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August 6, 2020

A Curious Case of Persistent Throat Pain—Bone Fragment in the Parapharyngeal Space

Author Affiliations
  • 1Department of Otorhinolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
JAMA Otolaryngol Head Neck Surg. Published online August 6, 2020. doi:10.1001/jamaoto.2020.1583

Stylalgia secondary to an elongated styloid, or the mineralization of the stylomandibular and stylohyoid ligaments, has been described in the setting of Eagle syndrome, and as a posttonsillectomy sequela.1 The incidence of an elongated styloid ranges from 4% to 18%, with most patients being asymptomatic.2,3 Symptoms include odynophagia, dysphagia, pain with head turning, otalgia, facial pain, foreign body sensation, and trismus.1,2 We present a case of suspected Eagle syndrome, although further workup revealed an alternate cause, which was relieved following surgical treatment.