[Ossification of the stylohyoid chain in computerized tomography--Eagle syndrome].

Aktuelle Radiol

Institut für Radiologie, Krankenhaus St. Franziskus, Grieskirchen, Osterreich.

Published: November 1997

The computed tomographic morphology of a typical Eagle syndrome is presented on the basis of a case history. In a 40-year old male patient [correction of female] presenting with bilateral tinnitus, globus hystericus, and increasing hoarseness computed tomography revealed bilateral ossification of the stylohyoid ligament. The incidence of stylalgia is very low in comparison to the occurrence of a elongated styloid process or an ossified stylohyoid ligament. However, in cases of unexplained complaints in the head and neck region it should be considered in the differential diagnosis as it has therapeutic consequences.

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Article Synopsis
  • Eagle syndrome involves the impingement of an elongated styloid process or calcified stylohyoid ligament on neck structures, impacting vascular elements, known as stylocarotid syndrome, is less understood by doctors.
  • A review of cases at the hospital showed five instances of vascular issues linked to Eagle syndrome, including serious conditions like carotid perforation and internal carotid dissections.
  • There's a call for a unified definition of Eagle syndrome to improve diagnosis and treatment, with styloidectomy often used for compression, but further research is needed for other circumstances.
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Article Synopsis
  • Eagle syndrome is a bone disease causing the styloid process (a small bone near the neck) to grow too long, leading to pain in the throat and neck.
  • A study looked at 6 patients and found they mostly had neck pain, a feeling like something is stuck in their throat, and difficulty swallowing.
  • The researchers discovered that the elongated styloid processes were made of mature bone and might be growing differently than what was previously thought, which helps understand why this happens.
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Treatment of hyoid bone syndrome with surgical excision: our monocentric experience in the past five years.

Am J Otolaryngol

December 2024

Department of Otorhinolaryngology, UZA, Antwerp, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. Electronic address:

Purpose: In 1968, Steinmann described the hyoid bone syndrome as a degenerative and inflammatory insertion tendinosis. It causes unilateral pain in the neck, increased by swallowing and palpation. The treatment is conservative, but when this fails, surgery is an option.

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Objective: The purpose of this study is to describe both the common and uncommon symptoms associated with Eagle syndrome and share our experience treating a large group of patients with surgical intervention, primarily intraoral excision of the calcified stylohyoid ligament.

Methods: This retrospective case series included 56 patients at least 18 years of age or older with a diagnosis of Eagle syndrome. All operations were conducted by a single surgeon at a tertiary medical center from 2015 to 2022.

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Eagle's syndrome is a condition characterized by an elongated styloid process or a calcified stylohyoid ligament, which can lead to a plethora of symptoms, such as neck and facial pain upon movement, dysphagia, pharyngeal foreign body sensation, headache, and vertigo-like sensations. This pathology may affect one or both of a patient's styloid processes (unilateral or bilateral), with most of these cases going undiagnosed due to the vague nature of their symptoms. Nonetheless, the diagnosis of Eagle's syndrome must derive from the combined findings of both clinical examination and radiographic imaging.

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