Article In Press | Published on: August 14, 2026
Volume: 2, Issue: 1
1. Department of Anesthesiology and Critical Care, Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal.
DOI: doi.org/10.66609/jscrr-rpc.25.00557
Corresponding Author: Rahul Kumar Chaudhary, Department of Anesthesiology and Critical Care, Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal.
Citation: Rahul K. Chaudhary. (2026). Eagle’s Syndrome Revisited: Perioperative Strategies for Bilateral Elongated Styloid Process – A Case Report. Journal of Surgical Case Reports and Research, RPC Publishers, 2(1); DOI: doi.org/10.66609/jscrr-rpc.25.00557
Copyright: © 2026 Rahul Kumar Chaudhary, this is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Eagle’s syndrome, a rare condition characterized by symptomatic elongation (>2.5 cm) or calcification of the styloid process or stylohyoid ligament, often manifests as chronic throat pain, dysphagia, foreign body sensation, and referred otalgia or headache-yet remains underdiagnosed, with only few individuals developing symptoms. This case report highlights a classic presentation in a 37-year-old male with a 2-year history of progressive throat pain and solid-food dysphagia, where contrast-enhanced CT (CECT) neck revealed striking bilateral elongation (right: 45 mm; left: 48.6 mm). The patient underwent endoscopic bilateral styloidectomy via an intraoral tonsillar fossa approach under general anesthesia, resulting in resolution of symptoms and no recurrence at follow-up. Despite its rarity, Eagle’s syndrome warrants consideration in differential diagnoses of orofacial pain, as misdiagnosis can lead to prolonged morbidity. The case illustrates the importance of multidisciplinary collaboration between otolaryngologists, anesthesiologists, and radiologists to optimize outcomes, offering a replicable model for managing similar presentations.
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