Nayak D R, Pujary K, Aggarwal M, Punnoose S E, Chaly V A
Department of ENT Kasturba Medical College and Hospital, Manipal, Karnataka, India.
J Laryngol Otol. 2007 Apr;121(4):349-53. doi: 10.1017/S0022215106003276. Epub 2007 Jan 4.
Elongated styloid process is a relatively common cause of facial and neck pain, but it is often misdiagnosed due to its varied clinical presentation. Since an elongated styloid process is often confirmed by radiological means, it would be helpful to find a more accurate mode of depicting the styloid process. In this prospective study, 39 cases were evaluated. A three-dimensional computed tomography (3D CT) reconstruction of the styloid process was performed in 18 cases. In these patients, we compared the length and medial angulation of the symptomatic styloid process as viewed on an orthopantomogram and a 3D CT reconstruction. It was noted that a 3D CT reconstruction was more accurate in depicting the styloid process. This investigation can be considered as the 'gold standard' in the radiological diagnosis of an elongated styloid process.
茎突过长是面部和颈部疼痛的一个相对常见的原因，但由于其临床表现多样，常被误诊。由于茎突过长通常通过影像学手段确诊，因此找到一种更准确描绘茎突的方式会很有帮助。在这项前瞻性研究中，对39例患者进行了评估。18例患者进行了茎突的三维计算机断层扫描（3D CT）重建。在这些患者中，我们比较了在曲面断层片和3D CT重建上观察到的患侧茎突的长度和内侧角度。结果发现，3D CT重建在描绘茎突方面更准确。这项研究可被视为茎突过长影像学诊断的“金标准”。
