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IJAR.2017.227

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Type of Article:  Original Research

Volume 5; Issue 2.3 (June 2017)

Page No.: 3952-3957

DOI: https://dx.doi.org/10.16965/ijar.2017.227

STYLALGIA – GLOSSOPHARYNGEAL NEURALGIA: OUTCOME OF MANAGEMENT

Shedge Swapna A *1, Dr. Havle Abhay D 2, Roy Priya P 3, Shedge Ajay J 4.

*1 Assistant Professor  Department of Anatomy, KIMS University, Karad, Maharashtra, India.

2 Professor & Head , Department of Otorhinolaryngology, KIMS University, Karad, Maharashtra, India.

3 Assossiate Professor  Department of Anatomy, KIMS University, Karad, Maharashtra, India.

4 Associate Professor Department of Pathology, Amaltas Institute of Medical Sciences, Dewas. MP, India.

Correspondence Address: Dr. Shedge Swapna A, Assistant Professor, Department of Anatomy,

KIMSDU, Karad, Maharashtra, 415110, India. Mobile- (91) 9850816966 E-Mail: swapna.shedge@gmail.com

ABSTRACT

Inroduction: Elongated styloid may pose either Classical Eagle’s or Stylocarotid syndrome leading to oro-facial pain. However, in patients of oro-facial pain, the investigation about the elongation of styloid process (SP) is not made routinely. Consequently, SP elongation is usually over looked as possible cause of symptom referral.

Materials and Methods: In our study the various presenting symptoms were throat pain, ipsilateral otalgia and foreign body sensation in throat. Digital palpation of styloid process and accentuation of pain in tonsillar fossa, positive lignocaine test along with radiological demonstration of the elongation of  styloid process confirm the diagnosis. Total of 30 patients were treated surgically by transoral Styloidectomy for oro-facial pain. All resected tonsils were subjected to histopathological examination. This is a prospective study conducted at the Krishna Hospital, Karad, Maharashtra, India.

Results: Twenty eight (93%) of 30 cases of oro-facial pain became asymptomatic after surgery. 1 had considerable improvement to the extent that the subject did not require any analgesics subsequently..21 (70 %)  out of 30 resected tonsils revealed fibrous variety. There were no serious surgical complications.

Conclusion: Tonsillo-styloidectomy is the treatment of choice for Eagle’s syndrome with a high success rate. Usefulness of medical (non surgical) treatment remains doubtful.

Key words: Eagle’s syndrome, Stylocarotid syndrome, Oro-facial pain, Digital Palpation, Female, Transoral Styloidectomy.

REFERENCES

  1. Eagle WW. Elongated Styloid process. Arch Otolaryngol 1937;25:584-587.
  2. Eagle WW. Elongated styloid process; symptoms and treatment. AMA Arch Otolaryngol 1958. Feb;67(2):172-176. [PubMed]
  3. Eagle WW. The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg 1962;28:1-5.
  4. Mendelsohn AH, Berke GS, Chhetri DK. Heterogencity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surgery. 2006; 134:389-393.
  5. Linden R WF. Indications for esophageal reconstruction of corrosive Structures. Acta Oto-laryngol .1966;62:27-32.
  6. Glogoff MR, Baum SM,  Cheifetz    Diagnosis  and  treatment  of  Eagle’s syndrome.  J Oral Surg 1981;39:941-4.
  7. Eagle WW. Elongated SP. Further observations and a new syndrome. Archives of Otolaryngoloy. 1948;47(5):630–640.
  8. Ernest EA. The Ernest Syndrome: An Insertion Tendinosis of the Stylomandibular Ligament. Journal of Neurology and Orthopedic Medicinand Surgery. 1986;7(4):427-438.
  9. Wong ML, Rossi MD, Groff W, Castro S, Powell J. Physical therapy management of a patient with Eagle syndrome. Physiotherapy Theory Pract 2011;27:319-27.
  10. Chase DC, Zarmen A, Bigelow WC, McCoy JM. Eagle’s syndrome: a comparison of intraoral versus extraoral surgical approaches. Oral Surg Oral Med Oral Pathol 1986;62:625–629.
  11. Mendelsohn AH, Gerald S, Dinesh KC. Heterogeneity in the Clinical Presentation of Eagle’s Snyrome. Am Otolaryngology – Head and Neck Surgery. 2006;134:389–393.
  12. Camarda AJ, Deschamps C, Forest DI. Stylohyoid chain ossification: A discussion of etiology. Oral Surg Oral Med Oral Pathol. 1989;67:508–14.
  13. Kaufman SM, Elzay RP, Irish EF. SP variation. Radiologic and clinical study. Arch Otolaryngol. May 1970;91(5):460-3.
  14. Restrepo, Palacios  SE,  Rojas    Eagle’s  Syndrome.  Ear,  Nose  &  Throat Journal 2000;81(10):700-701.
  15. Mendelsohn AH, Berke GS, Chhetri DK. Heterogencity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surgery. 2006;134:389-393.
  16. Linden R WF. Indications for esophageal reconstruction of corrosive Structures. Acta Oto- laryngol .1966;62:27-32.
  17. Keur JJ, Milner, Campbell JP et al. The clinical significance of the elongated SP. Oral Surg Oral Med Oral Pathol. 1986;61:399–404.
  18. Baddour HM, Mc Anear JT, Tilson AB. Eagles syndrome Report of case. J Oral Surg. 1978;36(6):486.
  19. Sikanjic, P.R., and Vlak, D. Elongated SP in Late Medieval Skeletons from Uzdolje- Grablje, Croatia. International Journal of Osteoarchaeology. 2008;20(2):248-252.
  20. Maru YK, Patidar Kusum. Stylalgia and its surgical management by intra  oral  route- clinical experience of 332 cases. Indian Journal of Otolaryngology and Head and Neck Surgery. April – June 2003;55:2.
  21. Grossman JR & Tarsitano The styloid-stylohyoid syndrome.J. Oral Surg. 1977;35(7):555-60.
  22. Neville B, Dam DD, Allen CM , Bouquot J. Patologia oral maxilofacial. Rio de Janeiro Elsevier. 2009;3:
  23. Ceylan Alper, Sabri Uslu. Surgical Treatment of Elongated SP: Experience of 61 Cases Skull Base. 2008 July;18(5):289–295.
  24. Albinas Gervickas, Ricardas Kubilius, Gintautas Sabalys. Clinic, Diagnostics and Treatment Pecularities of Eagle’s syndrome, Stomatologija, Baltic Dental and Maxillofacial Journal. 2004;6:11-13.
  25. Yadav Samar P.S. Stylalgia: An Indian Perspective The Journal of Otolaryngology. October 2001;30(5):304-305.
  26. Naik SM, Naik SS. Tonsillo-Styloidectomy for eagle’s syndrome: a review of 15 cases in KVG medical college Sullia. Oman Med J. 2011 March;26(2):122–126.
  27. Mohanty S. Significance of styloidectomy in Eagle’s syndrome: an analysis. Indian J Otolaryngol Head Neck Surg. October–December 2009;61:262-265.

Cite this article: Shedge Swapna A, Dr. Havle Abhay D, Roy Priya P, Shedge Ajay J. STYLALGIA – GLOSSOPHARYNGEAL NEURALGIA: OUTCOME OF MANAGEMENT. Int J Anat Res 2017;5(2.3):3952-3957. DOI: 10.16965/ijar.2017.227