Correlation analysis between styloid process length and symptoms in patients with styloid process syndrome
10.16066/j.1672-7002.2025.09.005
- VernacularTitle:茎突综合征患者茎突长度与症状的相关性分析
- Author:
Guoyuan MU
1
;
Xiaohong LIU
;
Yin QIANG
;
Yao SHI
;
Nan CAO
;
Yewen SHI
;
Yani FENG
;
Xiaoyong REN
;
Huanan LUO
Author Information
1. 西安交通大学第二附属医院耳鼻咽喉头颈外科,陕西 西安 710004
- Keywords:
styloid process syndrome;
pharyngalgia;
calcification of styloid process hyoid ligament
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2025;32(9):565-569
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the correlation between styloid process related parameters and symptoms in patients with styloid process syndrome.METHODS A retrospective study was conducted on the 3D reconstruction CT results of the styloid process in 68 patients diagnosed with styloid process syndrome who visited the Department of Otolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Xi'an Jiaotong University from January 2010 to December 2024.The relationship between parameters such as styloid process length,angle,distance from styloid process tip to pharynx,and specific symptoms in patients with styloid process syndrome was analyzed.RESULTS Among 68 patients with styloid process syndrome,44 had unilateral symptoms and 24 had bilateral symptoms.The length of the styloid process on the symptomatic side of patients with unilateral symptoms(3.86±0.16)cm was significantly longer than that on the asymptomatic side(2.98±0.17)cm(Z=-2.191,P=0.028);The length of the styloid process on the side with severe symptoms in patients with bilateral symptoms(3.98±0.37)cm was also significantly longer than that in patients with mild symptoms(3.37±0.15)cm(t=2.448,P=0.024).Patients with styloid process syndrome mainly present with pharyngalgia(64.71%,44/68).There were no significant differences in the length,inclination angle,anteversion angle,and distance between the styloid process tip and the pharynx among those with unilateral pharyngalgia(n=29),bilateral pharyngalgia(n=15),and non pharyngalgia(n=24)(P>0.05).However,among the 68 patients with styloid syndrome,12 had calcification of the styloid hyoid ligament,while 56 did not.The incidence of unilateral pharyngalgia was significantly higher in patients with calcification of the styloid hyoid ligament than in patients without calcification(66.7%vs.35.7%,χ2=3.909,P=0.048).CONCLUSION The severity of symptoms in patients with styloid process syndrome is related to the length of the styloid process,and those with calcification of the styloid hyoid ligament are more likely to experience pharyngalgia.
