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To depict a novel surgical approach for treatment of refractory pediatric Eagle Syndrome. A retrospective chart review of one pediatric patient who underwent successful treatment of Eagle Syndrome with an endoscopic-assisted transoral approach to styloidectomy. The patient was evaluated for symptomatic relief at one month postoperatively. There were no intraoperative complications. Postoperatively, our patient reported no further pain and her operative site was well healed. She elected to undergo contralateral treatment in the coming months. There remains a paucity of literature regarding pediatric Eagle Syndrome including surgical management. While transcervical and transoral approaches remain adequate options for treatment in adults, there are significant complications associated with each. We describe a case of ES successfully treated via an endoscopic-assisted transoral approach thereby improving visibility in an operating field and achieving an ideal cosmetic outcome.
Leming et al. (Tue,) studied this question.