Bilateral eagle syndrome: A rare entity
Elongated styloid process or Eagle syndrome is a rare condition presenting with a wide range of symptoms including throat pain, foreign body sensation, neck pain, and ear pain. Establishing a diagnosis requires a high index of suspicion and understanding of this entity by the physician. Computed tom...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-04-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/20101058231172233 |
| _version_ | 1797843566002700288 |
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| author | Abdul Azim Al-Abrar Ahmad Kailani Muhammad Ariff Sobani Noor Shairah Mat Barhan Norazila Abdul Rahim Masaany Mansor Norhafiza Mat Lazim |
| author_facet | Abdul Azim Al-Abrar Ahmad Kailani Muhammad Ariff Sobani Noor Shairah Mat Barhan Norazila Abdul Rahim Masaany Mansor Norhafiza Mat Lazim |
| author_sort | Abdul Azim Al-Abrar Ahmad Kailani |
| collection | DOAJ |
| description | Elongated styloid process or Eagle syndrome is a rare condition presenting with a wide range of symptoms including throat pain, foreign body sensation, neck pain, and ear pain. Establishing a diagnosis requires a high index of suspicion and understanding of this entity by the physician. Computed tomography (CT) is the gold standard to diagnose Eagle syndrome. Conservative medical treatment with analgesics, oral steroids, and anticonvulsants are offered in patients who refused surgery. The mainstay of treatment is surgical resection through transoral or transcervical approaches. We describe a rare case of bilateral Eagle syndrome which presented with chronic foreign body sensation in the throat but aggravated by fish bone ingestion. Flexible nasopharyngolaryngoscopy (FNPLS) and cervical x-ray did not reveal any foreign body but showed an incidental finding of elongated styloid process bilaterally. Contrast-enhanced CT scan of the neck confirmed the finding of the elongated styloid process bilaterally. The patient underwent transoral endoscopic assisted bilateral styloidectomy following tonsillectomy. There was complete resolution of the symptoms during postoperative follow-up. This approach is recommended to avoid external scarring, minimize postoperative pain, and shorter hospital stay. |
| first_indexed | 2024-04-09T17:07:31Z |
| format | Article |
| id | doaj.art-41d6487d0be2479b845ca31dec248e6a |
| institution | Directory Open Access Journal |
| issn | 2059-2329 |
| language | English |
| last_indexed | 2024-04-09T17:07:31Z |
| publishDate | 2023-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-41d6487d0be2479b845ca31dec248e6a2023-04-20T10:34:05ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292023-04-013210.1177/20101058231172233Bilateral eagle syndrome: A rare entityAbdul Azim Al-Abrar Ahmad KailaniMuhammad Ariff SobaniNoor Shairah Mat BarhanNorazila Abdul RahimMasaany MansorNorhafiza Mat LazimElongated styloid process or Eagle syndrome is a rare condition presenting with a wide range of symptoms including throat pain, foreign body sensation, neck pain, and ear pain. Establishing a diagnosis requires a high index of suspicion and understanding of this entity by the physician. Computed tomography (CT) is the gold standard to diagnose Eagle syndrome. Conservative medical treatment with analgesics, oral steroids, and anticonvulsants are offered in patients who refused surgery. The mainstay of treatment is surgical resection through transoral or transcervical approaches. We describe a rare case of bilateral Eagle syndrome which presented with chronic foreign body sensation in the throat but aggravated by fish bone ingestion. Flexible nasopharyngolaryngoscopy (FNPLS) and cervical x-ray did not reveal any foreign body but showed an incidental finding of elongated styloid process bilaterally. Contrast-enhanced CT scan of the neck confirmed the finding of the elongated styloid process bilaterally. The patient underwent transoral endoscopic assisted bilateral styloidectomy following tonsillectomy. There was complete resolution of the symptoms during postoperative follow-up. This approach is recommended to avoid external scarring, minimize postoperative pain, and shorter hospital stay.https://doi.org/10.1177/20101058231172233 |
| spellingShingle | Abdul Azim Al-Abrar Ahmad Kailani Muhammad Ariff Sobani Noor Shairah Mat Barhan Norazila Abdul Rahim Masaany Mansor Norhafiza Mat Lazim Bilateral eagle syndrome: A rare entity Proceedings of Singapore Healthcare |
| title | Bilateral eagle syndrome: A rare entity |
| title_full | Bilateral eagle syndrome: A rare entity |
| title_fullStr | Bilateral eagle syndrome: A rare entity |
| title_full_unstemmed | Bilateral eagle syndrome: A rare entity |
| title_short | Bilateral eagle syndrome: A rare entity |
| title_sort | bilateral eagle syndrome a rare entity |
| url | https://doi.org/10.1177/20101058231172233 |
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