Fractured styloid process masquerading as neck pain: Cone-beam computed tomography investigation and review of the literature
- Author:
Hassan M KHAN
1
;
Andrew D FRASER
;
Steven DAWS
;
Jaisri THOPPAY
;
Mel MUPPARAPU
Author Information
- Publication Type:Case Report
- Keywords: Cone-Beam Computed Tomography; Neck Pain
- MeSH: Cone-Beam Computed Tomography; Deglutition Disorders; Delivery of Health Care; Diagnosis; Eagles; Foreign Bodies; Humans; Neck Pain; Neck; Physical Examination; Sensation
- From:Imaging Science in Dentistry 2018;48(1):67-72
- CountryRepublic of Korea
- Language:English
- 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.
