Background/objective: Transtonsillar styloidectomy is the most common surgical approach for symptom complex of styalgia. It is a minimally invasive procedure of excision of the symptomatic elongated process and remains the most preferred procedure.
Materials and methods: Transoral transtonsillar styloidectomy done in 23 symptomatic cases had relief of symptoms with some needing adjuvant treatment with carbamazepine or gabapentin.
Conclusion: Symptoms subside over a period of months and depend on the pathology of the syndrome, which is still to be investigated in detail. The symptoms depend of the effects of the elongated process on the nerves and over internal carotid artery rather than the length itself.
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