Comparative panoramic study of the elongated styloid process between male and female , their possible associations with age and Eagle’s syndrome symptoms in Iraqi dentulous subjects

Authors

  • Dr. Nuhad Al. Hassan Al. Hassan

DOI:

https://doi.org/10.32828/mdj.v12i1.836

Keywords:

Panoramic , styloid, Eagle’s syndrome , elongated

Abstract

Background : The stylohyoid process is a cylindrical bony structure surrounded by important anatomical structures including vessels and nerves. Calcification and elongation of the stylohyoid ligament complex over 30 mm may be associated with neck and facial pain, known as Eagle’s syndrome . The aims of the study were to compare the elongated styloid process between male and female , their possible relations with age and Eagle’s syndrome symptoms in Iraqi dentulous population using panoramic radiographs .

Materials and methods : Clinical and radiographical records of 70 patients (40 female and 30 male). The length of the styloid processes were assessed using panoramic radiographs . Measurements of the length of the styloid processes were made directly from its insertion site to the petrous part of the temporal bone to its tip.

Results : There was highly statistically significant difference between male and female for right side and left side of the styloid process length p-value <0.01. Chi-square between present of symptoms and styloid process length of age showed statistically non-significant difference.

Conclusion : Panoramic radiography is useful tool for detection of an elongated styloid process in patients with or without symptoms and can thus help avoid misinterpretation of the symptoms.

 

 

References

- Camarda AJ. , Deschamps C. , Forest D. Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol (1989) ; 67(5):515-20.

- Balbuena L. , Jr. , Hayes D. , Ramirez SG. , Johnson R. Eagle’s syndrome (elongated styloid process). South Med J (1997) ; 90: 331-334.

- Gokce C. , Sisman Y. , Ertas ET. , Akgunlu F. , Ozturk A. Prevalence of styloid process elongation on panoramic radiography in the Turkey population from cappadocia region. Eur J Dent (2008a) ; 2 : 18-22.

- Watanabe PCA. , Dias FC. , Issa JPM. , Monteiro SAC. , de Paula FJA. , Tiossi R. Elongated styloid process and atheroma in panoramic radiography and its relationship with systemic osteoporosis and osteopenia . Osteoporos Int (2010) ;21:831-836.

- Yuca K. , Avcu S. , Kiroglu AF. , Etlik O. , Cankaya H. , Kiris M. The detection of Eagle’s syndrome with three-dimensional multidetector computerized tomography (CT). Pak J Med Sci (2010) ; 26: 634-639.

- Kosar MI. , Atalar MH. , Sabanclogullari V. , Tetiker H. , Erdil FH. , Cimen M. Otag I. Evaluation of the length and angulation of the styloid process in the patient with prediagnosis of Eagle syndrome. Folia Morphol (2011) ;70: 295-299.

- Lorman JG. and Biggs JR. The Eagle syndrome. Am J Roentgenol (1983) ; 140: 881-882.

- Gokce C. , Sisman Y. , Sipahioglu M. Styloid process elongation or eagle’s syndrome: is there any role for ectopic calcification? Eur J Dentistry (2008b) ; 2: 224-228.

- Piagkou M. , Anagnostopoulou S. , Kouladouros K. , Piagkos G. Eagle’s syndrome: a review of the literature. Clin Anat (2009) ; 22: 545-558.

- 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.

- Jain D. , Chuahan JS. , Jain S. , Goel G. Elongated Styloid Process : An Unusual Cause of Neck Pain and Difficulty in Swallowing .J OROFAC PAIN (2011) ;25 (3) : 269-271 .

- Fini G. , Gasparini G. , Filippini F. , Becelli R. , Marcotullio D. The long styloid process syndrome or Eagle's syndrome. J Craniomaxillofac Surg (2000) ; 28 (2) :123-7.

- 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.

- Gervickas A. , Kubilius R. , Sabalys G. Clinic, diagnostics and treatment pecularities of Eagle’s syndrome. Stomatologija, Baltic Dental Maxillofacial J (2004) ; 6: 11-13.

- Orhan KS. , Guldiken Y. , Ural HI. , Cakmak A. Elongated styloid process (Eagle’s syndrome): literature review and a case report. Agri (2005) ;17: 23-25.

- Kim E. , Hansen K. , Frizzi J. Eagle syndrome: case report and review of the literature. Ear Nose Throat J (2008) ;87(11):631-3.

- Ramadan SU. , Gokharman D. , Tuncbilek I. , Kacar M. , Kosar P. , Kosar U. Assessment of the stylohoid chain by 3D-CT. Surg Radiol Anat (2007) ;29(7):583-8.

- Chuang WC. , Short JH. , McKinney AM. , Anker L. , Knoll B. , McKinney ZJ. Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation. AJNR Am J Neuroradiol (2007) ;28(1):143-5.

- Balcioglu HA. , Kilic C. , Akyol M. , Ozan H. , Kokten G. Length of the styloid process and anatomical implications for Eagle’s syndrome . Folia Morphol (2009) ; 68(4) :265-270 .

- Jung T. , Tschernitschek H. , Hippen H. , Schneider B. and Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofacial Radiology ( 2004) ; 33 : 119-124 .

- MacDonald-Jankowski DS. Calcification of the styloid complex in Londoners and Hong Kong Chinese. Dentomaxillofac Radiol (2001) ; 30: 35-39.

- More CB. and Arsani MK. Evaluation of the styloid process by digital panoramic radiographs . Indian Journal of Radiology and Imaging (2010) ; 20(4) :261-265.

- Lengele´ BG. and Dhem AJ. Length of the styloid process of the temporal bone. Arch Otolaryngol Head Neck Surg (1988) ; 114: 1003-1006.

- Anbiaee N. and Javadzadeh A. : Elongated styloid process: is it a pathologic condition? Indian J Dent Res (2011) ;22:673–677.

- Roopashri G. , Vaishali MR. ,David MP. ,Baig M. , Shankar Y. Evaluation of Elongated Styloid Process on Digital Panoramic Radiographs . J Contemp Dent Pract (2012) ;13(5):618-622.

- Shaik MA. , N, Kaleem SM. , Wahab A. , Hameed S. Prevalence of elongated styloid process in Saudi population of Aseer region. Eur J Dent (2013);7:449-54.

- Scaf G. , Freitas DQ. , Loffredo Lde C. Diagnostic reproducibility of the elongated styloid process. J Appl Oral Sci (2003);11:120‑4.

- Shah SP. , Praveen NB. , Syed V. , Subhashini AR. Elongated styloid process: A retrospective panoramic radiograph study. World J Dent (2012);3:316‑9.

- Priyadarshini SR. , Desai VD. , Sharma R. , Gaurav I. Styloid Process Elongation – A Cross Sectional Study in North Western Part of India .International Journal of Scientific Study (2013);1(2):9-15.

- Öztunç H. , Evlice B. , Tatli U. , Evlice A. Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain. Head & Face Medicine (2014); 10:5 doi:10.1186/1746-160X-10-5 .

- 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.

- Bagga MB. , Kumar CA. , Yeluri G. Clinicoradiologic evaluation of styloid process calcification . Imaging Sci Dent ( 2012 ) ; 42 : 155-61.

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Published

11.02.2019

How to Cite

Al. Hassan, D. N. A. H. (2019). Comparative panoramic study of the elongated styloid process between male and female , their possible associations with age and Eagle’s syndrome symptoms in Iraqi dentulous subjects. Mustansiria Dental Journal, 12(1), 116–125. https://doi.org/10.32828/mdj.v12i1.836

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Section

Oral Pathology &Radiology

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