Eagle’s syndrome: two approaches using VITOM 3D exoscope for an underestimated pathology

Abstract Eagle’s Syndrome is a rare condition caused by a particularly elongated styloid process or ossification phenomena of the styloid ligament. It shows up with a triad of symptoms characterized by a sensation of a foreign body in the throat, dysphagia, and unilateral neck-facial. Case 1: A 43-year-old man with right lateral cervical pain and dysphagia underwent styloidectomy using a transoral approach. Case 2: 71-year-old man with right lateral cervical pain, tongue motility deficit, and dysphagia, who underwent styloidectomy using a transcervical approach. The surgery was performed using the VITOM 3D exoscope. The two approaches are both practical. The transoral approach, when feasible, is used to minimize surgical times and postoperative complications. The transcervical approach allows for excellent visualization of the anatomical structures. Moreover, this article aimed to document our experience using a 3D VITOM exoscope, which provides significant advantages in both transoral and transcervical approach.