Eagle syndrome: a case report

Yıl 2016, , 30 - 4, 01.01.2016

Nilüfer Ersan , Mehmet İlgüy , Dilhan İlgüy

https://doi.org/10.17214/aot.25411

Öz

INTRODUCTION: Eagle syndrome, an uncommon sequela of elongation of the styloid process or calcification of the stylohyoid ligament, can manifest as pain in the face and the anterolateral neck, often with referred pain to the ear and the temporomandibular joint area.

CASE REPORT: A 43-year-old female patient presented to the Dentomaxillofacial Radiology Department with complaints of unremitting unilateral facial and neck pain, limitation in the movement of the neck, sensation of foreign body in the throat, dysphagia, and otalgia for a year. Systemic anamnesis of the patient was unremarkable. In the clinical examination, digital palpation of the tonsillar fossa aggravated the pain. The patient was being treated for temporomandibular joint disorder. A panoramic radiograph taken after the clinical examination revealed bilateral styloid process elongation. Cone-beam computed tomography also revealed bilateral ossification of the stylohyoid ligament which was measured as 71.5 mm and 69.6 mm on the right and the left side, respectively; and the patient was diagnosed as having Eagle syndrome. The patient was referred to the otolaryngology clinic for surgical treatment. Surgical shortening of the structure provided definitive relief in the patient's symptoms.

CONCLUSION: In cases of unexplained complaints in the head and neck region Eagle syndrome should be considered in the differential diagnosis as it may change the treatment approach.

Anahtar Kelimeler

Cone-beam computed tomography, dysphagia, Eagle syndrome

Eagle sendromu: olgu bildirimi

Öz

TANITIM: Eagle sendromu, kulak ve temporomandibular eklem bölgesine doğru yayılan, yüz ve boyun ağrısı şeklinde görülen, uzun stiloid çıkıntı veya kalsifiye stilohyoid ligamentin semptomatik halidir.

OLGU BİLDİRİMİ: 43 yaşındaki kadın hasta 1 yıldır boynun sağ tarafında, mandibulanın arkasından boynun yan tarafına ve kulağa doğru uzanan, tek taraflı, zaman zaman yutma güçlüğüne yol açan, yabancı cisim hissi veren ve boyun hareketlerinde kısıtlılığa neden olan ağrı şikayeti ile Dentomaksillofasiyal Radyoloji kliniğimize başvurdu. Sistemik hastalığı bulunmayan hastanın dental anamnezinde temporomandibuler eklem bozukluğu nedeniyle tedavi görmekte olduğu saptandı. Klinik muayenede tonsiller fossa palpasyonunda ağrının arttığı belirlendi. Rutin tarama için alınan panoramik radyografide çift taraflı uzun stiloid çıkıntı gözlendi. Konik ışınlı bilgisayarlı tomografide de stiloid ligamentin sağda 71.5 mm, solda 69.6 mm ölçülen çift taraflı kalsifikasyonu izlendi ve hastaya Eagle sendromu tanısı konuldu. Hasta cerrahi rezeksiyon için Kulak-Burun-Boğaz kliniğine yönlendirildi. Uzun stiloid çıkıntının cerrahi olarak kısaltılması ile hastalığın semptomlarında iyileşme sağlandı.

SONUÇ: Baş-boyun bölgesinde sebebi bulunamayan şikayetlerin varlığında tedavi protokolünü değiştirebilmesi nedeniyle Eagle Sendromu ayırıcı tanıda göz önünde bulundurulmalıdır.

Anahtar Kelimeler

Disfaji, Eagle sendromu, konik ışınlı bilgisayarlı tomografi

Kaynakça

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