Objectives/hypothesis Reported here is a randomized retrospective analysis of 28 cases of elongated styloid process causing nagging cervicofacial pain, both unilateral and bilateral, and the effect of styloidectomy in these cases in relieving the symptom complex of the patient, in situations where conservative management failed in alleviating the symptoms.Study design Randomized retrospective analysis over a period of 25 months. ConclusionElongated styloid process causing glossopharyn-geal neuralgia is beginning to be a frequently encountered clinical entity nowadays. Of the 28 cases of elongated styloid process who underwent unilateral/ bilateral styloidectomy, 27 patients had total relief of symptoms. Hence, we advocate styloidectomy, following careful diagnosis of the entity with clinical and radiological correlation, if the patient does not respond to medical therapy. The psychological status of the patient would provide clue to the authenticity of the symptoms in unrelieved cases.

An inflammatory pseudotumor is a rare clinical condition of unknown etiology and benign course, mimicking sometimes other malignant entities under the clinic and pathologic viewpoint 3. Inflammatory pseudotumor" is a broad descriptive term used to describe a localized collection of inflammatory and fibroblastic cells 4, 8. It is an uncommon lesion that can present clinically like a tumor 9. Due to presence of abundant polyclonal plasma cells, its etiology (post inflammatory vs immunologic) is still being debated 6. We report a case of inflammatory pseudotumor of the parotid in a 61 year old man.

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