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The styloid process is a bony projection, located just anterior to the stylomastoid foramen, the normal length of which is approximately 20–25 mm. Elongation of the process may cause various clinical symptoms such as neck and cervicofacial pain, described as Eagle’s syndrome. The present study aimed to determine the mean length of the styloid process on cadavers, panoramic radiographs, and dry skulls, and to investigate the incidence of the elongated styloid process, while assessing the elongation in relation to Eagle’s syndrome. When the measurements from the panoramic radiographs were assessed, the mean length of the styloid processes in males and females on the right and left sides were found to be the following: 25.78 ± 5.68 mm; 22.69 ± 3.68 mm, 25.80 ± 5.75 mm; and 22.75 ± 3.65 mm, respectively. The males had greater styloid process lengths than the females, and the differences in length on both the right and left sides were statistically significant. Descriptive statistics and comparison results according to age groups were determined. There was no statistically significant difference between right or left styloid process lengths according to age groups. The mean length of the styloid process of the cadavers and dry bones was 22.54 ± 4.24, and there was no significant difference between the right and left sides of the cadavers and dry bones. The incidence of the elongated styloid process was determined as 3.3%, and the elongations revealed a female dominance. The average length of the elongated styloid process was 36.06 ± 6.12 mm, while the mean length of the styloid processes of the subjects reporting Eagle’s syndrome was 40 ± 4.72 mm. The results of this morphological study will assist clinicians in the diagnosis of Eagle’s syndrome. (Folia Morphol 2009; 68, 4: 265–270)
Background: The aim of this study was to evaluate the styloid process (SP) length in the normal population using multidetector computed tomography (MDCT). Materials and methods: In this study, 160 patients who underwent paranasal MDCT between January 2012 and December 2012 were retrospectively evaluated. The patients were divided into groups according to their age and gender: Group 1 age 31–40 years old, 111 subjects; Group 2 age 41–50 years old, 49 subjects; Group A 98 males; Group B 62 females. The mean SP length was calculated from the mean of 2 measurements. SPs were assessed for their average lengths in different gender and age groups. Student’s t-test was used for the comparison of the mean SP lengths between the groups. Differences were considered to be statistically significant at p < 0.05. Results: The mean SP length on both sides varied from 18 to 51 mm (28.4 ± 5.5) in all the patients. The mean SP length was 27.2 ± 5.2 mm in females and 29.2 ± 5.6 mm in males. There was a statistically significant difference between the mean SP lengths in terms of gender (p < 0.028). The mean SP length was 28.5 ± 5.7 mm in Group 1 and 28.2 ± 5.1 mm in Group 2. There was no statistically significant difference between the mean SP lengths in terms of age (p > 0.718). Conclusions: In conclusion, there is still no consensus on the normal values of SP length. Normal values should be determined according to the geographical regions and ethnic groups for the diagnosis of Eagle’s syndrome. (Folia Morphol 2013; 72, 4: 318–321)
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