Journals / Selcuk Dental Journal / 2026 / Volume: 13 Issue: 2

Multidisciplinary Management of Eagle Syndrome: From Diagnosis to Treatment

İremnur Sambur(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, GÜLHANE DİŞ HEKİMLİĞİ FAKÜLTESİ)0009-0006-6402-8717
Hilal Peker Öztürk(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, GÜLHANE DİŞ HEKİMLİĞİ FAKÜLTESİ (ANKARA), GÜLHANE DİŞ HEKİMLİĞİ PR. (ANKARA))0000-0003-4774-6232
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Publication Date
2026-08-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: eagle syndrome, bruxism, elongated, ct

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Abstract Background: Eagle syndrome is a rare clinical entity characterized by a wide spectrum of symptoms, most commonly orofacial pain, dysphagia, and cervical discomfort.
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Key Findings & Data:Results: Postoperative clinical follow-up demonstrated a marked improvement in the patient’s symptoms, including a significant increase in maximum mouth opening and relief of orofacial pain.
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Conclusion & Impact:Keywords: eagle syndrome, bruxism, elongated, ct
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:eagle syndrome · styloid process · elongated

Abstract

Abstract Background: Eagle syndrome is a rare clinical entity characterized by a wide spectrum of symptoms, most commonly orofacial pain, dysphagia, and cervical discomfort. These symptoms result from compression and irritation of adjacent neurovascular and soft tissue structures caused by elongation and/or calcification of the styloid process. Despite the importance of a detailed medical history, careful clinical examination, and appropriate imaging modalities, the variability and nonspecific nature of clinical findings often make diagnosis challenging and may lead to delayed or missed diagnosis. Methods: We report the case of a patient who presented to our clinic with clinical complaints suggestive of Eagle syndrome. A comprehensive clinical evaluation was performed, followed by radiological assessment using panoramic radiography and computed tomography. Based on the radiological findings, the patient was referred to the otorhinolaryngology clinic, where the diagnosis of Eagle syndrome was confirmed. The patient subsequently underwent bilateral surgical shortening of the elongated styloid processes. Results: Postoperative clinical follow-up demonstrated a marked improvement in the patient’s symptoms, including a significant increase in maximum mouth opening and relief of orofacial pain. Radiological evaluation at follow-up supported successful surgical management, with no evidence of postoperative complications. Conclusions: Eagle syndrome should be considered in the differential diagnosis of patients presenting with unexplained orofacial pain and related symptoms. A multidisciplinary approach involving oral and maxillofacial radiology, otorhinolaryngology, and appropriate imaging techniques plays a critical role in accurate diagnosis and effective treatment planning. Keywords: eagle syndrome, bruxism, elongated, ct

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Sambur, İ., Öztürk, H. P. (2026). Multidisciplinary Management of Eagle Syndrome: From Diagnosis to Treatment. Selcuk Dental Journal, Volume: 13 Issue: 2. https://doi.org/10.15311/selcukdentj.1843723

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References (26)

  1. Zeckler, S. R., Betancur, A. G., & Yaniv, G. (2012). The eagle is landing: Eagle syndrome--an important differential diagnosis. The British journal of general practice: the journal of the Royal College of General Practitioners, 62(602), 501–502. https://doi.org/10.3399/bjgp12X654777
  2. Kiralj, A., Illić, M., Pejaković, B., Markov, B., Mijatov, S., & Mijatov, I. (2015). Eagle's syndrome - A report of two cases. Vojnosanitetski pregled, 72(5), 458–462.
  3. Piagkou, M., Anagnostopoulou, S., Kouladouros, K., & Piagkos, G. (2009). Eagle's syndrome: a review of the literature. Clinical anatomy (New York, N.Y.), 22(5), 545–558. https://doi.org/10.1002/ca.20804
  4. Subedi, R., Dean, R., Baronos, S., & Dhamoon, A. (2017). Carotid artery dissection: a rare complication of Eagle syndrome. BMJ case reports, 2017, bcr2016218184. https://doi.org/10.1136/bcr-2016- 218184 5. Markov, B., Mijatov, S., & Mijatov, I. (2015). Eagle's syndrome - A report of two cases. Vojnosanitetski pregled, 72(5), 458–462. https://doi.org/10.2298/vsp1505458k
  5. Bagga, M. B., Kumar, C. A., & Yeluri, G. (2012). Clinicoradiologic evaluation of styloid process calcification. Imaging science in dentistry, 42(3), 155–161. https://doi.org/10.5624/isd.2012.42.3.155
  6. Li, S., Blatt, N., Jacob, J., Gupta, N., Kumar, Y., & Smith, S. (2018). Provoked Eagle syndrome after dental procedure: A review of the literature. The neuroradiology journal, 31(4), 426–429. https://doi.org/10.1177/1971400917715881
  7. Aral, I. L., Karaca, I., & Güngör, N. (1997). Eagle's syndrome masquerading as pain of dental origin. Case report. Australian dental journal, 42(1), 18–19. https://doi.org/10.1111/j.1834- 7819.1997.tb00090.x 9. Mann, A., Kujath, S., Friedell, M. L., Hardouin, S., Wood, C., Carter, R., & Stark, K. (2017). Eagle Syndrome Presenting after Blunt Trauma. Annals of vascular surgery, 40, 295.e5–295.e8. https://doi.org/10.1016/j.avsg.2016.07.077
  8. Gozil R, Y ener N, C alguner E, A rac M, Tunc E, B ahcelioglu M. 2001. Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 183: 527–535.
  9. Kumar, P., Rayamane, A. P., & Subbaramaiah, M. (2013). Sudden death due to Eagle syndrome: a case report. The American journal of forensic medicine and pathology, 34(3), 231–233. https://doi.org/10.1097/PAF.0b013e3182a186e1
  10. Raser, J. M., Mullen, M. T., Kasner, S. E., Cucchiara, B. L., & Messé, S. R. (2011). Cervical carotid artery dissection is associated with styloid process length. Neurology, 77(23), 2061–2066. https://doi.org/10.1212/WNL.0b013e31823b4729
  11. Ruwanpura, P. R., Abeygunasekera, A. M., & Tikiri, G. K. (2008). Sudden unexpected death probably due to Eagle's syndrome: a case report. Medicine, science, and the law, 48(4), 350–353. https://doi.org/10.1258/rsmmsl.48.4.350
  12. Mortellaro, C., Biancucci, P., Picciolo, G., & Vercellino, V. (2002). Eagle's syndrome: importance of a corrected diagnosis and adequate surgical treatment. The Journal of craniofacial surgery, 13(6), 755– 758. https://doi.org/10.1097/00001665-200211000-00007
  13. Vadgaonkar, R., Murlimanju, B. V., Prabhu, L. V., Rai, R., Pai, M. M., Tonse, M., & Jiji, P. J. (2015). Morphological study of styloid process of the temporal bone and its clinical implications. Anatomy & cell biology, 48(3), 195–200. https://doi.org/10.5115/acb.2015.48.3.195
  14. Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol. 2004; 33:119–124. doi: 10.1259/dmfr/13491574.
  15. Correll, R. W., Jensen, J. L., Taylor, J. B., & Rhyne, R. R. (1979). Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study. Oral surgery, oral medicine, and oral pathology, 48(4), 286–291. https://doi.org/10.1016/0030- 4220(79)90025-2
  16. Murtagh, R. D., Caracciolo, J. T., & Fernandez, G. (2001). CT findings associated with Eagle syndrome. AJNR. American journal of neuroradiology, 22(7), 1401–1402.
  17. Camarda AJ, Deschamps C, Forest D: I. Styloidchain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol 1989 May;67(5):508-14.
  18. Anbiaee, N., & Javadzadeh, A. (2011). Elongated styloid process: is it a pathologic condition?. Indian journal of dental research: official publication of Indian Society for Dental Research, 22(5), 673–677. https://doi.org/10.4103/0970- 9290.93455
  19. Al-Khateeb TH, al Dajani TM, AL Jamal GA. Mineralization of the stylohyoid ligament complex in a Jordanian sample: a clinicoradiographic study. J Oral Maxillofac Surg 2010;68:1242- 51. 22. Başekim, C. C., Mutlu, H., Güngör, A., Silit, E., Pekkafali, Z., Kutlay, M., Colak, A., Oztürk, E., & Kizilkaya, E. (2005). Evaluation of styloid process by three-dimensional computed tomography. European radiology, 15(1), 134–139. https://doi.org/10.1007/s00330-004-2354-9
  20. Okabe S, Morimoto Y, Ansai T, Yamada K, Tanaka T, Awano S, Kito S, Takata Y, Takehara T, Ohba T. 2006. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dento- maxillofac Radiol 35:191–199.
  21. Guo, B., Jaovisidha, S., Sartoris, D. J., Ryu, K. N., Berthiaume, M. J., Clopton, P., Brossman, J., & Resnick, D. (1997). Correlation between ossification of the stylohyoid ligament and osteophytes of the cervical spine. The Journal of Rheumatology, 24(8), 1575–1581.
  22. Shin, J. H., Herrera, S. R., Eboli, P., Aydin, S., Eskandar, E. H., & Slavin, K. V. (2009). Entrapment of the glossopharyngeal nerve in patients with Eagle syndrome: surgical technique and outcomes in a series of 5 patients. Journal of Neurosurgery, 111(6), 1226–1230. https://doi.org/10.3171/2009.1.JNS08485
  23. Rechtweg, J. S., & Wax, M. K. (1998). Eagle's syndrome: a review. American journal of otolaryngology, 19(5), 316–321. https://doi.org/10.1016/s0196-0709(98)90005-9
  24. Ilguy M,Ilguy D,Guler N,Bayirli G. 2005. Incidence of the type and calcification patterns in patients with elongated styloid process. JInt Med Res 33: 96–102.
  25. Ghosh LM, D ubey SP. The syndrome o f elongated styloid process. Auris Nasus Larynx 1999;26:169-175.
  26. Gozil R, Y ener N, C alguner E, A rac M, Tunc E, B ahcelioglu M. 2001. Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 183: 527–535.