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

Rebecca J. Kamil, Nathan J. Gonik, Jimmy S. Lee, Keivan Shifteh, Richard V. Smith

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)158-161
Number of pages4
JournalThe Annals of otology, rhinology, and laryngology
Volume124
Issue number2
DOIs
StatePublished - Feb 1 2015

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Pharyngeal Muscles
Neck Pain
Robotics
Foreign Bodies
Ligaments
Radiology
Osteogenesis
Tendons
Muscles
Eagle syndrome

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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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 = "calcification, Eagle syndrome, robotic, stylohyoid complex syndrome, styloid complex, stylopharyngeus, transoral",
author = "Kamil, {Rebecca J.} and Gonik, {Nathan J.} and Lee, {Jimmy S.} and Keivan Shifteh and Smith, {Richard V.}",
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T1 - Transoral resection of stylopharyngeus calcification

T2 - a unique manifestation of a stylohyoid complex syndrome

AU - Kamil, Rebecca J.

AU - Gonik, Nathan J.

AU - Lee, Jimmy S.

AU - Shifteh, Keivan

AU - Smith, Richard V.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - 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.

AB - 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.

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