Ear, Nose, and Throat Department, Başkent University, Istanbul Hospital, Istanbul.
Ear, Nose, and Throat Department, Başkent University, Ankara Hospital, Ankara, Turkey.
J Craniofac Surg. 2020 Sep;31(6):e540-e541. doi: 10.1097/SCS.0000000000006467.
Elongation of the stylohyoid process or calcification of the stylohyoid ligament is known as the Eagle syndrome. Mostly, it is seen incidentally on imaging or with extreme suspicion and usually patients are asymptomatic.Surgery is the preferred method in symptomatic patients. Transcervical or transoral methods may be preferred as surgical route.A 28-year-old female patient who had formerly underwent tonsillectomy presented with throat and ear pain. A neck computed tomography was performed, and the patient was diagnosed as Eagle Syndrome. Surgery was recommended.Patient developed transient velopharyngeal insufficiency on postoperative day 4. Ventilation exercise and follow-up was recommended. Complaints of the patient decreased on the 15th day.It should be kept in mind that stylohyoid ligament may be calcified in young age group and middle age group patients with dysphagia or odynophagia, and differential diagnosis should be performed. Another issue is the condition of velofaringeal insufficiency which may occur due to the damage of the pharynx muscles by deep dissection during surgery.
茎突过长或茎突舌骨韧带钙化被称为鹰钩综合征。大多数情况下，它是在影像学检查中偶然发现的，或者是在高度怀疑的情况下发现的，通常患者无症状。对于有症状的患者，手术是首选方法。对于有症状的患者，经颈或经口方法可能是首选的手术途径。一位 28 岁的女性患者，曾行扁桃体切除术，出现咽喉痛和耳痛。行颈部 CT 检查，诊断为鹰钩综合征。建议手术。术后第 4 天，患者出现一过性软腭闭合不全。建议进行通气锻炼和随访。第 15 天，患者的症状减轻。应注意，在年轻患者和有吞咽困难或咽痛的中年患者中，茎突舌骨韧带可能会钙化，应进行鉴别诊断。另一个问题是由于手术中深部解剖损伤咽肌，可能会出现软腭咽闭合不全的情况。
