Intra-oral styloidectomy in a patient with Styloid-Stylohyoid Syndrome

Admin Dental Press

Edition V03N03 | Year 2017 | Editorial Case Report | Pages 50 to 55

Andressa Bolognesi Bachesk, Willian Pecin Jacomacci, Diogo De Vasconcelos Macêdo, Marcello Piacentini, Angelo José Pavan, Edevaldo Tadeu Camarini

The Styloid-Stylohyoid Syndrome is characterized by neck pain caused by elongation of the styloid process or calcification of the stylohyoid ligament. Among the symptoms, neck pain is reported, strange body sensation in the throat, dysphagia, sore throat and ear pain. Diagnosis is based on clinical and imaging examination, and treatment can be pharmacological or surgical. This article aim was to report 1. Kapoor V, Jindal G, Garg S. Eagle’s Syndrome: a new surgical technique for styloidectomy. J Maxillofac Oral Surg. 2015;14(Suppl 1):360-5. 2. Higino TCM, Tiago RSL, Belentani FM, Nascimento GMS, Maia, MS. Síndrome de Eagle: relato de três casos. Arq Int Otorrinolaringol. 2008;12(1):141-4. 3. Cerqueira CCR, Batista ACC, Medeiros JO, Silva EP, Rosa ELS. Acesso Intraoral em três casos de Síndrome de Eagle. Rev Cir Traumatol Buco-Maxilo-Fac. 2014 Abr-Jun;14(2):9-14. 4. Pereira FL, Iwaki Filho L, Pavan AJ, Farah GJ, Gonçalves EA, Veltrini VC, et al. Styloid-stylohyoid syndrome: literature review and case report. J Oral Maxillofac Surg. 2007 July;65(7):1346-53. 5. Al Weteid AS, Miloro M. Transoral endoscopic-assisted styloidectomy: How should Eagle syndrome be managed surgically? Int J Oral Maxillofac Surg. 2015 Sept;44(9):1181-7. 6. Carlini JL, Strujak G, Biron C, Gebert AO, Romanowisk M. Síndrome de Eagle: relato de caso tratado por abordagem intraoral e revisão de literatura. Rev Bras Cir Traumatol Buco-maxillofac. 2010;10(1):77-82. 7. Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D. The long styloid process syndrome or Eagle’s syndrome. J Craniomaxillofac Surg. 2000 Apr;28(2):123-7. 8. Steinmann EP. Styloid syndrome in absence of an elongated process. Acta Otolaryngol. 1968 Oct;66(4):347-56. 9. Chrcanovic BR, Custódio ALN, Oliveira DRF. An intraoral surgical approach to the styloid process in Eagle’s syndrome. Oral Maxillofac Surg. 2009 Sept;13(3):145-51. 10. Yavuz H, Caylakli F, Yildirim T, Ozluoglu LN. Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol. 2008 Nov;265(11):1393-6. Referências: a case of a patient diagnosed with this syndrome, as well as to present a thorough review of the literature. Although conservative treatment is a viable option, surgery (intra or extraoral) shows up as the most effective option in cases of persistent symptoms. In this case, it was conducted an intraoral surgical approach to bilateral styloidectomy, because in addition to being safer, allowed less surgical time, better postoperative recovery and absence of cutaneous scar.

Maxillofacial abnormalities, Neck pain, Surgery, oral,

Bachesk AB, Jacomacci WP, Macêdo DV, Piacentini M, Pavan AJ, Camarini ET. Estiloidectomia intrabucal em paciente portador de Síndrome Estiloide-estilo-hioide. J Braz Coll Oral Maxillofac Surg. 2017 set-dez;3(3):50-5. DOI:

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