PRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 97 No. 6 June 2004
Elongated Styloid Process with Systematic
Ossifying Changes
Shinji Suzuki, Kazuhiko Shoji, Satoshi Ikegami,
Miyuki Marumo, Yo Kishimoto and Tsuyoshi Kojima
(Tenri Hospital)
Shinichi Takagita
(Kyoto National Hospital)
Yasutaka Kawata
(Shizuoka General Hospital)
We report a 44-year-old man with elongated styloid process and greater cornu of hyoid bone. The chief complaint was right neck pain on turning his head and the symptom had continued for one year. CT scan was useful for the diagnosis of both lesions. Surgical shortening of elongated styloid process and greater cornu of the hyoid bone was performed using the transcervical approach, and his symptom disappeared. The transcervical approach had the advantage of wide visualization and we could perform the surgical therapy safely.
The case involved hypertrophy of the tibial tuberosity and block vertebra (Th7-8). These findings suggest that the elongated styloid process and hyoid bone were part of systematic ossifying changes of the osteo-chondro tissue.
Key words : elongated styloid process, hypertrophy of tibial tuberosity, block vertebra