Abstract

Eagles syndrome is the elongation of the styloid process causing varied symptoms namely neck pain, dysphagia, referred pain to the ear, neuralgia, etc. These symptoms in a patient mimic other known diseases and hence take time for diagnosis of this disease. But nowadays with the advancement of radiological image guiding modality, it is diagnosed much easier and earlier. The normal length of a styloid process is 25 to 30mm. In our patient, the styloid process on the right and left side was 66mm and 33mm respectively. Computed tomography (CT) scan along with 3D reconstructive imaging was done for our patient. Intraoral tonsil sparing excision of the styloid process was done in our patient. Treatment strategies generally include medical management and surgical. Medical management includes the usage of analgesics, corticosteroids, antidepressants, and anticonvulsants, whereas in surgical varied approaches are extraoral, transoral, and endoscopic assisted. The Elongated Styloid process should be kept in mind when dealing with chronic throat pain not relieved on long-term medications.