ÖZET
Amaç:
Bu çalışmada; uzamış stiloid proçes (SP) ve Eagle sendromunun (ES) Doğu Ege Türk toplumundaki prevalansı, klinik ve radyografik bulguları ile yaş, cinsiyet ve panoramik radyografın (PR) durumun teşhisindeki rolünün incelenmesi amaçlanmıştır.
Yöntemler:
Uzamış SP’lerin tespiti için Afyon Kocatepe Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı sistemine 1 Temmuz-31 Aralık 2014 tarihleri arasında kaydı alınmış 18 yaşından büyük 3678 hastanın panoramik radyografları (PR) incelenerek; uzamış SP’ler uzunluğu, uzama tipi, kalsifikasyon şekli, tek ya da çift taraflı görünmesine göre sınıflandırılmıştır. Klinik bulgular da ayrıca kaydedilmiştir.
Bulgular:
SP’nin 258 hastada (112 erkek, 146 kadın) uzamış (elongated) (%7,01) olduğu ve 9 (3 erkek, 6 kadın) (%0,24) hastada bulguların ES ile uyumlu olduğu görülmüştür. Uzamış SP ile yaş ve cinsiyet arasında anlamlı bir fark bulunamamıştır (p>0,05).
Sonuç:
SP’nin uzaması çeşitli klinik problemlere sebep olabilir. Bu durum birçok başka klinik tablo ile karışabilir. PR’de de tespit edilebilecek bu durumun kulak-burun-boğaz kliniği ile konsültasyonunun faydalı olabileceği düşünülmelidir.
References
1
Gokce C, Sisman Y, Sipahioglu M. Styloid Process Elongation or Eagle’s Syndrome: Is There Any Role for Ectopic Calcification? Eur J Dent 2008;2:224-8.
2
Krennmair G, Piehslinger E. Variants of ossification in the stylohyoid chain. Cranio 2003;21:31-7.
3
Neville BW, Damm DD, Allen CM, Bouquot JE. Developmental defects of the oral and maxillofacial region. In: Neville BW, Damm DD, Allen CM, Bouquot JE, eds. Oral and maxillofacial pathology. Philadelphia: W.B. Saunders company, 1996:1-43.
4
Gözil R, Yener N, Calgüner E, Araç M, Tunç E, Bahcelioğlu M. Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 2001;183:527-35.
5
Ilgüy M, Ilgüy D, Güler N, Bayirli G. Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 2005;33:96-102.
6
Kursoglu P, Unalan F, Erdem T. Radiological evaluation of the styloid process in young adults resident in Turkey’s Yeditepe University faculty of dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005;100:491-4.
7
Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with Eagle syndrome. Am J Neuroradiol 2001;22:1401-2.
8
Reddy RS, Kiran CS, Madhavi NS, Raghavendra MN, Satish A. Prevalence of elongation and calcification patterns of elongated styloid process in south India J Clin Exp Dent 2013;5:e30-5.
9
Alpoz E, Akar GC, Celik S, Govsa F, Lomcali G. Prevalence and pattern of stylohyoid chain complex patterns detected by panoramic radiographs among Turkish population Surg Radiol Anat 2014;36:39-46.
10
Watanabe PC, Dias FC, Issa JP, Monteiro SA, Paula FJ, Tiossi R. Elongated styloid process and atheroma in panoramic radiography and its relationship with systemic osteoporosis and osteopenia. Osteoporos Int 2010;21:831-6.
11
Bagga MB, Kumar CA, Yeluri G. Clinicoradiologic evaluation of styloid process calcification. Imaging Sci Dent 2012;42:155-61.
12
Scheller K, Eckert AW, Scheller C. Transoral, retromolar, para-tonsillar approach to the styloid process in 6 patients with Eagle’s syndrome. Med Oral Patol Oral Cir Bucal 2014;19:e61-6.
13
Park JH, Omi N, Nosaka T, Kitajima A, Ezawa I. Estrogen deficiency and low-calcium diet increased bone loss and urinary calcium excretion but did not alter arterial stiffness in young female rats. J Bone Miner Metab 2008;26:218-25.
14
Rizzatti-Barbosa CM, Di Hipolito O Jr, Di Hipolito V, Albergaria- Barbosa JR. Prevalence of stylohyoid ligament complex elongation in a Brazilian edentulous adult population. Rev Assoc Odont Argent 2003;91:231-5.
15
Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, Di Hipolito O, Ambrosano GM. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology 2005;22:112-5.
16
Keur JJ, Campbell JPS, McCarthy JF, Ralph WJ. The clinical significance of the elongated styloid process. Oral Surg 1986;61:399-404.
17
Koivumäki A, Marinescu-Gava M, Järnstedt J, Sándor GK, Wolff J. Trauma induced eagle syndrome. Int J Oral Maxillofac Surg 2012;41:350-3.
18
Okabe S, Morimoto Y, Ansai T, Yamada K, Tanaka T, Awano S, et al. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dentomaxillofac Radiol 2006;5:191-9.
19
Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, Hipolito OD, Ambrosano GM. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology 2005;22;112-5.
20
Andrade KM, Rodrigues CA, Watanabe PC, Mazzetto MO. Styloid Process Elongation and Calcification in Subjects with TMD: Clinical and Radiographic Aspects. Braz Dent J 2012;23:443-50.
21
Anbiaee N, Javadzadeh A. Elongated styloid process: is it a pathologic condition? Indian J Dent Res 2011;22:673-7.
22
Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, Di Hipolito O, Ambrosano GM. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology 2005;22:112-5.
23
Scaf G, Freitas DQ, Monteiro Loffredo LC. Diagnostic reproducibility of the elongated styloid process. J Appl Oral Sci 2003;11:120-4.
24
Anbiaee N, Javadzadeh A. Elongated styloid process: Is it a pathologic condition? Indian Journal of Dental Research 2011;22:673-7.
25
MacDonald-Jankowski DS. Calcification of the stylohyoid complex in Londoners and Hong Kong Chinese. Dentomaxillofac Radiol 2001;30:35-9.
26
Oztas B, Orhan K. Investigation of the incidence of stylohyoid ligament calcifications with panoramic radiographs. J Investig Clin Dent 2012;3:30-5.
