Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Fractured styloid process masquerading as neck pain: Cone-beam computed tomography investigation and review of the literature

  • Khan, Hassan M. (Division of Radiology, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine) ;
  • Fraser, Andrew D. (Division of Growth and Development, Section of Orthodontics, School of Dentistry, University of California) ;
  • Daws, Steven (Division of Radiology, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine) ;
  • Thoppay, Jaisri (Department of Oral and Maxillofacial Surgery, School of Dentistry, Virginia Commonwealth University) ;
  • Mupparapu, Mel (Division of Radiology, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine)
  • Received : 2017.12.05
  • Accepted : 2018.01.13
  • Published : 2018.03.31
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Abstract

Historically, Eagle syndrome is a term that has been used to describe radiating pain in the orofacial region, foreign body sensation, and/or dysphagia due to a unilateral or bilateral elongated styloid process impinging upon the tonsillar region. Because elongated styloid processes-with or without associated Eagle syndrome-can present with various symptoms and radiographic findings, it can be challenging for healthcare practitioners to formulate an accurate diagnosis. Abnormal styloid anatomy can lead to a multitude of symptoms, including chronic orofacial/neck pain, thus masquerading as more commonly diagnosed conditions. In this report, we describe a patient who presented to our department with styloid process elongation and fracture. A careful history, physical examination, and a cone-beam computed tomography (CBCT) investigation led to the diagnosis. The patient was then referred for appropriate care. This case report demonstrates the utilization of CBCT in differentiating a fracture site from a pseudo-joint that might mimic a fracture.

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References

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