G Model BONSOI-4009; No. of Pages 1
ARTICLE IN PRESS Joint Bone Spine xxx (2014) xxx–xxx
Available online at www.sciencedirect.com
Images in rheumatology
Elongated styloid process as a cause of facial pain Raja Chebbi a,∗ , Imen Chaabani b , Touhami Ben Alaya b , Monia Dhidah a a b
Unit of orofacial pain and temporomandibular dysfunction, University Dental Clinic, Monastir, Tunisia Department of Radiology, University Dental Clinic, Monastir, Tunisia
Fig. 1.
A 46-year-old woman had been suffering for one year with continuous and pulsatile facial pain more pronounced in the left side and radiating to the periauricular region and neck. She had been treated with myorelaxant and carbamazepine without any response. Clinical examination excluded odontogenic pain and temporo-mandibular dysfunction. A panoramic radiography showed an elongated styloid process. The 3D computed tomography revealed bilateral elongation of the right (40 mm) and left (32 mm) styloid process. It showed a partial and total calcification in the right and left stylohyoid ligaments, respectively (Fig. 1). These clinical and radiographic data confirmed the diagnosis of Eagle syndrome. The patient was treated by chirurgical resection of the styloid process. Eagle’s syndrome, defined by Watt Weems Eagle, is related to an abnormal length of the styloid process or to the mineralization
of the stylohyoid ligament complex [1]. The possibility of an Eagle syndrome should be considered in the differential diagnosis of orofacial pain [2]. Disclosure of interest The authors declare that they have no conflicts of interest concerning this article. References [1] Eagle WW. Elongated styloid process: further observations and a new syndrome. Arch Otolaryngol 1948;47:630–40. [2] Costantinides F, Vidoni G, Bodin C, et al. Eagle’s syndrome: signs and symptoms. Cranio 2013;31:56–60.
∗ Corresponding author. Unit of orofacial pain and temporomandibular dysfunction, University Dental Clinic, Monastir, Tunisia. Tel.: +216 97 36 26 88; fax: +216 73 461 150. E-mail address: [email protected] (R. Chebbi). doi:10.1016/j.jbspin.2014.03.007 1297-319X/© 2014 Société franc¸aise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.
Please cite this article in press as: Chebbi R, et al. Elongated styloid process as a cause of facial pain. Joint Bone Spine (2014), doi:10.1016/j.jbspin.2014.03.007
ARTICLE IN PRESS Joint Bone Spine xxx (2014) xxx–xxx
Available online at www.sciencedirect.com
Images in rheumatology
Elongated styloid process as a cause of facial pain Raja Chebbi a,∗ , Imen Chaabani b , Touhami Ben Alaya b , Monia Dhidah a a b
Unit of orofacial pain and temporomandibular dysfunction, University Dental Clinic, Monastir, Tunisia Department of Radiology, University Dental Clinic, Monastir, Tunisia
Fig. 1.
A 46-year-old woman had been suffering for one year with continuous and pulsatile facial pain more pronounced in the left side and radiating to the periauricular region and neck. She had been treated with myorelaxant and carbamazepine without any response. Clinical examination excluded odontogenic pain and temporo-mandibular dysfunction. A panoramic radiography showed an elongated styloid process. The 3D computed tomography revealed bilateral elongation of the right (40 mm) and left (32 mm) styloid process. It showed a partial and total calcification in the right and left stylohyoid ligaments, respectively (Fig. 1). These clinical and radiographic data confirmed the diagnosis of Eagle syndrome. The patient was treated by chirurgical resection of the styloid process. Eagle’s syndrome, defined by Watt Weems Eagle, is related to an abnormal length of the styloid process or to the mineralization
of the stylohyoid ligament complex [1]. The possibility of an Eagle syndrome should be considered in the differential diagnosis of orofacial pain [2]. Disclosure of interest The authors declare that they have no conflicts of interest concerning this article. References [1] Eagle WW. Elongated styloid process: further observations and a new syndrome. Arch Otolaryngol 1948;47:630–40. [2] Costantinides F, Vidoni G, Bodin C, et al. Eagle’s syndrome: signs and symptoms. Cranio 2013;31:56–60.
∗ Corresponding author. Unit of orofacial pain and temporomandibular dysfunction, University Dental Clinic, Monastir, Tunisia. Tel.: +216 97 36 26 88; fax: +216 73 461 150. E-mail address: [email protected] (R. Chebbi). doi:10.1016/j.jbspin.2014.03.007 1297-319X/© 2014 Société franc¸aise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.
Please cite this article in press as: Chebbi R, et al. Elongated styloid process as a cause of facial pain. Joint Bone Spine (2014), doi:10.1016/j.jbspin.2014.03.007
