Transoral Styloidectomy Approach: A Systematic Review and Enhanced Endoscopic Approach.
systematic_review · Level I
Where this comes from
- Record sourced from PubMed, PMID 41542821.
- Also identified by DOI 10.1002/hed.70170 and PMC identifier 13155192.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Synthesize transoral styloidectomy approaches, highlight advantages, disadvantages, surgical outcomes, and describe an improved endoscopic transoral technique. A systematic review of peer-reviewed articles was conducted on November 11, 2025 in PubMed, Embase, the Cochrane Library, and Medline. Of the 204 articles screened, 45 met inclusion criteria. Four transoral approaches and four visual enhancement techniques were described. Surgical success rate was 94% with no intraoperative complications and a postoperative complication rate of 6.3%. The length of resected styloid averaged 2.91 ± 1.33 cm (range: 1-6 cm). Mean operative time was 47 ± 22 min. Median follow-up time was 6 months (IQR: 3-12 months). Transoral styloidectomy is safe and effective for the treatment of Eagle's syndrome. An enhanced endoscopic approach with indocyanine green (ICG) fluoroscopy and neuromonitoring improves intraoperative visualization and helps identify critical vascular structures, potentially reducing the risk of inadvertent injury.
Medical subject headings
- Temporal Bone
- Ossification, Heterotopic
- Endoscopy
- Natural Orifice Endoscopic Surgery