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Role of three-dimensional computed tomography reconstruction in the management of elongated styloid process: a preliminary study

Published online by Cambridge University Press:  04 January 2007

D R Nayak ,
K Pujary ,
M Aggarwal ,
S E Punnoose  and
V A Chaly
D R Nayak
Affiliation:
Departments of ENT Kasturba Medical College and Hospital, Manipal, Karnataka, India
K Pujary
Affiliation:
Departments of ENT Kasturba Medical College and Hospital, Manipal, Karnataka, India
M Aggarwal
Affiliation:
Departments of Radiology, Kasturba Medical College and Hospital, Manipal, Karnataka, India.
S E Punnoose
Affiliation:
Departments of ENT Kasturba Medical College and Hospital, Manipal, Karnataka, India
V A Chaly
Affiliation:
Departments of ENT Kasturba Medical College and Hospital, Manipal, Karnataka, India
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Abstract

Elongated styloid process is a relatively common cause of facial and neck pain, but it is often misdiagnosed due to its varied clinical presentation. Since an elongated styloid process is often confirmed by radiological means, it would be helpful to find a more accurate mode of depicting the styloid process.

In this prospective study, 39 cases were evaluated. A three-dimensional computed tomography (3D CT) reconstruction of the styloid process was performed in 18 cases. In these patients, we compared the length and medial angulation of the symptomatic styloid process as viewed on an orthopantomogram and a 3D CT reconstruction.

It was noted that a 3D CT reconstruction was more accurate in depicting the styloid process. This investigation can be considered as the ‘gold standard’ in the radiological diagnosis of an elongated styloid process.

Keywords

Styloid ProcessTomography, Xray ComputedThree Dimensional Imaging
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 4 , April 2007 , pp. 349 - 353
Copyright
2006 JLO (1984) Limited

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Footnotes

Awarded the K K Ramalingam Gold Medal for the best original paper at the Annual South Zone Conference of the Association of Otolaryngologists of India, Thrissur, Kerala, India, 26–28th September 2003.