A Rare Case of Elongated Styloid Process Fracture.
Kojiro Hirano1, Tomoaki Mori2, Takahiro Suzuki3
1Department of Otorhinolaryngology, Showa University School of Medicine, Tokyo, Japan.
A rare fractured styloid process, associated with Eagle syndrome, can cause varied symptoms. Surgical intervention, guided by 3D-CT, effectively resolved symptoms in a presented case.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Radiology
Background:
- Eagle syndrome is characterized by an elongated styloid process, leading to diverse symptoms.
- Fracture of the elongated styloid process is an uncommon occurrence.
- Spontaneous fractures often present diagnostic challenges due to vague symptoms, complicating treatment.
Observation:
- A case involved a fractured elongated styloid process extending to the hyoid bone.
- Cervical 3D-CT imaging was crucial for diagnosis and surgical planning.
- The transcervical surgical approach was selected over the intraoral method.
Findings:
- Surgical treatment, including transcervical and intraoral approaches, is effective for fractured styloid process.
- The presented case demonstrated successful symptom resolution post-surgery.
- 3D-CT imaging proved highly valuable for diagnosis and guiding surgical approach selection.
Implications:
- Recognition of fractured styloid process is essential for appropriate patient management.
- Surgical intervention should be considered when conservative treatments fail.
- Advanced imaging like 3D-CT enhances diagnostic accuracy and surgical strategy in rare cases.
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