J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Sep;32(5):467-472.

Eagle's Syndrome Presenting Unilateral Facial Nerve Palsy: Case Report

• Shin HJ
• Kwon YW
• Cho SM
• Kim CH
• Park JU

Abstract

Eagle's syndrome is the manifestation of elongated styloid process that is not a common entity in dental clinics. Without the knowledge of this syndrome misdiagnosis can be made and therefore differential diagnosis with other diseases of oral and maxillofacial area is required. The symptoms of elongated styloid process are cervical pain, foreign body sensation, dysphagia and pharyngeal pain. A 27 years old male visited our hospital. He had cervical pain with unilateral facial nerve palsy. Along with meticulous clinical examinations, 3D-CT, Plain radiographic studies were used to make the diagnosis. In computed tomography, Lt. styloid process was elongated and fractured. Patient have undergone surgical resection of elongated styloid process and have been carefully observed. Characteristically, preoperative facial nerve palsy showed rapid postoperative recovery. The other clinical symptoms that were present in the initial visit were diminished. The purpose of this article is to report a case of Eagle's syndrome presenting unilateral facial nerve palsy that was treated with transoral surgical approach with literature review.

Keyword

Eagle's syndrome; Fracture of styloid process; Facial nerve palsy

MeSH Terms

Deglutition Disorders
Dental Clinics
Diagnosis, Differential
Diagnostic Errors
Facial Nerve
Foreign Bodies
Humans
Male
Neck Pain
Ossification, Heterotopic
Paralysis
Sensation
Temporal Bone
Ossification, Heterotopic
Temporal Bone