• Oral Maxillofac Surg · Jun 2012

    Case Reports

    Cervicofacial pain associated with Eagle's syndrome misdiagnosed as trigeminal neuralgia.

    • Gabriela Mayrink, Evandro Portela Figueiredo, Fabio Ricardo Loureiro Sato, and Roger William Fernandes Moreira.
    • Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University-Unicamp, Av. Limeira, 901-Caixa Postal 52-Areião, Piracicaba, São Paulo, Brazil.
    • Oral Maxillofac Surg. 2012 Jun 1;16(2):207-10.

    BackgroundEagle's syndrome is characterized by the symptoms of recurrent throat pain, pharyngeal foreign body sensation, dysphagia, referred otalgia, and neck pain. The treatment for Eagle's syndrome can be pharmacologically, surgically, or both. The surgical management consists of two major procedures: the transoral approach or the extraoral-cervical approach.Case ReportA 64-year-old patient with a severe cervical pain on the left side was evaluated with no defined diagnosis. During physical examination, an elongated styloid process could be palpated and with CT scan image, the Eagle's syndrome diagnosis was done. The patient was successfully submitted to surgical resection of the elongated styloid process on the left side by an extraoral-cervical approach. After 6 months follow-up, the patient referred no symptom after the surgical treatment.ConclusionThe extraoral/cervical approach is a safe alternative that achieves adequate treatment of Eagle's syndrome.

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