scholarly journals Evaluation of Elongated Styloid Process in Patients with Oral Submucous Fibrosis Using Panoramic Radiographs

2013 ◽  
Vol 13 (4) ◽  
pp. 556-559 ◽  
Author(s):  
H. R. Shivakumar ◽  
Jitender Batra ◽  
Amarnath P. Upasi ◽  
Kirthi Kumar Rai
Keyword(s):  
Oral Submucous Fibrosis ◽  
Styloid Process ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Submucous Fibrosis

scholarly journals Varied presentations of a mineralized styloid process in oral submucous fibrosis patients visualized on digital panoramic radiographs

2021 ◽  
Vol 7 (2) ◽  
pp. 67-73
Author(s):  
Shital Patel ◽  
Deval Mehta ◽  
Taher Rupawala ◽  
Nimesh Patel ◽  
Kruna Bhimani ◽  
...  
Keyword(s):  
Oral Submucous Fibrosis ◽  
Mouth Opening ◽  
Styloid Process ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
The Past ◽  
Premalignant Condition ◽  
Submucous Fibrosis ◽  
Grade Iii

Oral Submucous Fibrosis (OSMF) is a widely prevalent, premalignant condition which adversely affects the quality of life of an individual and can warrant stringent surgical regimen for its treatment. An Elongated Styloid Process (ESP), if coexisting, can invariably impair the post-surgical mandatory physiotherapy necessary to maintain the mouth-opening achieved intraoperatively. To evaluate digital Orthopantomograms (OPGs) of patients having OSMF and to observe presentations of various combinations of calcification types and patterns of ESP in them. Patients with clinically diagnosed OSMF (Grade III and IV according to Khanna and Andrade 1995) were advised a digital OPG to measure and observe the ESP using the C.S. Imaging Software 7.0.3.The digitized OPGs were converted into KODAK large format prints and then ESP was measured starting from the point where it is visualized to leave the tympanic plate extending upto its tip and its myriad of combinations of calcification patterns were recorded by a single observer.The presence of unilateral and bilateral elongation along with the type and pattern of calcification was effectively noted using the C.S. Imaging Software 7.0.3. Visualization of various unique, varying patterns of ESP was noted. Sixteen such different radiological presentations were shown, captured through digital OPGs. An undetected ESP can prove to be detrimental for a patient who is recently treated for OSMF as it hinders efficient postoperative mouth opening exercises. This can easily be prevented by a simple maneuver of identifying the ESP on a digital OPG using computer aided software. The presence of assorted radiographic patterns in patients having OSMF indicate that extensive research should be directed to identify and categorize such patterns which do not conform to the past methods of classification. This study hints towards the existence of a scope to study the factors responsible for the occurrence of the varied combinations of calcification and thickness of the ESP and their clinical relevance.

scholarly journals Oral Submucous Fibrosis and Elongated Styloid Process - Do they have an Alarming Inter-Connection?

2020 ◽  
Vol 2 (11) ◽  
pp. 39-41
Author(s):  
Shital Patel ◽  
Deval Mehta ◽  
Taher Rupawala ◽  
Nimesh Patel ◽  
Sanjay Makwana ◽  
...  
Keyword(s):  
Oral Submucous Fibrosis ◽  
Styloid Process ◽  
Elongated Styloid Process ◽  
Submucous Fibrosis

scholarly journals Is elongated styloid process a potential forewarning for failure in oral submucous fibrosis management?

2020 ◽  
Vol 7 (1) ◽  
pp. 180
Author(s):  
Shital Mayank Patel ◽  
Deval Shailesh Mehta ◽  
Taher Abbas Rupawala ◽  
Naiya Hitesh Shah ◽  
Sanjay Vinubhai Makwana ◽  
...  
Keyword(s):  
Oral Submucous Fibrosis ◽  
Styloid Process ◽  
High Rate ◽  
Elongated Styloid Process ◽  
Submucous Fibrosis ◽  
Severe Difficulty ◽  
Malignant Conversion ◽  
The Right ◽  
Surgical Unit

<p class="abstract">Oral submucous fibrosis is a widespread, premalignant disorder causing severe difficulty in mastication and speech. With high rate of malignant conversion, it demands aggressive surgical therapy followed by mandatory long-term physiotherapy. An elongated styloid process, if present, could pose a strong hindrance to movement of mandible, leading to complete relapse of trismus in such cases. The purpose of this report is to elaborate on such co-existence in patients having oral submucous fibrosis using digital orthopantomogram. 3 patients suspected to have an elongated styloid process were referred to maxillofacial surgical unit and diagnosed with grade 4A oral submucous fibrosis. Digital orthopantomogram revealed elongated styloid process which was measured using the C. S. imaging software 7.0.3. Consequently, patients were operated by a team of maxillofacial surgeons and otolaryngologists to relieve trismus and tonsillo-styloidectomy respectively. The measured lengths of the styloid process on digital orthopantomogram were considered elongated, if exceeding the normal length of 30 mm. The measured lengths of the styloid process were found to be at 52.7 mm, 50.1 mm and 57 mm on the right side and 51 mm, 46.8 mm and 37 mm on left side respectively in our cases. These elongated styloid processes observed in all three cases of submucous fibrosis indicates that progressive fibrosis may exert significant influence on the ossification of styloid complex. Hence, a routine preoperative screening in all patients of oral submucous fibrosis is imminent to avoid postoperative failure, pain or discomfort to the patient owing to an elongated styloid process.   </p>

scholarly journals Styloid process elongation and calcification in subjects with tmd: clinical and radiographic aspects

2012 ◽  
Vol 23 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Kelly Machado de Andrade ◽  
Carolina Almeida Rodrigues ◽  
Plauto C. Aranha Watanabe ◽  
Marcelo Oliveira Mazzetto
Keyword(s):  
Orofacial Pain ◽  
Panoramic Radiograph ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Linear Measurements ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Cephalometric Radiograph ◽  
Lateral Cephalometric Radiograph ◽  
Process Length

Knowledge of the Eagle's syndrome shows that its symptoms can be very easily confused with other types of craniomandibular disorders, especially temporomandibular disorders (TMD). The aim of this study was to find a possible correlation between the presence of TMD and elongation of the styloid process as well relate to presence of calcification of the stilohyoid chain. Fifty patients with TMD, confirmed from the RDC/TMD, were examined clinically and radiographically. Radiographic documentation consisted of digital panoramic radiograph and digital lateral cephalometric radiograph. Radiocef software (Radiomemory) was used for the analysis of radiographs by means of specific cephalometric tracing and linear measurements of the styloid process. Each radiograph was traced and measured three times with intervals of 1 month to spread the error. Statistical analysis was performed by Pearson's test (p=0.001) using Biostat 4.0 statistical software. Result showed an incidence of 76% elongation of the styloid process in the sample. There was a correlation between the bilateral measures taken in panoramic radiographs (?<0.001) and also for measures of styloid process length carried out in different panoramic radiographs and lateral cephalometric radiographs (?<0.001). It was concluded that there is prevalence of elongated styloid process in patients with TMD. However, no relationship was found between measurements on the stylohyoid chain and symptoms of headache, orofacial pain, tinnitus and vertigo.

scholarly journals Occurrence of the Elongated Styloid Process on Digital Panoramic Radiographs in the Riyadh Population

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Lingam Amara Swapna ◽  
Nada Tarek AlMegbil ◽  
Alhanouf Othman Almutlaq ◽  
Pradeep Koppolu
Keyword(s):  
Demographic Data ◽  
Randomized Study ◽  
Age Groups ◽  
Styloid Process ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Digital Radiographs ◽  
Dental Hospital ◽  
Orofacial Region ◽  
Measuring Tool

Background. Patients with an elongated styloid process might present with dysphagia and pain in the cervicofacial region. These patients could be misdiagnosed as other orofacial pathologies. Aim. The present study attempted to assess the prevalence of the elongated styloid process on digital panoramic radiographs in the Riyadh population. Materials and Methods. The present prospective randomized study was conducted on the panoramic digital radiographs of 300 randomly selected patients visiting a private dental hospital to identify any elongation of the styloid process. Only the radiographs without any magnification errors were considered. The styloid process length was measured using the Sidexis measuring tool and entered in an Excel spreadsheet with other demographic data. A length beyond 30 mm was considered styloid process elongation. The data were subjected to statistical analysis. Results. The symptoms of styloid process elongation were higher among females (78.6%), and this difference was statistically significant (χ2 = 7.182; P = 0.007 ). No statistically significant association was observed between styloid process elongation and symptoms between different age groups. Females exhibited a significant longer mean length of the styloid process than males. The present study exhibited a 27.3% prevalence for the elongation and calcification of the styloid process. Conclusion. Given the significant prevalence of the elongated styloid process in our study, we recommend it to be considered as one of the differential diagnosis for pain or discomfort in the orofacial region.

scholarly journals Prevalence of elongated styloid process in Saudi population of Aseer region

2013 ◽  
Vol 07 (04) ◽  
pp. 449-454 ◽  
Author(s):  
Mohammed Asif Shaik ◽  
Sultan Mohammed Kaleem ◽  
Abdul Wahab ◽  
Shahul Hameed ◽  
Keyword(s):  
Age Groups ◽  
Styloid Process ◽  
Frequent Pattern ◽  
P Value ◽  
Type I ◽  
Saudi Population ◽  
Radiographic Appearance ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Significant Difference

ABSTRACT Objective: The study was performed to investigate the prevalence, morphology and calcification pattern of elongated styloid process in Saudi population of Aseer (Southern) region and its relation to gender and sub-age groups. Materials and Methods: This study was analyzed digital panoramic radiographs of 1,162 adults. Any radiograph with questionable styloid process was excluded from the study. The apparent length of the styloid process was measured by a single experienced dental and maxillofacial Radiologist. The elongated styloid process was classified with the radiographic appearance based on the morphology and calcification pattern. The data were analyzed by using Student′s t-test and Chi-square test with P value less than 0.05. Results: A total of 1,085 Digital panoramic radiographs showed elongated styloid process of which 686 (63.2%) were noticed in males and 399 (36.8%) were noticed in female patients. There was a statistical significant difference noticed in the mean difference of elongated styloid process between 20-29, 50-59 and 60 years and above sub-age groups. The elongated styloid process was more prevalent in elderly aged male patients (P < 0.05). Type I morphology with calcified out line (a) was the most frequent pattern of calcification noticed in the present study.Conclusion: The panoramic radiographs are economical, easily accessible and useful diagnostic tool for early detection of elongated styloid process with or without symptoms. However, studies with larger sample size would further help to assess the prevalence of this elongated styloid process in Saudi population of various other regions.

scholarly journals Elongated Styloid Process in Panoramic Radiographs

2021 ◽  
Vol 22 (3) ◽  
pp. 208-211
Author(s):  
Pedro Luiz de Carvalho ◽  
Lorena Guimarães Valente ◽  
Larissa Victória Barbosa Freitas ◽  
João Marcelo Ferreira de Medeiros ◽  
André Alencar de Lemos ◽  
...  
Keyword(s):  
Styloid Process ◽  
Apparent Size ◽  
Type I ◽  
Bone Lengthening ◽  
Type Ii ◽  
Chi Square ◽  
Significance Level ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Northern Brazil

AbstractThe aim of this study is to evaluate the prevalence of the elongated styloid process in panoramic radiographic exams, in a subpopulation of northern Brazil in relation to age, sex and side. Panoramic radiographs were selected, and the apparent size of the styloid process was measured from the point where the styloid leaves the tympanic plate to the tip of the process. The data were analyzed using chi-square tests and variance analysis with a 5% significance level. Approximately 30% of the elongated styloid process was observed in patients between 18 to 35 years. Of the styloid processes that measured more than 30 mm (elongated), 764 styloid processes (81%) showed Type I elongation pattern, 97 styloid processes (10%) showed Type II calcification patterns, and 85 styloid processes (9%) showed Type III calcification patterns. The prevalence of the elongated styloid process was high, and no statistically significant correlation was found between the presence of the elongated styloid process and the variables studied.Keywords: Bone Lengthening. Osteogenesis. Radiography, Panoramic. ResumoO objetivo deste estudo é avaliar a prevalência do processo estilóide alongado em exames radiográficos panorâmicos, em uma subpopulação do norte do Brasil em relação à idade, sexo e lado. Radiografias panorâmicas foram selecionadas, e tamanho aparente do processo estilóide foi medido a partir do ponto em que o estilóide deixa a placa timpânica até a ponta do processo. Os dados foram analisados por meio de testes qui-quadrado e análise de variância com nível de significância de 5%. Aproximadamente 73% do processo estilóide alongado foi observado em pacientes entre 18 e 53 anos (p <0,05). Dos processos estilóides que mediram mais de 30 mm (alongados), 543 processos estiloide (82,9%) mostraram padrão de alongamento do Tipo I, 33 processos estiloide (5,03%) mostraram padrões de calcificação do Tipo II, e 79 processos estilóide (12,06%) mostraram padrões de calcificação do Tipo III. A prevalência do processo estilóide alongado foi alta e não foi encontrada correlação estatisticamente significante entre a presença do processo estilóide alongado e as variáveis estudadas.Palavras-chave: Alongamento Ósseo. Osteogênese. Radiografia Panorâmica.

Incidence of the Type and Calcification Patterns in Patients with Elongated Styloid Process

2005 ◽  
Vol 33 (1) ◽  
pp. 96-102 ◽  
Author(s):  
M Ilgüy ◽  
D Ilgüy ◽  
N Güler ◽  
G Bayirli
Keyword(s):  
Styloid Process ◽  
Type I ◽  
Frequent Patterns ◽  
Eagle’S Syndrome ◽  
Radiographic Evidence ◽  
Panoramic Radiographs ◽  
Male Ratio ◽  
Elongated Styloid Process ◽  
The Mean ◽  
The Right

We investigated the incidence of elongated styloid process (Eagle's syndrome) using panoramic radiographs taken of 860 patients referred to our clinic. Any styloid process identified was classified according to its length, type and the pattern of calcification. Fifty-nine elongated styloid processes were identified in 32 patients (3.7%), most being bilateral; 24 patients were female and eight were male (female/male ratio: 3:1). The mean age of these patients was 43 ± 14 years (range: 18 − 78 years). Type I (elongated) was the most frequent type on both sides (42/59); and the most frequent patterns of calcification were partially calcified on the left side (18/59) and completely calcified on the right side (16/59). Only two patients were symptomatic. A corrected differential diagnosis is important to distinguish elongated styloid process from other pathologies with partially overlapping symptoms. We would recommend that clinicians consider the possibility of Eagle's syndrome when both the clinical and radiographic evidence support this diagnosis.

scholarly journals PROCESSO ESTILOIDE ALONGADO NAS RADIOGRAFIAS PANORÂMICAS EM UMA SUBPOPULAÇÃO

2021 ◽  
Vol 58 (1) ◽  
pp. eUJ3940
Author(s):  
Pedro Luiz de Carvalho ◽  
◽  
Antônio Martins do Amaral Neto ◽  
Larissa Victória Barbosa Freitas ◽  
Kunihiro Saito ◽  
...  
Keyword(s):  
Styloid Process ◽  
Apparent Size ◽  
Type I ◽  
Type Ii ◽  
Process Data ◽  
Chi Square ◽  
Significance Level ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Eagle Syndrome

Styloid process elongation associated with symptoms such as cervicofacial pain, tinnitus and otalgia is called Eagle Syndrome. The objective of this study is to assess the presence of elongated styloid process through panoramic radiographs, in a subpopulation of the State of Para, Brazil, as to age and sex. Panoramic radiographs were selected and the apparent size of the styloid process was measured from the point where the styloid leaves the tympanic plate to the lower tip of the process. Data were analyzed by means of chi-square tests and the “t” test with a significance level of 5%. Forty-three percent of all elongated styloid processes were observed in patients aged between 18 and 35 years old. Of these styloid processes measuring more than 30 mm, there were 815 that showed a Type I elongation pattern, being 98 that showed a Type II calcification pattern and 92 showed a Type III calcification pattern. It is concluded that the Type I elongated styloid process was the most frequent, but no statistically significant correlation was found between the presence of the elongated styloid process and the studied variables.

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