{"id":5678466,"date":"2024-05-24T05:50:20","date_gmt":"2024-05-24T03:50:20","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/?page_id=5678466"},"modified":"2024-05-24T09:30:54","modified_gmt":"2024-05-24T07:30:54","slug":"stylohyoid-syndrome","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/stylohyoid-syndrome\/","title":{"rendered":"Stylohyoid syndrome"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1716535846819{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2024\/05\/syndrome-stylo-hyoidien-2.jpg?id=5678481) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-1 vc_col-lg-10 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1603286580076{padding-right: 12% !important;padding-left: 12% !important;}&#8221;]<div class=\"norebro-heading-sc heading text-shadow text-center\"\n\tid=\"norebro-custom-6a2f546e24d21\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tStylohyoid syndrome or Eagle syndrome\t<\/h1>\n\n\t\n\t\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1619517744409{padding-top: 8vh !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e24e1f\" \n\t \n\t>\n\n\t<p>Stylohyoid syndrome is commonly referred to as Eagle syndrome, after the American surgeon who studied and popularized it in 1937, although Weinlecher was the first to perform endobuccal surgery in 19th-century Europe, and Loeser and Caldwell the firsts to perform cervical surgery in 1942.<\/p>\n<p>The operation consists of removing the distal part of the styloid process and the stylohyoid ligament, if ossified.<\/p>\n<p>Find out more about the treatment of the eagle syndrome from Dr. Delagranda, ENT and cervico-facial surgeon in La Roche sur Yon (France).<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1619591084122{padding-top: 6vh !important;padding-bottom: 8vh !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-offset-1 vc_col-xs-10&#8243; css=&#8221;.vc_custom_1619534081562{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #f9f9f9 !important;border-left-color: #0a0a0a !important;border-left-style: dotted !important;border-right-color: #0a0a0a !important;border-right-style: dotted !important;border-top-color: #0a0a0a !important;border-top-style: dotted !important;border-bottom-color: #0a0a0a !important;border-bottom-style: dotted !important;border-radius: 1px !important;}&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-6a2f546e24ece\" \n\t \n\t>\n\n\t<div id=\"post-link-5678466\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5678466, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5678466\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5678466\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#intro\">Styloid process and Eagle syndrome<\/a><\/li>\n<li><a href=\"#diagnostic\">Diagnosis of Eagle syndrome<\/a><\/li>\n<li><a href=\"#publics\">Who is affected?<\/a><\/li>\n<li><a href=\"#indications\">Indications and objectives of the intervention<\/a><\/li>\n<li><a href=\"#intervention\">The surgical procedure<\/a><\/li>\n<li><a href=\"#intervention\">Post-operative recovery period<\/a><\/li>\n<li><a href=\"#complications\">Complications associated with surgery<\/a><\/li>\n<li><a href=\"#questions\">Frequently asked questions<\/a><\/li>\n<li><a href=\"#rdv\">Appointment<\/a><\/li>\n<li><a href=\"#consultation\">Consultation<\/a><\/li>\n<\/ul>\n<p><\/div>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; css=&#8221;.vc_custom_1716524439636{padding-top: 6vh !important;padding-bottom: 6vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;intro&#8221;][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-lg-offset-0 vc_col-lg-6 vc_col-md-offset-0 vc_col-md-6 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517220506{padding-right: 7% !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a2f546e25152\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tStyloid process and Eagle syndrome\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e25229\" \n\t \n\t>\n\n\t<p>The styloid process or styloid apophysis is a part of the temporal bone located on its lower part in its petrous zone, forming a point directed downwards, forwards and inwards, with major variations in size and angulation between individuals, and sometimes even between the 2 sides of the same individual. There is a styloid process under the skull on each side, as there are 2 temporal bones. The styloid process is often less than 3 cm long, with a starting diameter of 4 mm and a terminal diameter of 1 mm. Its base of implantation is next to the mastoid styloid foramen, from which the facial nerve emerges, some of whose lower branches may be quite close in this surgery. Its tip is the site of implantation of 2 ligaments (stylohyoid and stylomandibular) and 3 muscles (styloglossal , stylohyoid , stylopharyngeal). The tip may be in contact with the internal carotid artery, external carotid artery, and nerves (adventitial sympathetic plexuses, sensory branches of cranial nerves V , VII, IX, X). Other valuable anatomical elements are to consider in this surgery including the XII nerve and lingual artery, which may also be in close proximity.<\/p>\n<p>A styloid process length greater than 3 cm would certainly increase the risk of Eagle&#8217;s syndrome, however 15.4% of cases with Eagle&#8217;s syndrome would have a styloid process of less than 3 cm according to Cheng C (Am journal Otolaryngology head and neck surgery 2017) and in 34.5% of cases of totally healthy patients, the styloid process would be greater than 3.5 cm according to Buyuk C (Folia morphol 2018; 77 :79-89). <strong>So the presence of a long styloid is not a sufficient criteria to speak of Eagle syndrome<\/strong>.The active ossification of embryonic cartilaginous remnants of the tip of the styloid process and of the stylohyoid ligament, and even of stylial muscles in adulthood, can be attributed to various etiopathogenic hypotheses: genetic predisposition, menopause, osteoporosis, osteoarthritis, repeated straining by carrying heavy cephalic loads, very late effects of tonsillectomy, direct trauma, etc.<\/p>\n\t\n<\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517230925{padding-top: 8vh !important;padding-right: 7% !important;padding-bottom: 8vh !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;][vc_single_image image=&#8221;5678484&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1716524456949{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;diagnostic&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e252c2\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tDiagnosis of Eagle syndrome\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e25381\" \n\t \n\t>\n\n\t<p><strong>The diagnosis of Eagle syndrome is rare, and relatively difficult because it is unknown by many doctors, and made up of variable and aspecific functional signs<\/strong>. As a result, many sufferers allege aches and pains, sometimes for years on end, before a diagnosis is made. Clinical examination and palpation, on the other hand, are very helpful in diagnosis, as is cervical CT imaging<strong>. Thus, a styloid process can be considered pathological if it is palpable and painful in the tonsil compartment. The fact that this palpation triggers a pain identical to the one usually perceived spontaneously by the patient is a strong argument, especially if it is unilateral. <\/strong>A CT scan showing mostly asymmetric ligament calcifications and thickening of the carotid bulb wall is a further argument for diagnosis. Compression is radiologically visible in 50% of cases, with severe neurological symptoms. Carotid dissection is even possible.<\/p>\n<p>There are numerous differential diagnoses: dental problems, temporomandibular joint problems, cervical infections, cervical tumors, spinal pathologies, Arnold&#8217;s occipital nerve neuralgia, glossopharyngeal nerve neuralgia, upper laryngeal nerve neuralgia, trigeminal nerve neuralgia, nasal nerve neuralgia (Charlin&#8217;s syndrome), tendinitis of the stylomandibular ligament at the level of the hyoid bone (Albert&#8217;s syndrome), hyoid bone bursitis, vascular pain, migraine, gastroesophageal reflux etc&#8230; A psychological or psychiatric cause remains a diagnosis of elimination.<\/p>\n<p>The symptoms of stylohyoid syndrome are detailed below.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1716526536284{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2024\/05\/indications-apophyse-styloide.jpg?id=5678486) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;publics&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1716522836892{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a2f546e25406\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWho is concerned by removal of the distal portion of the styloid process?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e254a8\" \n\t \n\t>\n\n\t<p>Adults with symptoms associated with stylohyoid syndrome, whose diagnosis is based on a cluster of arguments and not on a single symptom.<\/p>\n<ul>\n<li>Adults with intense, stabbing, permanent or iterative, pharyngeal and\/or cervical and\/or auricular and\/or ocular and\/or mandibular and\/or cranial and\/or spontaneous facial pain with no other obvious causes to suggest.<\/li>\n<li><strong>Adults with pain triggered by swallowing, cervical rotation and yawning, identical to the above.<\/strong><\/li>\n<li><strong>Adults with pain triggered by endopharyngeal palpation of the styloid tip in the tonsillar compartment, identical to the pain they usually perceive spontaneously. <\/strong><\/li>\n<li>Adults with pharyngeal foreign-body sensations, globus.<\/li>\n<li>Adults with swallowing difficulties (dysphagia), taste disorders, trismus.<\/li>\n<li>Adults with balance problems, tinnitus.<\/li>\n<li>Adults with speech difficulties (dysphonia).<\/li>\n<\/ul>\n<p>In 12.5% of cases, the discovery of stylohyoid syndrome follows more serious events:<\/p>\n<ul>\n<li>Adults with a genuine stroke of carotid origin whose side is compatible (motor deficits, visual disturbances, language disorders) by compression of the stylohyoid complex on the wall of an internal or common carotid artery. The stylopharyngeal muscle may be involved if triggered by ipsilateral cervical rotation.<\/li>\n<li>Adults with unlabelled malaise, dizziness, drop attacks, epileptic seizures.<\/li>\n<\/ul>\n<p>Children are not affected by this pathology, which often appears with delayed ossification.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1716524493191{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;indications&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e25535\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhen should the distal portion of the styloid process be removed?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e25611\" \n\t \n\t>\n\n\t<p>The distal portion of the styloid process should be removed if stylohyoid syndrome is suspected:<\/p>\n<ul>\n<li>Intense, throbbing or iterative pharyngeal and\/or cervical and\/or auricular and\/or ocular and\/or mandibular and\/or cranial and\/or spontaneous facial pain with no other obvious cause.<\/li>\n<li>Pain of the same localization as above, triggered by swallowing, cervical rotation or yawning.<\/li>\n<li>Pain of the same localization as above, reproduced by endopharyngeal palpation of the styloid tip in the tonsillar region.<\/li>\n<li>Sensations of pharyngeal foreign body, globus.<\/li>\n<li>Difficulty swallowing (dysphagia), taste disorders, trismus.<\/li>\n<li>Balance disorders, tinnitus.<\/li>\n<li>Difficulty speaking (dysphonia).<\/li>\n<li>Severe neurological disorders associated with styloid tip and carotid artery compression-dissection (stroke).<\/li>\n<li>Unlabelled malaise, dizziness, drop attacks, epileptic seizures.<\/li>\n<\/ul>\n<p>Objectives of the removal of the distal portion of the styloid process are:<\/p>\n<ul>\n<li>Alleviate pain.<\/li>\n<li>Reduce pain.<\/li>\n<li>Prevent recurrence of carotid stroke.<\/li>\n<\/ul>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621510076722{padding-top: 8vh !important;padding-bottom: 8vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;intervention&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e2568f\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe different stages of the intervention\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a2f546e2572e\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe surgical procedure\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e257f9\" \n\t \n\t>\n\n\t<p>Medical treatment (analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, injections of NSAIDs or anesthetics into the tonsil cavity) should be reserved for patients with a formal surgical contraindication. In fact, medical treatment does not induce a cure, only momentary relief.<\/p>\n<p>Endobuccal surgery, even if it gives satisfactory results (73.9%), is not to be recommended as it does not control all the risks, whereas cervical surgery offers better results (84.2%) and better control of vessels and nerves (Lisan Q, Management of stylohyoid syndrom: a systematic review following prisma guidelines, European annals of otorhinolaryngology, head and neck diseases 136 (2019) 281-287).<br \/>\nUnder general anesthesia, with tracheal intubation, without prolonged curarization, in the operating theater, the skin of the neck is incised 4 to 6 cm below and behind the mandibular angle, in a natural fold if possible. Muscles (sterno cleido mastoid and mylo hyoid), carotid arteries, lingual artery and nerves (XII and sometimes VII) are identified and preserved. Then approach and palpate the styloid tip and the stylohyoid ligament, in order to cut them and remove a 2-3 cm length And finally, if necessary, blunt the remaining styloid process to avoid residual pain. Closure is performed either directly or with drainage, depending on dissection (decision taken intraoperatively).<br \/>\nSurgical treatment does not rule out failure, as diagnosis of certainty is impossible and differential diagnoses are numerous.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a2f546e258ae\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tPost-operative recovery period\t<\/h3>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e2598b\" \n\t \n\t>\n\n\t<p>The patient is usually discharged home the following day, or the day after in the case of weekday hospitalization for aspiration drainage.<\/p>\n<p>After hospitalization, you should rest at home for at least 7 days.<\/p>\n<p>If necessary, the surgeon will give you 7 to 15 days off work.<\/p>\n<p>Sport is not recommended for the first 15 days, and resumption should be gradual.<\/p>\n<p>Pain is moderate. It is controlled by class I or II analgesics.<\/p>\n<p>Post-operative care at home: daily nursing care of the external scar.<\/p>\n<p>Scar: cervical, arciform, 4 to 6 cm behind the mandibular angle.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1716526565462{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2024\/05\/operation-apophyse-styloide.jpg?id=5678488) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;complications&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1619591035939{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a2f546e25a2c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplications associated with the removal of the distal portion of the styloid process?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e25b16\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery involving general anaesthesia, removal of the distal portion of the styloid process carries the risk of rare or exceptional complications:<\/p>\n<ul>\n<li>Fibrous scarring, compromising the result.<\/li>\n<li>Delayed healing.<\/li>\n<li>Hematoma.<\/li>\n<li>Infection.<\/li>\n<li>Subcutaneous emphysema.<\/li>\n<li>Temporary facial paralysis in the lower part (lower lip and neck) in 1.2% of cases.<\/li>\n<li>Impaired mobility of hemi-tongue.<\/li>\n<li>Residual pain.<\/li>\n<li>Depressive syndrome.<\/li>\n<\/ul>\n<p>There is no specific explanatory sheet from the College of ENT on surgery for stylohyoid syndrome, but a similar one on cervical curage can be consulted: <a href=\"https:\/\/www.sforl.org\/wp-content\/uploads\/2020\/04\/IM-CURAGE-GANGLIONNAIRE.pdf\" target=\"_blank\" rel=\"noopener\">Medical information prior to lymph node dissection (French)<\/a><\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621510233796{padding-top: 8vh !important;padding-bottom: 10vh !important;}&#8221; el_id=&#8221;questions&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e25bb4\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFrequently asked questions about stylohyoid syndrome\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e25c66\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during consultations for removal of the distal portion of the styloid process in La Roche-sur-Yon.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-accordion-s\u0441 accordion-box  outline\" \n\tid=\"norebro-custom-6a2f546e25cf4\"\n\tdata-norebro-accordion=\"0\"\n\t \n\t>\n\n\t<div id=\"1605017264328-06613f59-3c90\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Is the operation mandatory?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>No, the surgeon advises and the patient decides.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264387-ae52c0b0-c778\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Is the effect long-lasting?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Yes, but an exceptional partial regrowth of the styloid process due to the presence of cartilaginous remnants is possible, without however prejudging a reappearance of symptoms. (Steinman EP. A new light on the pathogenesis of the styloid syndrome. Arch Otolaryng 1970 ;91 :171-174).<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264450-ed4b6523-622c\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Is it painful?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Moderately.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1716524113314-e7f34041-80a3\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Fees and coverage<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Removal of the distal portion of the styloid process is covered by health insurance. Contact your mutual insurance company to find out whether any extra fees will be covered.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div>\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621510239006{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column parallax=&#8221;content-moving&#8221; parallax_image=&#8221;5676558&#8243; css=&#8221;.vc_custom_1622241204405{padding-top: 20vh !important;padding-bottom: 20vh !important;}&#8221;][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1619469911864{padding-right: 7% !important;padding-left: 7% !important;}&#8221; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e26027\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tDo you have a question? Need more information?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e260c9\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about the removal of the distal portion of the styloid process. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon, Vend\u00e9e.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-button-sc btn-wrap text-center\" \n\tid=\"norebro-custom-6a2f546e26189\"\n\t \n\t>\n\n\t<a href=\"#consultation\" \n\t\tclass=\"btn  btn-outline btn-large\">\n\n\t\t\n\t\t\n\t\t<span class=\"text\">\n\t\t\tMake an appointment with Dr Delagranda\t\t<\/span>\n\n\t\t\n\t\t\n\t\t\t<\/a>\n\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; el_id=&#8221;consultation&#8221;][vc_column offset=&#8221;vc_col-lg-offset-0 vc_col-lg-12 vc_col-md-offset-0 vc_col-md-12 vc_col-sm-offset-0 vc_col-xs-12&#8243;][vc_row_inner css=&#8221;.vc_custom_1619533987520{padding-top: 8vh !important;padding-bottom: 6vh !important;}&#8221;][vc_column_inner offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a2f546e26263\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for removal of the distal portion of the styloid process in Vend\u00e9e\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a2f546e2631f\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">Dr Antoine Delagranda will be happy to answer any questions you may have about stylohyoid syndrome. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon in the Vend\u00e9e.<\/p>\n\t\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;30&#8243; equal_height=&#8221;yes&#8221; el_class=&#8221;upper-layer&#8221; css=&#8221;.vc_custom_1636446388832{padding-right: 10% !important;padding-bottom: 8vh !important;padding-left: 10% !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088904656{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a2f546e263be\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-geolocalize-01\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Medical office<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinique Saint Charles<br \/>\n11 boulevard Ren\u00e9 Levesque<br \/>\n85016 La Roche-sur-Yon<br \/>\nVend\u00e9e\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088917620{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a2f546e26634\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-calendar\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Secretary for appointment<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\t+33(0)2 51 44 44 85<br \/>\nMonday to Friday<br \/>\n9am-12pm \/ 2pm-6pm\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][vc_empty_space height=&#8221;25px&#8221; el_class=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088929872{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a2f546e2691a\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-clock\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Opening hours<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinic reception<br \/>\nMonday to Friday<br \/>\n8am-12.30pm \/ 1.30pm-6.30pm<br \/>\nClosed : Sat \/ Sun\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1716535846819{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2024\/05\/syndrome-stylo-hyoidien-2.jpg?id=5678481) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":3,"featured_media":5678481,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678466","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stylohyoid syndrome or Eagle syndrome | Removal of the distal portion of the styloid process<\/title>\n<meta name=\"description\" content=\"Explanation of stylohyoid syndrome and removal of the distal portion of the styloid process by Dr Delagranda, ENT and cervicofacial surgeon in the Vend\u00e9e...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dr-delagranda.com\/en\/stylohyoid-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stylohyoid syndrome or Eagle syndrome | Removal of the distal portion of the styloid process\" \/>\n<meta property=\"og:description\" content=\"Explanation of stylohyoid syndrome and removal of the distal portion of the styloid process by Dr Delagranda, ENT and cervicofacial surgeon in the Vend\u00e9e...\" \/>\n<meta property=\"og:url\" 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