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Open Access 01-12-2014 | Research

Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain

Authors: Haluk Öztunç, Burcu Evlice, Ufuk Tatli, Ahmet Evlice

Published in: Head & Face Medicine | Issue 1/2014

Abstract

Introduction

The purpose of this study was to assess the structural characteristics of styloid process (SP) by cone-beam computed tomography (CBCT) examination in a patient population suffering from orofacial pain. The second aim was to assess the prevalence of elongated SP and its relation to gender, site and subjective symptoms in the study population.

Methods

Clinical and radiographic records of 208 patients were evaluated retrospectively. Radiological examinations including measurements of the structure, length, and medial angulations of SP were performed on CBCT images.

Results

Out of 208 patients, 96 (46%) had not-elongated SP, 28 (13%) had left side, 16 (8%) had right side, and 68 (33%) had bilateral elongation of SP. The patients with elongated SP had significantly decreased angle values. There were no statistically significant differences in length values of SP between males and females in both groups. Significantly increased prevalence of symptoms except headache was observed in patients with elongated SP.

Conclusions

This study presents the CBCT as an alternative method to CT or panoramic radiographs for the measurement and the assessment of the styloid process. Patients suffering from orofacial pain, who also had elongated SP, had increased rate of corresponding neurological complaints compared with non-elongated ones.

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Lee S, Hillel A: Three-dimensional computed tomography imaging of Eagle’s syndrome. Am J Otolaryngol. 2004, 25: 109-10.1016/j.amjoto.2003.09.013.CrossRefPubMed

Beder E, Ozgursoy OB, Ozgursoy SK, Anadolu Y: Three-dimensional computed tomography and surgical treatment for Eagle's syndrome. ENT J. 2006, 85: 443-445.

Slavin KV: Eagle syndrome: entrapment of the glossopharyngeal nerve? Case report and review of the literature. J Neurosurg. 2002, 97: 216-218. 10.3171/jns.2002.97.1.0216.CrossRefPubMed

Scarfe WC, Farman AG, Sukovic P: Clinical applications of cone-beam computed tomography in dental practice. J Canadian Dental Assoc. 2006, 72: 75-80.

Matsumoto F, Kase K, Kasai M, Komatsu H, Okizaki T, Ikeda K: Endoscopy-assisted transoral resection of the styloid process in Eagle's syndrome. Case report. Head Face Med. 2012, 8: 21-24. 10.1186/1746-160X-8-21.CrossRefPubMedPubMedCentral

Mayrink G, Figueiredo EP, Sato FR, Moreira RW: Cervicofacial pain associated with Eagle’s syndrome misdiagnosed as trigeminal neuralgia. Oral Maxillofac Surg. 2012, 16: 207-210. 10.1007/s10006-011-0276-7.CrossRefPubMed

Langlais RP, Miles DA, Van Dis ML: Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol. 1986, 61: 527-532. 10.1016/0030-4220(86)90400-7.CrossRefPubMed

Anbiaee N, Javadzadeh A: Elongated styloid process: is it a pathologic condition?. Indian J Dent Res. 2011, 22: 673-677. 10.4103/0970-9290.93455.CrossRefPubMed

Dunn-Ryznyk LR, Kelly CW: Eagle syndrome: a rare cause of dysphagia and head and neck pain. JAAPA. 2010, 23: 28-31,32,48PubMed

10.

Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D: The long styloid process syndrome or Eagle’s syndrome. J Craniomaxillofac Surg. 2000, 28: 123-127. 10.1054/jcms.2000.0128.CrossRefPubMed

11.

Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, Di Hipolito O, Ambrosano GM: Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology. 2005, 22: 112-115. 10.1111/j.1741-2358.2005.00046.x.CrossRefPubMed

12.

Scaf G, Freitas DQ, Monteiro Loffredo LC: Diagnostic reproducibility of the elongated styloid process. J Appl Oral Sci. 2003, 11: 120-124.CrossRefPubMed

13.

Kursoglu P, Unalan F, Erdem T: Radiological evaluation of the styloid process in young adults resident in Turkey’s Yeditepe University faculty of dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol and Endod. 2005, 100: 491-494. 10.1016/j.tripleo.2005.05.061.CrossRef

14.

Nayak DR, Pujary K, Aggarwal M, Punnoose SE, Chaly VA: Role of three-dimensional computed tomography reconstruction in the management of elongated styloid process: a preliminary study. J Laryngol Otol. 2007, 121: 349-353.PubMed

15.

Ludlow JB, Ivanovic M: Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008, 106: 106-114. 10.1016/j.tripleo.2008.03.018.CrossRefPubMed

16.

Orhan K, Sakul BU, Oz U, Bilecenoglu B: Evaluation of the pterygoid hamulus morphology using cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011, 112: e48-e55.CrossRefPubMed

17.

Moreira CR, Sales MA, Lopes PM, Cavalcanti MG: Assessment of linear and angular measurements on three-dimensional cone beam computed tomographic images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009, 108: 430-436. 10.1016/j.tripleo.2009.01.032.CrossRefPubMed

18.

Başekim CÇ, Mutlu H, Güngör A, Silit E, Pekkafali Z, Kutlay M, Çolak A, Öztürk E, Kizilkaya E: Evaluation of styloid process by three-dimensional computed tomography. Eur Radiol. 2005, 15: 134-139. 10.1007/s00330-004-2354-9.CrossRefPubMed

19.

Gozil R, Yener N, Calguner E, Arac M, Tunc E, Bahcecioglu M: Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat. 2001, 183: 527-535. 10.1016/S0940-9602(01)80060-1.CrossRefPubMed

20.

Ilguy M, Ilguy D, Guler N, Bayırlı G: Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res. 2005, 33: 96-102. 10.1177/147323000503300110.CrossRefPubMed

Title: Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain
Authors: Haluk Öztunç
Burcu Evlice
Ufuk Tatli
Ahmet Evlice
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Head & Face Medicine / Issue 1/2014
Electronic ISSN: 1746-160X
DOI: https://doi.org/10.1186/1746-160X-10-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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