Styalgia (Eagle Syndrome)
Definition: Pain condition due to an elongated styloid process or calcification of the stylohyoid ligament.
Anatomy & Aetiology
| Measurement | Value |
|---|---|
| Normal Styloid Length | ~ 25 mm |
| Elongated Styloid | > 30 mm |
Clinical Features
- Pain Location: Tonsillar fossa and upper neck.
- Radiation: Radiates to the ipsilateral ear.
- Aggravating Factor: Pain worsens on swallowing.
- Note: Many people have an elongated styloid process but remain asymptomatic.
Diagnosis
1. Clinical
Transoral Palpation: The styloid process can be felt in the tonsillar fossa.
2. Imaging
- X-Ray:
- Anteroposterior view (open mouth).
- Lateral view of skull.
- CT Scan: With 3D reconstruction (Excellent visualization).
Treatment
- Asymptomatic: No treatment needed.
- Symptomatic: Surgical Excision of the styloid process.
Surgical Approaches
1. Transoral Approach
OR
2. Cervical Approach
📚 Source: ENT Dhingra
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