Objective To investigate the affect factors and curative effect of different surgical treatment with a new method for classification of transoral resection of the styloid process.Methods Retrospective analysis was performed on 32 patients (41 sides) with styloid process syndrome admitted to the Xiangya Changde Hospital from November 2017 to June 2020, all cases were treated with transoral approach surgery to styloid process. It was analyzed for the type of operation, the length, introversion angle, and anteversion angle of styloid process, the therapeutic effect of 6 months follow-up and VAS score.Results According to the new method, 32 patients (41 sides) underwent styloid process surgery via oral approach, including 7 sides of styloidectomy, 23 sides of styloid-shortenning, 6 sides of styloid-fracturing and 5 sides of styloid-combing.The VAS score was lower in post-operative patients than in pre-operative ones (P<0.01). Only 3 patients thought that the pharyngeal symptoms were not relieved after surgery, and the other patients thought it was effective. The overall effective rate was 90.2%.Conclusions The reasonable surgical method was selected according to the length, introversion angle and anteversion angle of styloid process, and patients’ wishes. It is worthy of popularization and application for different types of transoral approach surgery to styloid process with favorable efficacy.