems related to symptomatology. Cranio. 1997 Jul;15(3):236-41. DOI: 10.1080/08869634.1997.11746017.
 

© 2019, Public Organization «Ukrainian Scientific Medical Society of Otorhinolaryngologists»