Santosh B Mane

Abstract

Eagle syndrome occurs when an elongated styloid process or calcified stylohyoid ligament causes recurrent throat pain or foreign body sensation, dysphagia, or facial pain. Diagnosis is usually made on physical examination by digital palpation of styloid process in tonsillar fossa. Aim: To study the significance of chronic throat pain and elongated styloid process. Matrials and Methods: 60 patients with chronic throat pain (excluding other causes) were assessed by palpation of styloid process was recorded according to age, gender of patients. The prevalence of elongated styloid process in age groups and gender determined correlation and significance of chronic throat pain, along with palpable styloid process in tonsillar fossa and length of styloid process in tonsillar fossa and length of styloid process was determined..Results: The maximum number of patients having chronic throat pain were between 40-49 years age group. The male to female ratio was 0.62:1. The prevalence of elongated styloid process was seen more in 50-70 years of age. There was a higher prevalence of elongated styloid process with moderate to severe pain. 76% patients with elongated styloid process had tonsillar fossa tenderness. 96.4% of patients with elongated styloid process had palpable styloid process in tonsillar fossa. Conclusion: There is a significant correlation between patients having chronic throat pain and elongated styloid process. X ray Skull-Towne’s view is very cost effective as a baseline radiological investigation to diagnose elongated styloid process in patients with chronic throat pain for which cause is unknown. Keywords: Eagle syndrome, Chronic throat pain, X ray skull-Towne’s View.

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Abstract

Diagnosis of chronic otitis media implies a permanent abnormality of the pars tensa or flaccida, most likely result of earlier acute otitis media, negative middle ear pressure or otitis media with effusion. It results in some degree of conductive hearing loss due to perforated tympanic membrane with or without ossicular distruction. This condition is treated by tympanoplasty in which we do the repair of tympanic membrane with the help of temporalis fascia graft. In our study we used the wet temporalis fascia graft. We did an observational study of 40 cases of COM inactive Mucosal type and found that 39 cases had the better graft placement and shorter uptake time as well as the operative time. And also there was significant improvement in the hearing post operatively which was assessed by pure tone audiometry. However, a larger sample size would help further establish the validity or relevance of our study.  Keywords: COM, Tympanoplasty, Wet Temporalis Fascia Graft.

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