Fractured styloid process masquerading as neck pain: Cone-beam computed tomography investigation and review of the literature
Khan Hassan M., Fraser Andrew D., Daws Steven, Thoppay Jaisri, Mupparapu Mel,
소속 상세정보
( Khan Hassan M. ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
( Fraser Andrew D. ) - University of California School of Dentistry Section of Orthodontics
( Daws Steven ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
( Thoppay Jaisri ) - Virginia Commonwealth University School of Dentistry Department of Oral and Maxillofacial Surgery
( Mupparapu Mel ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
Abstract
Historically, Eagle syndrome is a term that has been used to describe radiating pain in the orofacial region, foreign body sensation, and/or dysphagia due to a unilateral or bilateral elongated styloid process impinging upon the tonsillar region. Because elongated styloid processes?with or without associated Eagle syndrome?can present with various symptoms and radiographic findings, it can be challenging for healthcare practitioners to formulate an accurate diagnosis. Abnormal styloid anatomy can lead to a multitude of symptoms, including chronic orofacial/neck pain, thus masquerading as more commonly diagnosed conditions. In this report, we describe a patient who presented to our department with styloid process elongation and fracture. A careful history, physical examination, and a conebeam computed tomography (CBCT) investigation led to the diagnosis. The patient was then referred for appropriate care. This case report demonstrates the utilization of CBCT in differentiating a fracture site from a pseudo-joint that might mimic a fracture.
키워드
Cone-Beam Computed Tomography; Neck Pain
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