“…The majority of symptomatic patients have had no recent history of tonsillectomy or other cervicopharyngeal trauma [5,10]. However Correll et al [11] in a review of 1,771 panoramic radiographs found incidence of mineralization of the styloid complex to be 18.2 % while Keur et al [8] found it to be 30 %.…”
Introduction Oral submucous fibrosis (OSF) is an insidious disease affecting the oral cavity, pharynx, and upper digestive tract. It is characterized by a juxtaepithelial inflammatory reaction followed by fibroelastic change in the lamina propria and associated epithelial atrophy. Higher levels of TGF-b present in patients with OSF could be responsible for impetus to remnants of Reichert's cartilage present in styloid complex leading to partial or complete ossification of associated ligaments. So, a study was conducted to evaluate the elongation of the styloid process in patients with OSF by using panoramic radiographs. Materials and Methods Panoramic radiographs of patients with OSF were studied from 2007-2011. The apparent lengths of styloid process were measured with the help of divider and steel metric ruler. The length of the styloid process and/or ossification of stylomandibular ligaments which were longer than 30 mm were considered. Results Out of 47 patients, 35 patients (34 males & 1 female) met the inclusion criteria. Eleven patients (31.4%) were found to have elongated styloid processes which included 10 male patients and 1 female patient. Conclusion It had been estimated that between 2 % and 4% of the general population presents radiographic evidence of an ossified portion of the styloid complex. The high incidence of elongation of styloid process (31.4 %) in patients with oral submucous fibrosis highlights that progressive OSF might have some influence on elongation of styloid process.
“…The majority of symptomatic patients have had no recent history of tonsillectomy or other cervicopharyngeal trauma [5,10]. However Correll et al [11] in a review of 1,771 panoramic radiographs found incidence of mineralization of the styloid complex to be 18.2 % while Keur et al [8] found it to be 30 %.…”
Introduction Oral submucous fibrosis (OSF) is an insidious disease affecting the oral cavity, pharynx, and upper digestive tract. It is characterized by a juxtaepithelial inflammatory reaction followed by fibroelastic change in the lamina propria and associated epithelial atrophy. Higher levels of TGF-b present in patients with OSF could be responsible for impetus to remnants of Reichert's cartilage present in styloid complex leading to partial or complete ossification of associated ligaments. So, a study was conducted to evaluate the elongation of the styloid process in patients with OSF by using panoramic radiographs. Materials and Methods Panoramic radiographs of patients with OSF were studied from 2007-2011. The apparent lengths of styloid process were measured with the help of divider and steel metric ruler. The length of the styloid process and/or ossification of stylomandibular ligaments which were longer than 30 mm were considered. Results Out of 47 patients, 35 patients (34 males & 1 female) met the inclusion criteria. Eleven patients (31.4%) were found to have elongated styloid processes which included 10 male patients and 1 female patient. Conclusion It had been estimated that between 2 % and 4% of the general population presents radiographic evidence of an ossified portion of the styloid complex. The high incidence of elongation of styloid process (31.4 %) in patients with oral submucous fibrosis highlights that progressive OSF might have some influence on elongation of styloid process.
“…According to a widely accepted hypothesis, the calcification and/or ossification occurs in the stylohyoid ligament (Dwight, 1907;Balasubramanian, 1964;Lavine et al, 1968;Porrath, 1969;Kaufman et al, 1970;Correll et al, 1979;Goodman, 1981;O'Carroll, 1984;Patni et al, 1986;Fanibunda and Lovelock, 1997;Blomgren et al, 1999).Onset of the calcification might be triggered by degenerative changes of the stylohyoid ligament (Shenoi, 1972) or metaplasic alterations after a traumatic stimulus (Shenoi, 1972). Steinman (1970) believed the calcification occurs prenatally.…”
Currently, theories based on acquired calcification of the stylohyoid ligament are believed to be a pathogenesis of syndromes associated with the hyoid apparatus (HA) and its variations. We studied the development of the HA from Reicherts cartilage using serial sections of 25 human embryos and 45 fetuses. We ensured a fact that, at the initial stage, the HA appeared as two independent cartilage segments, that is, the cranial or styloid segment and the caudal or hyoid segment of Reichert's cartilage, those are connected by a mesenchymal structure. However, between 8 and 10 weeks of development, the mesenchymal connection was lost. We hypothesize that this disconnection is likely to be one of the major factors to make a descent of the hyoid bone in evolution. The stylohyoid ligament was not observed. The variations of the HA, should be considered variations of the development of Reicherts cartilage. If these variations are maintained in the adult, are likely to explain a major symptom associated with Eagle s syndrome.
“…Although approximately 4 % of the population is thought to have an elongated styloid process, only a small percentage (between 4 and 10.3 %) of this group is thought to actually be symptomatic [7].Radiographic studies have shown that a normal styloid process is generally less than one inch (about 2.5 cm) in length [8]. The thickness of a normal styloid process varies between 2 and 5 mm [6].…”
The purpose of this paper is to discuss the current diagnosis of Eagle's syndrome (elongated styloid process) and to discuss a new and a much simpler technique for styloidectomy with an intraoral approach which can be used in local anesthesia. Easiness to perform, non-association of any anesthetic complications and avoidance of an extraoral scar dictates that this approach can be practiced much safely in patients with elongated styloid process.
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