Elongated styloid process as a cause of facial pain

Chebbi, Raja; Chaabani, Imen; Alaya, Touhami Ben; Dhidah, M.

doi:10.1016/j.jbspin.2014.03.007

“…The stylohyoid complex (SHC) consists of the styloid process, the stylohoid ligament, and the lesser cornu of the hyoid bone 2 . Its mineralization cause usually oro‐facial pain defining the Eagle's syndrome 1,2 ; however, it can be non‐painful and discovered incidentally as in our case. A previous cervical trauma or surgery has been frequently reported as the main cause 2 .…”

Section: Figurementioning

confidence: 63%

Incidental finding of a bilateral complete ossification of stylo‐hyoid chain and thyro‐hyoid ligaments

Moussaoui

¹

,

Kadri

²

,

Oualha

³

et al. 2022

Clinical Case Reports

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“…There are 2 methods of oral approach: from the tonsillar fossa after removing the palatine tonsil, and incision from the palatoglossal arch, avoiding the palatine tonsil. 10,11 The advantages of the oral approach are that it is less invasive, requires only brief access to the base of the styloid process, and leaves no scar in the cervical area. 1,7 Its disadvantages are the narrow surgical field and the risk for damage to the internal carotid artery and internal jugular vein.…”

Section: Discussionmentioning

confidence: 99%

“…There are many reports on the oral approach to styloidectomy. There are 2 methods of oral approach: from the tonsillar fossa after removing the palatine tonsil, and incision from the palatoglossal arch, avoiding the palatine tonsil 10,11 . The advantages of the oral approach are that it is less invasive, requires only brief access to the base of the styloid process, and leaves no scar in the cervical area 1,7 .…”

Section: Discussionmentioning

confidence: 99%

Elongated Styloid Process With Skeletal Mandibular Protrusion

Shimizu

¹

,

Yokoo²,

Takayama³

et al. 2020

Journal of Craniofacial Surgery

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An elongated styloid process (ESP) causes symptoms such as pharyngeal pain, swallowing pain, and discomfort during mouth opening. The main treatment is surgical resection of the ESP. The authors present a case of ESP with skeletal mandibular protrusion. Because mandibular setback by sagittal splitting ramus osteotomy (SSRO) may lead to deterioration of symptoms of ESP, resection of ESP and bilateral SSRO were performed simultaneously. The patient was a 50-year-old man who visited our department with chief complaints of mandibular protrusion and pain in the left pharynx on mouth opening and swallowing. A lateral cephalogram helped in diagnosis of skeletal mandibular protrusion. In addition, an approximately 42-mm left styloid process elongated inferomedially was observed. Left styloidectomy was first performed via the cervical approach, followed by SSRO. Occlusion, facial appearance, and preoperative symptoms due to the ESP improved after surgery. The cervical appearance was esthetically satisfactory. In a case of ESP with skeletal mandibular protrusion with potential aggravation of symptoms because of mandibular setback of the ESP, resection of the styloid process is necessary together with orthognathic surgery.

show abstract

“…There are 2 methods of oral approach: from the tonsillar fossa after removing the palatine tonsil, and incision from the palatoglossal arch, avoiding the palatine tonsil. 10,11 The advantages of the oral approach are that it is less invasive, requires only brief access to the base of the styloid process, and leaves no scar in the cervical area. 1,7 Its disadvantages are the narrow surgical field and the risk for damage to the internal carotid artery and internal jugular vein.…”

Section: Discussionmentioning

confidence: 99%