Surgical Approach to Eagle’s Syndrome: Our Experience

Aim: To describe our experience of intraoral surgical management of patients with Eagle’s syndrome. Materials and Methods: Twenty patients with elongated styloid processes were treated between January 2016 to December 2020. Intraoral digital palpation of tonsillar fossa and Lateral skull X-ray was done in those with symptoms suggestive of the diagnosis of eagle’s syndrome and patients with styloid processes longer than 30 mm were treated by intraoral surgical resection.Results: We have included 20 patients in the study. The mean age was 46.6 + 8.4 years with a range of 31 years to 63 years. Female: male ratio was 4:1. 13(65%) cases left side lesion seen 5(25%) cases right side 2(10%) cases bilateral elongated seen. The most common presenting symptom was hemicranial pain on swallowing, 92% of subjects were symptom free by third week. No perioperative complications were encounteredConclusion: Eagle’s syndrome is most frequently a diagnosis of exclusion. Delay in proper management exposes patients to long-term struggle with pain and cancerophobia that cause great deal of emotional distress. The intraoral Styloidectomy approach is a simple minimally invasive approach that provides a satisfactory results.