Importance of anatomical knowledge in Eagle Syndrome: report on dry skulls

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9488

Keywords:

Styloid apophysis; Bone elongation; Clinical anatomy.

Abstract

The styloid process is a bony and pointed projection that originates in the temporal bone and its standard length varies from 25 to 30 mm. When this length is exceeded, this bone accident is considered elongated, which associated with specific symptoms may indicate the diagnosis of Eagle syndrome. This report was an anatomical, observational finding, performed from osteotechnics on dry adult skulls, owned by the Human Anatomy laboratory at the Federal University of Paraná - Campus Toledo. The findings were measured with a caliper nove. Among twelve human bones analyzed, two had an elongated styloid process that were 45 mm long on the right side and 43 mm on the left side in skull 1 and 41 mm long on the left side and 39mm on the right side in skull 2. Thus, the length measurements of the styloid apophyses found are larger than the average of the sizes reported in the literature, which suggests that this anomalous styloid process would be compressing adjacent structures and causing clinical symptoms compatible with Eagle's Syndrome. Knowledge about the pathology, as well as its clinical manifestations, may favor the suspicion of the disease by medical professionals.

References

Balcioglu, H. A.; Kilic, C.; Akyol, M.; Ozan, H. & Kokten, G. (2009). Length of the styloid process and anatomical implications for Eagle's syndrome. Folia Morphol (Warsz), 68(4), 265-270.

Barros, E. L. D & Lins, C. C. S .A. (2010). Considerações anátomo-clínicas da Síndrome de Eagle. IJD. International Journal of Dentistry, 9(2), 90-92.

Bozkir, M. G.; Boga, H. & Dere, F. (1999) The Evaluation of Elongated Styloid Process in Panoramic Radiographs in Edentulous Patients. Turkish Journal of Medical Sciences, 29, 481-485.

Chourdia, V. (2002). Elongated Styloid Process (Eagle´s Syndrome) & Severe Headache. Indian Journal of Otolaryngology and Head and Neck Surgery, 54, 238-241.

Correll, R. W.; Jensen, J. L.; Taylor, J. B. & Rhyme, R. R. (1979). Mineralization of the stylohyoid-stylomandibular ligament complex. Oral Surg Oral Med Oral Pathol, 48(4), 286-291.

Eagle, W. W. (1949). Symptomatic elongated styloid process. Arch Otolaryngol, 49, 490- 503.

Eagle, W. W. (1937). Elongated styloid processes: report of two cases. Arch Otolaryngol, 25(5), 584-587.

Ferrario, V. F.; Sigurtá, D.; Daddona, A.; Dalloca, L.; Miani, A.; Tafuro, F, et al. (1990). Calcification of the stylohyoid ligament: incidence and morphoquantitative evaluations. Oral Surg Oral Med Oral Pathol, 69(4), 524-529.

Fuentes, F R. et al. (2007). Processo estilóides en una amuestra de radiografias panorâmicas de la ciudade de Temuco-Chile. International Journal of Morphology, 25(4), 729-723.

Guimarães, S. M. R.; Carvalho, A. C. P.; Guimarães, J. P.; Gomes, M. B.; Cardoso, M. M. M. & Reis H. N. (2006). Prevalência de alteração morfológica. do processo estilóide em pacientes com desordem temporomandibular. Radiologia Brasileira, 39, 407-411.

Guzzo, F. A. V et al. (2006). Síndrome de Eagle: Relato de caso. Revista Paraense de Medicina, 20(4), 47-51.

Ilguy, M. et al. (2005). Incidence of the type and calcification patterns in patients with elongated styloid process. The Journal of International Medical Research, 33(1), 96-102.

Kawai, T.; Shimozato, K.; Ochiai, S. (1990). Elongated styloid process as a cause of difficult intubation. J. Oral Maxillofac Surg, 48, 1225-1228.

Leite, H. F. et al. (1988). Prevalência do processo estilóde alongado em crânios humanos. Rev Odont UNESP, 17(1/2), 145-151, jan./fev.

Maiello, V. L.; Alves, F. E. M. M. (2006). Síndrome de Eagle: proposição de critério diagnóstico. Rev Assoc Paul Cir Dent, 60, 403-406.

Mortellaro, C.; Biancucci, P.; Picciolo, G. & Vercellino, V. (2002). Eagle's syndrome: importance of a corrected diagnosis and adequate surgical treatment. J Craniofac Surg 13, 755-758.

Neto, M. P. Síndrome de eagle: aspectos radiográficos e implicações clínicas. Monografia de especialização (Radiologia Odontológica) - Faculdade de Odontologia de Piracicaba, da Universidade Estadual de Campinas, Piracicaba, 1999.

O’carroll M. K. (1984). Calcification in the stylohyoid ligament. Oral Surg Oral Med Oral Pathol, 58(5), 617-21.

Pereira, L. C. et al. (2008). Síndrome de Eagle: Relato de caso. Revista da Academia Tiradentes de Odontologia, 8(11), 624-631.

Pereira, A. S., Shitsuka, D. M., Parreira F. J. & Shitsuka R. (2018). Metodologia da pesquisa científica [E-book]. Santa Maria, RS: UFSM, NTE. Recuperado de https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Quereshy, F. A.; Gold, E. S.; Arnold, J. & Powers, M. P. (2001). Eagle’s syndrome in an 11-year-old patient. J Oral Maxillofac Surg, 59, 94-97.

Ruprecht, A.; Sastry, K. A.; Gerard, P. & Mohammad, A. R. (1988). Variation in the ossification of the stylohyoid process and ligament. Dentomaxillofac Radiol, 17(1), 61-66.

Silva, H. J.; Moraes, S. R. A. & Tashiro, T. (2002). Análisis morfométrico de los elementos de la cadena estilohioidea. Revista Chilena de Anatomia, 20(2), 205-210.

Sokler, K. & Sandev, S. (2001). New classification of the styloid process length – clinical application on the biological base. Coll Anthropol, 25(2), 627-32.

Solfanelli, S. X. et al. (1981) Surgical management of a symptomatic fractured, ossified stylohioid ligament. Oral Surg, 52(6), 569-573, dec.

Watanabe, P. A. C. et al. (1998). Síndrome do processo estilóide alongado (Síndrome de Eagle). Rev Assoc Paul Cir Dent, 52(6), 487-490, nov./dez.

Published

31/10/2020

How to Cite

SOUZA, M. P. de .; FERNANDES , S. E. S.; KRAMER, Y. K. .; ESCARANTE, G. D. .; DELAI, A. .; KOMORI, N. T. .; PEREIRA, K. F. Importance of anatomical knowledge in Eagle Syndrome: report on dry skulls. Research, Society and Development, [S. l.], v. 9, n. 11, p. e149119488, 2020. DOI: 10.33448/rsd-v9i11.9488. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/9488. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences