A case of bilateral elongated styloid process and its review of the literature.

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Recently we encountered a patient complaining of sore throat and pain on swallowing due to hypertrophy of the styloid process. Styloidectomy was performed with a good result. We described a brief report of the case with some discussion. This patient was a 40-year-old man who visited our hospital with chief complaints of sore throat and pain on swallowing. Examination of the oral cavity revealed slight reddishness of the area near the bilateral amygdaloid fossa in which bone-like processes was palpable with severe pain. The X-ray film revealed that the bilateral styloid processes abnormally extended to the lower inside, the tip of which extended near the mandible angle. Under a clinical diagnosis of bilateral hypertrophy of the styloid processes, bilateral styloidectomy was performed. From 1 week after operation, the patient complained of radiating pain of the right ear which subsided spontaneously without any special procedure. Within 1 month after operation, pain on swallowing and sore throat completely disappeared. At present, about 6 months after operation, the patient remained symptomless without recurrence.
社団法人日本口腔外科学会の論文