https://doi.org/10.4081/ejtm.2019.8808

The role of the styloid apophysis of the temporal bone in the biomechanics of the tongue, mandible, hyoid system: a case study

Vol. 30 No. 1 (2020)
Submitted: 9 January 2020
Accepted: 12 February 2020
Published: 1 April 2020
TMJ disorders, Eagle syndrome, styloid process
Abstract Views: 1262
PDF: 642
HTML: 94
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Giuseppe Messina
posturologia@unipa.it
Department of Psychological, Pedagogical and Educational Sciences, Sport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy.

Temporomandibular disorders are characterized by ear pain, tinnitus, difficulty in chewing, dysphagia and also dizziness, cervical limitation of range of movement (ROM) and other less common disorders. Numerous recent studies associate the presence of these signs and symptoms with an elongated styloid apophysis, as in the case of Eagle syndrome. The purpose of this clinical case is to support the thesis of a common syndrome that temporomandibular joint (TMJ) disorders with an elongated styloid process affirming the relationship between temporal bone, mandibule, hyoid bone and tongue. The patient was a 57-year-old woman who reported having ear algia and tinnitus all on the right side with difficulty chewing accompanied by odynophagia and dysphagia of solid and liquid foods, as well as cervical disorders. Computed tomography (CT) scans of the neck showed elongation and ossification of the styloid processes of the temporal bone. Magnetic resonance imaging (MRI) showed an anterior right dislocation of the TMJ articular disc. The patient presented classic symptoms of temporomandibular disorders, with the primary examinations showing an anterior right dislocation of the articular disc of the TMJ, as well as a longer styloid process on the same side. We therefore suggested that, in this case report, TMJ disorders may be associated with a longer styloid process on the same side.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Messina G. The tongue, mandible, hyoid system. Eur J Transl Myol 2017; 27 (1): 74-76. DOI: https://doi.org/10.4081/ejtm.2017.6363
Messina G, Martines F, Thomas E, et al. Treatment of chronic pain associated with bruxism through Myofunctional therapy. Eur J Transl Myol 2017 Jun 29;27(3):6759. DOI: https://doi.org/10.4081/ejtm.2017.6759
Rampello A, Papi P, Pompa et al. A novel universal device “LINGUAL RING Ri.P.A.Ra” for TMDs and cranio-cervico-mandibular pains: preliminary results of a randomized control clinical trial. European Review for Medical and Pharmacological SciencesIssue 5, 1180-1190.
Bumann A, Lotzmann U, Mah J. TMJ Disorders and Orofacial Pain: The Role of Dentistry in a Multidisciplinary Diagnostic Approach. New York, NY: Thieme Medical Publishers 2002:30. DOI: https://doi.org/10.1055/b-0034-50430
Rathee M, Jain P. Anatomy, Head and Neck, Stylohyoid Muscle. StatPearls 2019.
Di Paolo C, Costanzo GD, Panti F, et al. Epidemiological analysis on 2375 patients with TMJ disorders: basic statistical aspects. Ann Stomatol 2013;4(1):161-9. DOI: https://doi.org/10.11138/ads/2013.4.1.161
Parry LG. Costen's syndrome; a report of two cases. J Am Dent Assoc 1947;35:831-3.
Badhey A, Jategaonkar A, Kovacs AJA, et al. Eagle syndrome: a comprehensive review. Clin Neurol Neurosurg 2017.159:34–38. DOI: https://doi.org/10.1016/j.clineuro.2017.04.021
Ayyildiz VA, Senel FA, Dursun A, Ozturk K. Morphometric examination of the styloid process by 3D-CT in patients with Eagle syndrome. European Archives of Oto-Rhino-Laryngology 2019. 276 (12): 3453–3459. DOI: https://doi.org/10.1007/s00405-019-05602-6
Costantinides F, Della Flora F, Tonni I, et al. Elongation of the styloid processes in kidney-transplanted patients: The role of ectopic calcification as possible cause of Eagle syndrome. Cranio 2019;11:1-5. DOI: https://doi.org/10.1080/08869634.2019.1640919
Eagle WW. Elongated styloid process: Report of two cases. Arch Otolaryngol 1937;25:584-546. DOI: https://doi.org/10.1001/archotol.1937.00650010656008
Zokaris N, Siska I, Natsis K, et al. Investigation of the styloid process length in a Greek population. Folia Morphol 2019;78(2):378-388. DOI: https://doi.org/10.5603/FM.a2018.0087
Battaglia G, Giustino V, Iovane A, et al. Influence of occlusal vertical dimension on cervical spine mobility in sports subjects. Acta Medica Mediterranea 2016. Volume 32.
Sireci F, Salvago P, Messina G, et al. The role of temporomandibular disorders in the genesis of tinnitus. In: The Watson J, eds Tinnitus: Epidemiology, Causes and Emerging Therapeutic Treatments 2016. pp 1-10.
Martines F, Messina G, Patti A, et al. Effects of tinnitus on postural control and stabilization: a pilot study. Acta Medica Mediterranea 2015; 31: 907.
Patti A, Bianco A, Şahin N, et al. Postural control and balance in a cohort of healthy people living in Europe: An observational study. Medicine 2018; 97(52):e13835 DOI: https://doi.org/10.1097/MD.0000000000013835
Prasad KC, Kamath MP, Reddy JM, et al. Elongated styloid process (Eagle’s syndrome): a clinical study. J Oral Maxillofac Surg 2002;60(2):171-5. DOI: https://doi.org/10.1053/joms.2002.29814
Beder E, Ozgursoy OB, Ozgursoy SK, Anadolu Y. Three dimensional computed tomography and surgical treatment for Eagle’s syndrome. Ear Nose Throat J 2006;85:443-5. DOI: https://doi.org/10.1177/014556130608500715
Mendelsohn AH, Berke GS, Chhetri DK. Heterogeneity in the clinical presentation of Eagle’s syndrome. Otolaryngol Head Neck Surg 2006;134:389-93. DOI: https://doi.org/10.1016/j.otohns.2005.10.046
Diamond LH, Cottrell DA, Hunter MJ, Papageorge M. Eagle’s syndrome: a report of 4 patients treated using a modified extraoral approach. J Oral Maxillofac Surg 2001;59:1420-6. DOI: https://doi.org/10.1053/joms.2001.28276
Pinheiro TG, Rocha Soares VY, Lage Ferreira DB, Tet al. Eagle’s Syndrome. Int. Arch. Otorhinolaryngol. 2013;17:347-50.
Messina G, Giustino V, Martines F, et al. Orofacial muscles activity in children with swallowing dysfunction and removable functional appliances. Eur J Transl Myol 2019;29:246-50. DOI: https://doi.org/10.4081/ejtm.2019.8267

How to Cite

Messina, G. (2020). The role of the styloid apophysis of the temporal bone in the biomechanics of the tongue, mandible, hyoid system: a case study. European Journal of Translational Myology, 30(1), 111–115. https://doi.org/10.4081/ejtm.2019.8808

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.