Eagle Syndrome

FACTS

elongated styloid process or ossified styloid ligament compresses cranial nerve 9 (glossopharyngeal)
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HPI

  • does swallowing / speaking cause ear pain?
  • throat discomfort
  • quality of pain?
    • can be continuous, dull, throbby, achy or shooting pain to ear/jaw
    • “something stuck in throat”

PHYSICAL EXAM

IMAGING

evaluate for elongated styloid process (>30mm)
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A/P
  • Operative options
    • resect excess styloid and neuroplasty of glosspharyngeal nerve