This case illustrates bilateral elongated and ossified stylohyoid ligaments, the right side indenting the pharyngeal wall. It is important to note that the presence of elongated processes is not sufficient for the diagnosis of Eagle syndrome. Rather, the presence of symptoms must also be present, attributable to the abnormality. In this instance, the right-sided ear pain was deemed to be referred glossopharyngeal pain. The pain on swallowing was confirmed to be right-sided.

The patient was treated medically with analgesia and non-steroidal anti-inflammatory agents and remains well, with only occasional minor relapses.

At this stage, no surgery has been performed.