Fitzpatrick TH, et al. - Researchers investigated the utility of transoral robotic surgery (TORS) in this population with Eagle Syndrome (ES), a rare disorder that can present with symptoms ranging from globus sensation to otalgia that is attributed to an elongated styloid process and/or calcified stylohyoid ligament. They performed a retrospective review in 19 ES patients who underwent twenty-one styloid resections: 6 performed via TORS and 15 via transcervical approach. They identified some degree of lasting improvement in symptoms among 90% of the patients while there were 55% who reported significant improvement. Comparing TORS with transcervical resection, they identified no difference in the subjective rate of “meaningful” (83 vs 57%) vs rate of “non-meaningful” symptom improvement (17 vs 43%). TORS vs transcervical cases showed a trend towards less estimated blood loss, operative time, and postoperative length of stay (9.2 mL vs 30.0 mL, 98 vs 156 min, and 0.7 vs 1.2 days); however, these did not reach statistical significance. Findings suggest TORS styloidectomy as a reasonable surgical alternative to traditional transoral and transcervical techniques in select patients, as it affords similar symptom improvement, and reduced length of stay, blood loss, and operative time.