Swapna Lingam Amara, AlMegbil Nada Tarek, Almutlaq Alhanouf Othman, Koppolu Pradeep
Department of Surgical and Diagnostic Sciences, College of Dentistry, Dar Al Uloom University, Riyadh 13314, Saudi Arabia.
Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh 13314, Saudi Arabia.
Radiol Res Pract. 2021 Nov 11;2021:6097795. doi: 10.1155/2021/6097795. eCollection 2021.
Patients with an elongated styloid process might present with dysphagia and pain in the cervicofacial region. These patients could be misdiagnosed as other orofacial pathologies.
The present study attempted to assess the prevalence of the elongated styloid process on digital panoramic radiographs in the Riyadh population.
The present prospective randomized study was conducted on the panoramic digital radiographs of 300 randomly selected patients visiting a private dental hospital to identify any elongation of the styloid process. Only the radiographs without any magnification errors were considered. The styloid process length was measured using the Sidexis measuring tool and entered in an Excel spreadsheet with other demographic data. A length beyond 30 mm was considered styloid process elongation. The data were subjected to statistical analysis.
The symptoms of styloid process elongation were higher among females (78.6%), and this difference was statistically significant ( = 7.182; =0.007). No statistically significant association was observed between styloid process elongation and symptoms between different age groups. Females exhibited a significant longer mean length of the styloid process than males. The present study exhibited a 27.3% prevalence for the elongation and calcification of the styloid process.
Given the significant prevalence of the elongated styloid process in our study, we recommend it to be considered as one of the differential diagnosis for pain or discomfort in the orofacial region.
茎突过长的患者可能会出现吞咽困难和颈面部疼痛。这些患者可能会被误诊为其他口腔面部疾病。
本研究旨在评估利雅得人群数字化全景X线片上茎突过长的患病率。
本前瞻性随机研究对300例随机选取的到一家私立牙科医院就诊的患者的全景数字化X线片进行分析，以确定茎突是否有延长。仅考虑无任何放大误差的X线片。使用Sidexis测量工具测量茎突长度，并与其他人口统计学数据一起录入Excel电子表格。茎突长度超过30mm被认为是茎突延长。对数据进行统计分析。
茎突延长症状在女性中更为常见（78.6%），且这种差异具有统计学意义（χ² = 7.182；P = 0.007）。不同年龄组之间，茎突延长与症状之间未观察到统计学上的显著关联。女性茎突的平均长度显著长于男性。本研究显示茎突延长和钙化的患病率为27.3%。
鉴于本研究中茎突过长的患病率较高，我们建议将其视为口腔面部疼痛或不适的鉴别诊断之一。
