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Ann Otol Rhinol Laryngol. 2015 Feb;124(2):158-61. doi: 10.1177/0003489414546399. Epub 2014 Aug 8.

Transoral resection of stylopharyngeus calcification: a unique manifestation of a stylohyoid complex syndrome.

Author information

1
Albert Einstein College of Medicine, Bronx, New York, USA.
2
Albert Einstein College of Medicine, Bronx, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York, USA.
3
Albert Einstein College of Medicine, Bronx, New York, USA Department of Radiology, Montefiore Medical Center, Bronx, New York, USA.
4
Albert Einstein College of Medicine, Bronx, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York, USA rsmith@montefiore.org.

Abstract

BACKGROUND:

Eagle syndrome is often considered in the work-up of odynophagia and neck pain. Classically, this is manifested by ossification or calcification of the stylohyoid ligament or styloid process. There are no reported cases of stylopharyngeal calcification leading to these symptoms.

CASE:

We describe a patient with a suspected submucosal pharyngeal foreign body who was found to have a calcified stylopharyngeus muscle and tendon during surgery. The patient experienced full resolution of symptoms after transoral robotic resection. This diagnosis was initially missed because the radiology was inconsistent with Eagle syndrome.

CONCLUSION:

This is the first report of isolated stylopharyngeal calcification, and this unique manifestation of a stylohyoid complex syndrome should be considered in patients with symptoms of Eagle syndrome without styloid elongation.

KEYWORDS:

Eagle syndrome; calcification; robotic; stylohyoid complex syndrome; styloid complex; stylopharyngeus; transoral

PMID:
25106549
DOI:
10.1177/0003489414546399
[Indexed for MEDLINE]

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