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Case Report

A Case of a Very Elongated Styloid Process 8 cm in Length with Frequent Throat Pain for 10 Years

by
Takeshi Kusunoki
1,*,
Hirotomo Homma
1,
Yoshinobu Kidokoro
1,
Aya Yanai
1,
Mitsuhisa Fujimaki
2 and
Katsuhisa Ikeda
2
1
Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
2
Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Shizuoka, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(1), 820; https://doi.org/10.4081/cp.2016.820
Submission received: 27 October 2015 / Revised: 3 January 2016 / Accepted: 15 February 2016 / Published: 25 March 2016

Abstract

We experienced a case of an elongated styloid process that was 8 cm in length. The patient was a 68-year-old Japanese man with frequent episodes of left-sided throat pain for 10 years. The elongated styloid process could be diagnosed by 3D-computed tomography (left and right length: 7.8 cm and 8.0 cm, respectively) and successfully treated with surgery, since the anatomic relationships could be fully visualized. Surgical methods for shortening an elongated styloid process involve an intraoral or external approach. The external approach to the styloid process involves a trans-cervical approach to the parapharyngeal space, which enables wider visualization in the operative field than an intraoral approach. In the present case, the styloid process reached the parapharyngal space. Therefore, we selected the external approach and shortened only the left-sided styloid process (the same side as the throat pain). The chief complaint disappeared immediately after the operation.
Keywords: elongated styloid process; transcervical approach; 3D-computed tomography; Eagle syndrome elongated styloid process; transcervical approach; 3D-computed tomography; Eagle syndrome

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MDPI and ACS Style

Kusunoki, T.; Homma, H.; Kidokoro, Y.; Yanai, A.; Fujimaki, M.; Ikeda, K. A Case of a Very Elongated Styloid Process 8 cm in Length with Frequent Throat Pain for 10 Years. Clin. Pract. 2016, 6, 820. https://doi.org/10.4081/cp.2016.820

AMA Style

Kusunoki T, Homma H, Kidokoro Y, Yanai A, Fujimaki M, Ikeda K. A Case of a Very Elongated Styloid Process 8 cm in Length with Frequent Throat Pain for 10 Years. Clinics and Practice. 2016; 6(1):820. https://doi.org/10.4081/cp.2016.820

Chicago/Turabian Style

Kusunoki, Takeshi, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Mitsuhisa Fujimaki, and Katsuhisa Ikeda. 2016. "A Case of a Very Elongated Styloid Process 8 cm in Length with Frequent Throat Pain for 10 Years" Clinics and Practice 6, no. 1: 820. https://doi.org/10.4081/cp.2016.820

APA Style

Kusunoki, T., Homma, H., Kidokoro, Y., Yanai, A., Fujimaki, M., & Ikeda, K. (2016). A Case of a Very Elongated Styloid Process 8 cm in Length with Frequent Throat Pain for 10 Years. Clinics and Practice, 6(1), 820. https://doi.org/10.4081/cp.2016.820

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