title: Transoral resection of stylopharyngeus calcification: a unique manifestation of a stylohyoid complex syndrome.
abstract: BACKGROUND
  Eagle syndrome is often considered in the work-up of odynophagia and neck pain. Classically, this is manifested by ossification or calcification of the stylohyoid ligament or styloid process. There are no reported cases of stylopharyngeal calcification leading to these symptoms.
  
  
  METHODS
  We describe a patient with a suspected submucosal pharyngeal foreign body who was found to have a calcified stylopharyngeus muscle and tendon during surgery. The patient experienced full resolution of symptoms after transoral robotic resection. This diagnosis was initially missed because the radiology was inconsistent with Eagle syndrome.
  
  
  CONCLUSIONS
  This is the first report of isolated stylopharyngeal calcification, and this unique manifestation of a stylohyoid complex syndrome should be considered in patients with symptoms of Eagle syndrome without styloid elongation.
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York, USA.
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Kamil
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York, USA.
authors.forename: Nathan J
authors.initials: NJ
authors.lastname: Gonik
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York, USA Department of Radiology, Montefiore Medical Center, Bronx, New York, USA.
authors.forename: Jimmy S
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York, USA Department of Radiology, Montefiore Medical Center, Bronx, New York, USA.
authors.forename: Keivan
authors.initials: K
authors.lastname: Shifteh
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York, USA rsmith@montefiore.org.
authors.forename: Richard V
authors.initials: RV
authors.lastname: Smith
mesh_terms: D004210:Dissection / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods; D019547:Neck Pain / Q000175:diagnosis / Q000209:etiology; D009999:Ossification, Heterotopic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010609:Pharyngeal Muscles / Q000473:pathology / Q000601:surgery; D065287:Robotic Surgical Procedures / Q000379:methods; D013701:Temporal Bone / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Eagle syndrome; calcification; robotic; stylohyoid complex syndrome; styloid complex; stylopharyngeus; transoral