Anat Cell Biol.  2015 Sep;48(3):195-200. 10.5115/acb.2015.48.3.195.

Morphological study of styloid process of the temporal bone and its clinical implications

Affiliations
  • 1Department of Anatomy, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. flutesnowmm@gmail.com

Abstract

The objective of this study was to study the morphometry of the styloid process of temporal bone and prevalence of elongated styloid process. The morphology of elongated styloid process along with its embryological and clinical importance are discussed. The present study included 110 human dry skulls which were procured from the bone collections of the department of anatomy. The styloid process was observed macroscopically on both sides of all the skulls, the elongations if any were noted. All the styloids were measured for their length, thickness at different levels and interstyloid distance at various levels. Out of 110 specimens, only 5 skulls (4.5%) exhibited the elongated styloid process. Among them, 3 skulls (2.7%) had unilateral elongation and 2 skulls (1.8%) had bilateral elongation of the styloid process. The mean length of the styloid process was 17.8+/-9.3 mm and 18.2+/-5.6 mm for the right and left sides, respectively. The prevalence of elongated styloid process in the present study was 4.5%. The clinical anatomy of this congenital variant is important to the neurosurgeon and radiologist, while interpreting the computed tomogram and magnetic resonance image scans. The morphological knowledge of elongated styloid process is clinically important since the course of the vertebral artery may be distorted in such situations.

Keyword

Eagle's syndrome; Styloid process; Temporal bone

MeSH Terms

Humans
Prevalence
Skull
Temporal Bone*
Vertebral Artery

Figure

  • Fig. 1 The human skull bones exhibiting the unilateral elongated styloid process (arrows).

  • Fig. 2 The human skull bone exhibiting the bilateral elongated styloid process (arrows).


Reference

1. Magotra R, Razdan S. Elongated styloid process: anatomical variations. JK Sci. 2008; 10:203–205.
2. Keur JJ, Campbell JP, McCarthy JF, Ralph WJ. The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol. 1986; 61:399–404.
3. Eagle WW. The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg. 1962; 28:1–5.
4. Langlais RP, Miles DA, Van Dis ML. Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle's syndrome. Oral Surg Oral Med Oral Pathol. 1986; 61:527–532.
5. Sachidananda R, Chokkalingam , Siddique , McRae . Elongated styloid process: a rare presentation as a tonsillar mass. Internet J Otorhinolaryngol [Internet]. 2005. 5(2):cited 2015 Sep 1. Available from: http://ispub.com/IJORL/5/2/9168.
6. Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with Eagle syndrome. AJNR Am J Neuroradiol. 2001; 22:1401–1402.
7. Rechtweg JS, Wax MK. Eagle's syndrome: a review. Am J Otolaryngol. 1998; 19:316–321.
8. Dinkar , Amonkar SS. Eagle's syndrome: review of literature and case report. Indian J Dent Res. 2003; 14:162–168.
9. Soh KB. The glossopharyngeal nerve, glossopharyngeal neuralgia and the Eagle's syndrome: current concepts and management. Singapore Med J. 1999; 40:659–665.
10. Nishihara K, Hanakita J, Kinuta Y, Kondo A, Yamamoto Y, Kishimoto S. Three cases of Eagle's syndrome. No Shinkei Geka. 1986; 14:3 Suppl. 441–445.
11. Carter L. Soft tissue calcification and ossification. In : White SC, Pharoah MJ, editors. Oral Radiology: Principles and Interpretation. St. Louis: Mosby;2004. p. 597–614.
12. Chuang WC, Short JH, McKinney AM, Anker L, Knoll B, McKinney ZJ. Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation. AJNR Am J Neuroradiol. 2007; 28:143–145.
13. Prasad KC, Kamath MP, Reddy KJ, Raju K, Agarwal S. Elongated styloid process (Eagle's syndrome): a clinical study. J Oral Maxillofac Surg. 2002; 60:171–175.
14. Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol. 2004; 33:119–124.
15. Rathva A, Kubavat DM, Nagar SK. Study of styloid process: anatomical variations in length, angulation and distance between the two styloid processes. Int J Recent Trends Sci Technol. 2013; 8:109–112.
16. Patil S, Ghosh S, Vasudeva N. Morphometric study of the styloid process of temporal bone. J Clin Diagn Res. 2014; 8:AC04–AC06.
17. Winkler S, Sammartino FJ Sr, Sammartino FJ Jr, Monari JH. Stylohyoid syndrome. Report of a case. Oral Surg Oral Med Oral Pathol. 1981; 51:215–217.
18. Kawai T, Shimozato K, Ochiai S. Elongated styloid process as a cause of difficult intubation. J Oral Maxillofac Surg. 1990; 48:1225–1228.
19. Eagle WW. Elongated styloid processes: report of two cases. Arch Otolaryngol. 1937; 25:584–587.
20. Hussain SS, Muralidhar PS, Desai SD, Thomas ST, Haseena S. Elongated styloid process. J Pharm Sci Res. 2012; 4:1761–1763.
21. Nickel J, Sonnenburg M, Scheufler O, Andresen R. Eagle syndrome: diagnostic imaging and therapy. Rontgenpraxis. 2003; 55:108–113.
22. Camarda AJ, Deschamps C, Forest D. I. Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol. 1989; 67:508–514.
23. Steinmann EP. Styloid syndrome in absence of an elongated process. Acta Otolaryngol. 1968; 66:347–356.
24. Das S, Suhaimi FH, Othman F, Latiff AA. Anomalous styloid process and its clinical implications. Bratisl Lek Listy. 2008; 109:31–33.
25. Prabhu LV, Kumar A, Nayak SR, Pai MM, Vadgaonkar R, Krishnamurthy A, Madhan Kumar SJ. An unusually lengthy styloid process. Singapore Med J. 2007; 48:e34–e36.
26. Jain D, Chauhan JS, Jain S, Goel G. Elongated styloid process: an unusual cause of neck pain and difficulty in swallowing. J Orofac Pain. 2011; 25:269–271.
27. Roopashri G, Vaishali MR, David MP, Baig M. Evaluation of elongated styloid process on digital panoramic radiographs. J Contemp Dent Pract. 2012; 13:618–622.
28. Murlimanju BV, Chettiar GK, Prameela MD, Tonse M, Kumar N, Saralaya VV, Prabhu LV. Mastoid emissary foramina: an anatomical morphological study with discussion on their evolutionary and clinical implications. Anat Cell Biol. 2014; 47:202–206.
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