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Elongated styloid process: an overview.

P S Murthy1, P Hazarika, M Mathai

  • 1Department of E.N.T., Kasturba Medical College & Hospital, Manipal, India.

International Journal of Oral and Maxillofacial Surgery
|August 1, 1990
PubMed
Summary
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Stylalgia, characterized by oropharyngeal pain, is diagnosed by palpating an elongated styloid process. Surgical shortening via trans-tonsillar fossa excision offers a safe and effective treatment option with low morbidity.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery

Background:

  • Stylalgia presents as dull oropharyngeal pain, frequently radiating to the ear and mastoid.
  • Clinical diagnosis is confirmed by palpating an elongated styloid process in the tonsillar area.

Purpose of the Study:

  • To describe the diagnostic criteria and preferred surgical treatment for stylalgia.

Main Methods:

  • Clinical palpation of the elongated styloid process.
  • Radiological assessment using orthopantomograms to evaluate medial angulation.
  • Surgical intervention through trans-tonsillar fossa excision.

Main Results:

  • Trans-tonsillar fossa excision is identified as the primary treatment for stylalgia.
  • This surgical technique is associated with morbidity comparable to standard tonsillectomy.

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Conclusions:

  • Stylalgia management involves clinical and radiological diagnosis.
  • Surgical shortening of the elongated styloid process via trans-tonsillar fossa excision is a well-tolerated and effective treatment.