Many studies revealed that the styloid process and the stylohyoid chain presented considerable anatomic variability. Many times this elongated styloid process has also been attributed as a cause of pain and discomfort in the neck and throat region which was known as Eagle's syndrome or styloid syndrome or stylohyoid syndrome. Hence, a study was designed to determine the length of styloid process on the orthopantomograph and review the selected related literature. A total of 200 healthy subjects of both the sexes in the age group of 5 to 75 years were radiographed. Each styloid process form both sides was classified to its morphologic appearance and measured. The data was subjected to statistical analysis which revealed elongation of styloid process increases as the age advances, when the incidence of elongation is compared on the right and left side no statistically significant difference is found. Pain is not associated with length or incidence of elongation.
Pyle's disease (PD) or metaphyseal dysplasia is an extremely rare genetic disorder, transmitted as an autosomal recessive trait. The peculiarity of the disease is that the striking radiographic manifestations contrast with the relatively normal clinical features. The oral findings and radiographic features of the disease are not well documented. The present paper describes the radiographic features of Pyle's disease in a 17-year-old girl and draws attention to the findings in the jaw bones.
Rhinocerebral mucormycosis is one of the most rapidly progressing and lethal form of fungal infection in humans which usually begins in the nose and paranasal sinuses and can extend to CNS. A 68 year old lady with poorly controlled diabetes presented with fever, disorientation, headache and left sided LMN type of facial palsy. ENT examination revealed a palatal ulcer and mucopus in middle meatus. MRI revealed an infarct in the territory of left superior cerebellar artery and haziness and mucosal thickening in the left maxillary and ethmoidal sinuses. Patient underwent endoscopic medial maxillectomy and debridement of palatal ulcer. Postoperative histopathology was suggestive of zygomycosis. Patient was subsequently treated with Amphotericin B for 4 weeks with good recovery. This case is being reported for its rarity as mucormycosis presenting with cerebellar signs has not been reported in the English literature so far.
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