Prevalence and Characteristics of Eagle's Syndrome in a Syrian Population: A Cross-Sectional Descriptive Study

Nuraldeen M Al-Khanati; Dunia H Taha; Zafin Kara Beit

doi:10.7759/cureus.44853

Prevalence and Characteristics of Eagle's Syndrome in a Syrian Population: A Cross-Sectional Descriptive Study

Cureus. 2023 Sep 7;15(9):e44853. doi: 10.7759/cureus.44853. eCollection 2023 Sep.

Authors

Nuraldeen M Al-Khanati^{1

2}, Dunia H Taha³, Zafin Kara Beit¹

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Damascus University, Damascus, SYR.
² Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Syrian Private University, Damascus, SYR.
³ Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus, SYR.

Abstract

Objectives Elongation of the styloid process causes different symptoms with varying degrees of severity in some people. This elongation can be detected haply during routine reading of panoramic X-ray. The aim of this study is to determine the prevalence rate of Eagle's syndrome among a population from Damascus, Syria, and to evaluate the accompanying clinical symptoms. Methods This is a descriptive epidemiological study including 3,962 patients who attended one of the many dental clinics of educational and/or healthcare institutions in Damascus. All digital panoramic radiographs were reviewed, and the styloid processes were measured and assessed for elongation. Patients with styloid process of more than 3 cm in length were contacted and their consents were obtained to participate in the study to assess the presence of clinical symptoms. Results Radiographic elongation of the styloid process was found in 179 out of the 3,962 assessed dental records (prevalence rate was 4.5%). Length ranged from 30 to 90 mm, with an average of 55.9 mm. Of the patients with elongated styloid process, 10.2% had undergone tonsillectomy. All patients who underwent tonsil surgeries were symptomatic with at least three of the studied symptoms. Symptoms included peri-orbital pain (40.9%), orbital pain (35.2%), neck and shoulders pain (52.3%), ipsilateral headache (58%), earache (30.7%), tinnitus (37.5%), articular clicking (29.5%), throat pain (31.8%), globus sensation (22.7%), and dysphagia (21.6%). Conclusions The prevalence of Eagle's syndrome according to this study was 4.5%. Patients who had undergone tonsillectomy were more likely to be more symptomatic. The most common symptom was severe headache (migraine) on the same side of styloid elongation. Panoramic radiography is a low-cost means that can be helpful in the diagnosis of vague pain and symptoms caused by Eagle's syndrome in the head and neck regions.

Keywords: differential diagnosis; head and neck pain; orthopantomogram; stylohyoid syndrome; temporomandibular disorders.