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cone beam – international magazine of cone beam dentistry

I case report _ CBCT in diagnosis _Abstract Eagle’ssyndromeischaracterisedbyanelongated styloid process and/or calcification of the stylohyoid ligament, which interferes with adjacent anatomical structures, giving rise to pain especially in the neck and throat area, as well as facial pain, otalgia and other symptoms that might not be associated with the oral and maxillofacial complex. These symptoms complicate the diagnosis, since it can be confused with other conditions; therefore, the differential di- agnosis is vital. The following article presents a case of a patient with several signs and symptoms of Eagle’ssyndromeforwhichCBCTimageswereessen- tial in the differential diagnosis. _Introduction The diagnosis of oropharyngeal pain is very com- plex owing to the great variety of anatomical struc- tures found in that area. Eagle’s syndrome is named after Watt W. Eagle, who first described it in 1937 in patients with oropharyngeal and cervical pain after a tonsillectomy and with an elongated styloid process visible in radiographs.1 The size considered normal varies according to severalstudies(Table1).Themajorityofstudiesagree onanestimatedmeasureofbetween2.5and3.0cm.2–5 Around 4% of the population have an elongated Eagle’s syndrome Author_ Dr Enrique González Garcia, Mexico 24 I cone beam4_2015 Fig. 1a Fig. 1b Fig. 2a Fig. 2b Fig. 2c Fig. 3

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