Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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The Association of Ponticulus Posticus & Elongated Styloid Process with Headaches

  • Sharma, Shivani (Department of Oral Medicine and Radiology, Army Dental Corps) ;
  • Nagaraju, Rakesh (Department of Oral Medicine and Radiology, M. S. Ramaiah Dental College and Hospital) ;
  • Sharma, Shweta (Department of Opthalmology, Government Medical College)
  • Received : 2018.02.08
  • Accepted : 2018.03.23
  • Published : 2018.09.30
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Abstract

Purpose: The present study was designed to investigate the association of ponticulus posticus (PP) and elongated styloid process (ESP) with headaches. Methods: Analysis of head and neck cone beam computed tomography samples from the archives of the Department of Oral Radiology was done for the presence of partial or complete PP and ESP length, type, thickness, mediolateral angulation, anterioposterior angulation (horizontal & vertical), lateral or medial curvature. This was followed by personal & telephonic questionnaires to the subjects for the evaluation of the presence of headaches & other associated symptoms. Results: Among 134 subjects, 62 subjects (46.3%) presented with headache and 72 subjects (53.7%) did not have any headache. On further analysing the total 62 subjects with headache, it was found out that 31 subjects (50.0%) of them had ESP and PP both, 16 subjects (25.8%) had only ESP, and 15 subjects (24.2%) had only PP. A strong association was present between headache and presence of PP & ESP individually and together. Conclusions: All health care professionals dealing with the head and neck pain disorders should also consider the presence of ESP & PP during diagnosis and treatment.

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