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Abstract：
Eagle\'s syndrome, a condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament, is clinically characterized by throat and neck pain radiating into the mastoid region. The diagnosis can be made through a thorough history, correct clinical and pathological correlation and radiographic examination. The elongated styloid process can be treated conservatively or surgically. Conservative treatment options include transpharyngeal injections of steroids and lignocaine, nonsteroidal anti-inflammatory drugs, diazepam, and the application of heat. The surgical management of Eagle\'s syndrome consists of two major approaches: the transoral and the transcervical approaches. In this paper, we present a comparative study of two cases of classic bilateral elongated styloid process syndrome, treated with transcervical styloidectomy and transoral styloidectomy, their surgical time, intraoperative difficulties and complications, and recovery time. In conclusion, the management of Eagle\'s syndrome requires a comprehensive approach that includes a thorough preoperative evaluation of the length of the styloid process via imaging and digital palpation. The choice of surgical approach, whether extraoral or transpharyngeal, should be based on factors such as the surgeon\'s experience and the patient\'s comorbidities, as well as the length and palpability of the styloid process. Our comparative study of two cases treated with transcervical and transoral styloidectomy demonstrated that the extraoral method offers a direct and well-controlled approach for excessive styloid processes, while the transpharyngeal approach is preferred for cases where the process can be easily identified by palpation. Therefore, proper patient selection and preoperative planning are essential to achieving successful outcomes with minimal complications.
摘要：
鹰综合征,与茎突伸长或茎突韧带钙化相关的病症，临床特征是咽喉和颈部疼痛辐射到乳突区域。可以通过全面的病史来诊断，正确的临床和病理相关性及影像学检查。细长的茎突可以保守或手术治疗。保守治疗方案包括经喉注射类固醇和利多卡因,非甾体抗炎药，地西泮,和热的应用。Eagle综合征的外科治疗包括两种主要方法：经口和经颈入路。在本文中,我们提出了两个典型的双侧细长茎突综合征病例的比较研究，经颈茎样切除术和经口茎样切除术治疗，他们的手术时间，术中困难和并发症，和恢复时间。总之,Eagle综合征的治疗需要一种全面的方法,包括通过影像学和数字触诊术前对茎突长度进行全面的术前评估.手术方式的选择,无论是口外还是咽下，应基于外科医生的经验和患者的合并症等因素，以及茎突的长度和可触性。我们对两例经颈和经口茎突切除术的比较研究表明，口外方法为过度茎突提供了直接且控制良好的方法，而对于可以通过触诊容易识别该过程的情况，首选经咽入路。因此,正确的患者选择和术前计划对于以最小的并发症获得成功的结果至关重要.
