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Classic Eagle’s Syndrome: Styloidectomy via the Transcervical Approach
  1. Monika Gupta1,
  2. Yajas Kumar2,
  3. Harshita Vig2 and
  4. Aliza Rizvi2
  1. 1Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
  2. 2Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar University, Mullana, Haryana, India
  1. Correspondence to Dr Monika Gupta; monikabox{at}


Eagle’s syndrome was first described by Watt Eagle in 1937, as a syndrome of vague orofacial and cervical pain. He reported two variants, classic styloid and stylocarotid artery syndrome. Eagle’s syndrome is a non-perceived and underdiagnosed clinical condition of the head and neck. This anomalous entity presents with neck pain, globus sensation, difficulty in turning the head, dysphagia, odynophagia and various other symptoms occurring as a result of irritation to the nearby structures. The surgical management of Eagle’s syndrome consists of two major approaches: the transoral and the transcervical approaches. We report a case of classic bilateral elongated styloid process syndrome, treated with transcervical styloidectomy for painful left elongated styloid process. This gave permanent relief to the patient. The transcervical surgical approach for resection of elongated styloid process in patients with Eagle’s syndrome appears to be safe and effective, although the risk for transient marginal mandibular nerve weakness is notable.

  • oral and maxillofacial surgery
  • dentistry and oral medicine

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  • Contributors MG was the operating surgeon. MG handled the study design and concept. MG and HV handled the manuscript preparation. MG and YK were involved in manuscript editing. MG and AR were in charge of manuscript review. All authors read and approved the final version of this manuscript and equally contributed to its content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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