DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20171201

A clinical study of the patients with elongated styloid process

Suhas Y. Choudhari, Aravind B. Sangavi

Abstract


Background: The elongation of styloid process is considered an anomaly which can cause throat pain and cervico-facial pain and trigger a series of symptoms such as dysphagia, odynophagia, facial pain, ear pain, headache, tinnitus and trismus. The present study was undertaken find out the length of styloid process in patients with throat pain.

Methods: A prospective study was conducted among 150 patients. A detailed ENT and general examination was done apart from palpation of the styloid along the posterior tonsillar pillar, a routine Hematological tests with estimation of serum calcium levels, and X-ray towne view was done.  

Results: The female to male ratio was found to be 1.6:1. Of the 150 cases 92 were middle aged females, the severity of symptoms were directly proportional to the length and the thickness of the styloid. The symptoms ranged from foreign body sensation in the throat to cervicofacial pain and otalgia. Serum Calcium levels were elevated in 60% of the cases.

Conclusions: Elongation of the styloid being multi-factorial in origin. A strong suspicion is required on the part of the surgeon to rule out this particular entity. A simple palpitation and an x- ray Towne view can establish the diagnosis of elongated styloid process.


Keywords


Throat pain, Cervicofacial, Styloid process, Towne view

Full Text:

PDF

References


Shaik MA, Naheeda, Kaleem SM, Wahab A, Hameed S. Prevalence of elongated styloid process in Saudi population of Aseer region. European Journal of Dentistry. 2013;7(4):449-54.

Kadiyala SV, Kumar S. Anatomical Variations in the Length of Styloid Process. Int J Pharm Sci Rev Res 2015;33(2):123-5.

Standring Susan (Ed). Gray’s Anatomy. The anatomical basis of clinical practice. Edinburgh; Elsevier Churchill Livingstone. 2000: 450-470,

Cawich S, Gardner M, Johnson P, Shetty R, Wolf K. The clinical significance of an elongated styloid process. The Internet Journal of Family Practice. 2007;6(1):1-5.

Ghosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx. 1999;26(2):169-75.

Bozkir MG, Boga H, Dere F. The evaluation of styloid process in panoramic radiographs in edentulous patients. Turk J Med Sci. 1999;29:481–5.

Lins CCSA, Junior AA, Oliveira BP, Silva EMVM, Torres RCMS. Variation of length of styloid process. Int J Morphol. 2010;28(4):1277-1280.

Teki S, Latha A, Babu S, Kumari L, Prasad GS, Vasanthi A. Eagle’s Syndrome- Elongated Styloid Process. IOSR J Dental Med Sci. 2014;13(5):31-3.

Sandev S, Sokler K. Styloid Process Syndrome. Acta Stomat Croat. 2000;34(4):451-6.

Gokce C, Sisman Y, Sipahioglu M. Styloid Process Elongation or Eagle’s Syndrome: Is There Any Role for Ectopic Calcification? Eur J Dent. 2008;2:224-8.

Rechtweg JS, Wax MK. Eagle's syndrome: a review. Am J Otolaryngol. 1998;19:316-21.

Feldman VB. Eagle's syndrome: a case of symptomatic calcification of the stylohyoid ligaments. J Can Chiropr Assoc. 2003;47(1):21-7.

Bafaqeeh S A, Eagle syndrome; classic and carotid artery types. JORL. 2000;29:88-94.

Harma R. Stylalgia clinical experience of 52 cases. Acta otolaryngol. 1966;224:149-55.

Murtagh R, Caracciolo J and Fernandez G: CT Findings associated with Eagle syndrome. AJNR. 2001,22:1401-2.

Angulation and Distance between the Two Styloid Processes. International Journal of Recent Trends in Science And Technology. 2013;8(2):109-12.

Taheri A, Firouzi-Marani S, Khoshbin M. Nonsurgical treatment of stylohyoid (Eagle) syndrome: a case report. J Korean Asso Oral Maxillofacial Surg. 2014;40(5):246-9.

Prasad KC, Kamath MP, Reddy KJ, et al. Elongated styloid process (Eagle's syndrome): a clinical study. J Oral Maxillofac Surg. 2002;60(2):171-5.