Abstract
The stylohyoid process is a cylindrical bony structure surrounded by important anatomical structures including vessels and nerves. Calcification and elongation of the stylohyoid ligament complex over 30 mm may be associated with neck and facial pain, known as Eagle's syndrome. However, a bilateral ossified and elongated stylohyoid complex may be devoid of symptoms. We report a 79-year-old symptom-free female who presented on a routine conventional dental radiographic exam an 80.96 mm pseudoarticulated stylohyoid complex in the left side and an 75.85 mm on the other. On CAT scan, both processes were calcified.
Highlights
The stylohyoid process is a cylindrical bony structure surrounded by important anatomical structures including vessels and nerves
We have presented a remarkable case of Stylohyoid complex (SC) elongation in a 79-year-old patient, with typical
Figure 2. 3D computed tomographic (CT) showing elongation and ossification of the SC (A, B) with presence of styloid process pseudoarticulated on the right side (C) and segmentation of the styloid process on the left side (D)
Summary
The stylohyoid process is a cylindrical bony structure surrounded by important anatomical structures including vessels and nerves. Calcification and elongation of the stylohyoid ligament complex over 30 mm may be associated with neck and facial pain, known as Eagle’s syndrome. A bilateral ossified and elongated stylohyoid complex may be devoid of symptoms. We report a 79-year-old symptom-free female who presented on a routine conventional dental radiographic exam an 80.96 mm pseudoarticulated stylohyoid complex in the left side and an 75.85 mm on the other. Panoramic radiography is useful for detection of an elongated styloid process in patients with or without symptoms[4]. Several reports of Eagle’s syndrome are well described in the literature but few cases of symptom-free patients with SC bilaterally elongated and mineralized have been published. Chaves et al by the Ethics Committee of the University of Vale do Acaraú (protocol # 808) and the subject gave its informed consent
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