ArticleIn vivo (Athens, Greece)
Accuracy in the Diagnostics of Styloid Process - Panoramic Radiograph
Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Compression Syndromes of the Stylohyoid Complex: Neural, Arterial, and Venous Phenotypes in a Dynamic Neurovascular Corridor.Tomography (Ann Arbor, Mich.) · 2026Review
- Demographic variation of styloid process morphology in panoramic radiography.BMC oral health · 2026Article
- Cervicobrachialgia in a female in her fourth decade of life: Have Eagle's syndrome and thoracic outlet syndrome been considered?Anales del sistema sanitario de Navarra · 2025Article
- The Anatomy of the Stylohyoid Chain: A Systematic Review with Meta-Analysis.Diagnostics (Basel, Switzerland) · 2025Review
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5 authors.
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Abstract
BACKGROUND/
aimThe styloid process (SP) becomes clinically relevant when it shows enlargement (>30 mm) in the sense of an elongated SP (ESP) and/or increasing calcification leading to Eagle Syndrome (ES). Panoramic radiograph (PR) or computed tomography (CT) are part of the routine diagnostics in ES. Currently, CT is considered the gold standard. The aim of this study was to investigate the accuracy in the diagnostics/measurements of SP/ESP throughout a comparative study between PR and CT. Furthermore, in addition to measuring established parameters, this study aimed to determine the currently unexamined width in the base and tip of the SP. PATIENTS AND
methodsThe present study examined the radiological findings of bilateral SP in 100 patients who received both PR and CT on the same day. Measurements of the length of the SP and width at the basis and tip were performed. Furthermore, calcification patterns, Langlais classification and the prevalence of ESP were analyzed.
resultsThere was a highly significant correlation between PR and CT measuring SP for every parameter. Males showed significantly longer SP than females among the age group between 18-75 years. The results of the length measurements of the SP (male: right SP=32.98 mm; left SP=35.21 mm; female: right SP=30.31 mm; left SP=30.92 mm) significantly exceeded the values of comparable studies.
conclusionConsequently, it can be concluded that PR provides accurate measurements when compared to CT for measuring and diagnosing SP/ESP/Eagle syndrome. This study was one of the first to examine the width of the SP in the base and tip, thus these measurements can serve as a baseline for further studies. Since the mean lengths of SP exceeded 30.0 mm in the present study, these findings raise the question of whether the cut-off of 30.0 mm is adequate for the diagnosis of ESP.
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