IJAR.2018.126
Type of Article: Case Report
Volume 6; Issue 2.1 (April 2018)
Page No.: 5101-5103
DOI: https://dx.doi.org/10.16965/ijar.2018.126
AN ABNORMALLY LONG STYLOID PROCESS WITH OSSIFICATION OF THE STYLOHYOID LIGAMENT
Guarna M *1, Aglianò M 1.
*1 Department of Medical,Surgical Sciences and Neuroscience, University of Siena, Italy.
Address for correspondence: Massimo Guarna,MD Assistant Professor, Department of Medical-Surgical Sciences and Neuroscience, University of Siena, Italy. E-Mail: guarna@unisi.it
ABSTRACT:
The styloid process of the temporal bone is an elongated bony projection presenting a variable length as demonstrated in osteometric and radiological studies conducted with different techniques: three-dimensional computed tomography (3dct) or dental panoramic three-dimensional scanning. An elongated styloid process can cause neck pain , dysphagia, headache, sore throat, ear pain, mandibular dysfunction which characterize Eagle’s syndrome. Here we present a rare image of an abnormally long styloid process with ossification of left stylohyoid ligament belonging to a bone collection of the local anatomical museum , part of our department, and discovered during routine osteology classes .Also if a direct relation between the length of the styloid process and syndrome of Eagle is not always obvious ,radiologists , neurologists,neurosurgeons, dentists, anesthetists and otolaryngologists could be aware of this bone anomaly to diagnose this syndrome.
Key words: Elongated styloid process, Stylohyoid ligament, Ossification, Eagle syndrome.
REFERENCES
- Baugh RF, Stocks RM. Eagle’s Syndrome: A reappraisal. Ear Nose Throat J 1993;72:341-344.
- Fini G, Gasparini G, Filippini F, Becelli R , Marcotullio D.The long styloid process syndrome or Eagle’s syndrome.Journal of Cranio-Maxillofacial Surgery 2000;28:123-127.
- Jung T ,Tschernitschek H, Hippen H, Schneider B, Borchers L: Elongated styloid process: when is it really elongated? .Dentomaxillofac Radiol 2004;33(2):119-24.
- Patil S, Ghosh S, Vasudeva N: Morphometric Study of the Styloid Process of Temporal Bone. Journal of Clinical and Diagnostic Research 2014;8(9):4-6.
- Prabhu LV, Kumar A, Nayak SR, Pai MM, Vadgaonkar R, Krishnamurthy A, Madhan Kumar SJ: An unusually lengthy styloid process.Singapore Med J 2007 ;48(2):34-36.
- Paraskevas G K , Raikos A, Lazos LM , Kitsoulis P: Unilateral elongated styloid process: a case report. Cases Journal 2009;2:9135.
- Ishwar B, Gavishiddappa H , Balasaheb P, Balappa B, Ambadasu B :Bilateral elongated styloid process: its anatomical embryological and clinical implications Int J Med Res Health Sci 2013;2(2):273-276.
- Beder E, Ozgursoy OB Karatayli Ozgursoy S Anadol :Three-dimensional tomography and surgical treatment for Eagle’s syndrome. Ear Nose Throat 2006;85(7):443-5.
- Savranlar A, Uzun L, Uğur MB, Ozer T.Three-dimensional CT of Eagle’s syndrome. Diagn Interv Radiol 2005;11(4):206-9.
- Vougiouklakis T Overview of the ossified stylohyoid ligament based in more than 1200 forensic autopsies. J Clin Forensic Med 2006;13:268-270.
- Prakash B B, Huban T, Punnose HT. Ossified stylohyoid ligament: A case report. IAIM 2016;3(5):184-187.
- Langlais RP, Miles DA, Van Dis ML. Elongated and mineralized styholyoid ligament complex: A proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 1986;61:527-32.
- Campos D, Silva TH, Kipper JF, Piazza J ,Kraether N. Ossification of styloid ligament and its clinical implication: a report of human cases .J. Morphol. Sci 2011;28(2):137-139.
- Eagle WW. Elongated styloid processes: report of two cases. Arch Otolaryngol 1937;25:584-587.
- Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with Eagle syndrome. Am J Neuroradiol 2001;22:1401-1402.