Drtbalu at 10:48, 15 May 2019

2019-05-15T10:48:09Z

Drtbalu at 05:40, 13 November 2018

2018-11-13T05:40:50Z

Drtbalu: Created page with " Category:Case Report History: 40 years old male patient presented with complaints of: 1. Severe pain left side of throat - 3 months 2. Pain radiating to left ear No..."

2018-11-13T05:38:20Z

Created page with " Category:Case Report History: 40 years old male patient presented with complaints of: 1. Severe pain left side of throat - 3 months 2. Pain radiating to left ear No..."

New page

[[Category:Case Report]]

History:

40 years old male patient presented with complaints of:

1. Severe pain left side of throat - 3 months

2. Pain radiating to left ear

No history of pain while swallowing.

No history of recurrent upper respiratory tract infections.

Patient was not a known diabetic and not a known hypertensive.

On examination:

Throat: Both tonsils normal. No abnormality seen. On palpation a hard mass could be felt under the left tonsil. It was tender to touch.

Investigations:

Xray skull lateral view:

[[File:Lateral.jpg|framed|center|Shows dense opacity in the styloid process area]]

[[File:Antero post.jpg|thumbnail|center]]

[[File:Axial sty.jpg|thumbnail|center|Imaging studies pointed towards one diagnosis i.e. ossification of stylohyoid ligament.]]

Management:

Patient was taken up for surgery under General anaesthesia.

Position : Tonsillectomy position (Rose Position)

Mouth kept open using Boyles Davis mouth gag.

Preliminary left tonsillectomy done. Perfect hemostasis secured.

Constrictor muscles forming tonsillar bed teased out exposing dense bony structure underneath.
It was bony hard on palpation. The same was removed using high speed drills.

<HTML5video width="640" height="480" autoplay="true">styloid</HTML5video>

Discussion:

Elongated / ossified styloid process can cause following complaints due to compression of neurovascular bundle.

1. Vague pain the neck

2. F.B. Sensation in the throat

3. Pain while changing head position

4. Pain in the ear

5. Pain radiating to upperlimb

Eagle was the first person to describe this condition and hence it is known as "Eagle's syndrome".

Eagle described two variants of this syndrome:

Classic Eagle's syndrome:

Pain is the most important feature of this syndrome due to nerve compression i.e. Glossopharyngeal nerve.

Carotid artery syndrome:

This condition is featured by vascular compression due to enlarged styloid process. This classically causes giddiness on head turning

Tests to diagnose Eagle's syndrome include:

1. Palpation of tonsillar fossa

2. Xylocaine infiltration test: Gives pain relief when xylocaine is infiltrated into the tonsillar fossa

Surgery is reserved for symptomatic cases. Intraoral / cervical approaches can be attempted.

[[File:Styloids.jpg|thumbnail|center]]

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	It was bony hard on palpation. The same was removed using high speed drills.		It was bony hard on palpation. The same was removed using high speed drills.

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	Discussion:		Discussion:

Styloid process syndrome - Revision history

Drtbalu at 10:48, 15 May 2019

Drtbalu at 05:40, 13 November 2018

Drtbalu: Created page with " Category:Case Report History: 40 years old male patient presented with complaints of: 1. Severe pain left side of throat - 3 months 2. Pain radiating to left ear No..."