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An unusual cause of recurrent throat pain – calcified stylohyoid ligament.
Author(s):
1. Salman Baig: Department of ENT, King Faisal Hospital and Research Centre, Riyadh, Saudi Arabia
2. Nash Patil: Department of ENT, Sligo General Hospital, Sligo, Republic of Ireland
3. Niall Considine: Department of ENT, Sligo General Hospital, Sligo, Republic of Ireland
Abstract:
Calcified stylohyoid ligament is also called an elongated styloid process and the symptom complex that it produces is called Eagles syndrome. The symptoms of neck pain, sore throat, foreign body sensation in the throat, dysphagia and otalgia may be confused with other head and neck pain and are often worsened by yawning, opening the mouth wide or turning the head laterally. This is the result of involvement of cranial nerves, carotid plexus and cervical plexus. Carotid artery involvement causes wider symptomatology. Sometimes, it presents as a complication of tonsillectomy procedure. Elongated styloid process is conveniently identified on firm digital examination of tonsillar fossa. Diagnosis is made with appropriate radiological examination. Non-surgical treatment options include re-assurance, analgesia, anti-inflammatory medications and surgical option is shortening of the elongated styloid process by transoral or external approach. The condition is hereby described in a 59 years old male.
Page(s): 258-260
DOI: DOI not available
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 22, Issue: 4, Year: 2012
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