Yrd. Doç. Dr. Rana NALÇACI, Dr. Melda MISIRLIOĞLU

YAŞLI BİREYLERDE STİLOİD PROÇESİN RADYOLOJİK OLARAK DEĞERLENDİRİLMESİ

Amaç: Bu çal man n amac 55 ya ve üstü bireylerde stiloid proçesin (SP) uzunlu:unu ve morfolojik kalsifikasyon tiplerinin görülme s kl : n belirleyerek, ya ve cinsiyetle olan ili kisini incelemektir. Gereç ve Yöntem: Çal man n materyalini 55 ya ve üstü, 90 erkek (ya ortalamas ; 62.04±8.01) ve 99 kad n (ya ortalamas ; 61.58±7.10) hasta olmak üzere toplam 189 hastaya ait ar iv panoramik radyografiler olu turmaktad r. Radyografik de erlendirmeler; SP uzunluk ölçümleri Jung ve arkada lar n n s n flamas kullan larak, morfolojik kalsifikasyon tiplerinin de:erlendirilmesi ise MacDonald-Jankowski s n flamas na göre yap lm t r. Fstatistiksel analiz için Student t-test ve ki kare testi kullan lm t r.Bulgular: Fncelenen 189 panoramik radyografide SP uzunlu:u 28.60±12.69 mm olarak ve uzam stiloid proçes görülme s kl : %27 olarak tespit edilmi tir. Sa: taraf SP ve sol taraf SP uzunluklar ve cinsiyet aras nda istatistiksel olarak anlaml ili ki bulunmad : (p>0.05) gibi, ya ve SP uzunlu:u aras nda da istatistiksel olarak anlaml(p>0.05). SP morfolojik yap tiplerinden Tip D ve Tip E daha fazla olarak görülürken, SPlerde izlenen morfolojik kalsifikasyon tipleri ile ya ve cinsiyet aras nda istatistiksel olarak anlaml farkl l klar bulunmam t r(p>0.05). Sonuç: Bizim çal mam z n sonuçlar , 55 ya ve üzeri bireylerin panoramik radyografilerinde uzam SP ya da stilohyoid kompleksin kalsifikasyonu izlenebilen, cinsiyet ayr m göstermeyen bir bulgu oldu:unu ve morfolojik yap tipi ele al nd : nda Tip D’nin görülme s kl : n n fazla oldu:unu göstermektedir

Anahtar Kelimeler:

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RADIOLOGICAL EVALUATION OF STYLOID PROCESS IN THE ELDERLY

Keywords:

Panoramic radiography, styloid process calsification,

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Gossman JR, Tarsitano JJ. The styloid-stylohyoid syndrome. J Oral Surg 1977;35:555-60.
Pontus L.: The elongated styloid process as a cause of throat discomfort: Four case reports. J. Laryngol Otol 1985; 99: 505-8.
Eagle WW. Symptomatic alongated styloid process: report of 2 cases of styloid process-carotid artery sendrome with operation. Arch Otolaryngol 1949; 49: 490-503.
Frommer J. Anatomic variations in stylohyoid chain and their possible clinical significance. Oral Surg 1974;8:659-67.
Langlais RP, Miles DA, Van Dis ML. Elongated and mineralized stylohyoid ligament complex: a proposed classification and report of a case of Eagle’s syndrome. Oral Surg Oral Med Oral Pathol 1986;61:527-32.
Ferrario VF, Sigurta D, Daddona A, Dalloca L, Miani A, Tafuro F, et al. Calcification of the stylohyoid ligament: incidence and morphoquantitative evaluations. Oral Surg Oral Med Oral Pathol 1990;69:524-9.
Eagle W. W. Symptomathic elongated styloid process. Report of two cases of Styloid process. Arch Otolaryngol 1937; 25: 584-7.
Schroeder WA. Traumatic Eagle’s syndrome. Otolaryngol Head Neck Surg 1991; 104: 371-4.
Zaki HS, Greco CM, Rudy TE, Kubinski JA. Elongated styloid process in a temporomandibular disorder sample: prevalence and treatment outcome. J Prosthet Dent 1996;75:399-405.
Du Pont JS Jr. Panoramic imaging of the stylohyoid complex in patients with suspected Ernest or Eagle’s syndrome. Cranio 1998;16:60-3.
Stafne EC, Hollinshead H. Roentgenographic observations on the stylohyoid chain. Oral Surg 1962;5: 195-200.
Okabe S, Morimoto Y, Ansai T, Yamada K, Tanaka T, Awano S, Kito S, Takata Y, Takehara T, Ohba T. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dentomaxillofacial Radiology 2006;35:191– 9.
Jung T, Tschermitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol 2004; 33: 119–124.
MacDonald-Jankowski DS. Calcification of the styloid complex in Londoners and Hong Kong Chinese. Dentomaxillofac Radiol 2001;30: 35–9.
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 Endod 2005;100:491-4.
Kaufman SM, Elzay RP, Irish EF. Styloid process variation. Arch Otolaryngol 1970; 91: 460–3.
Moffat DA, Ramsden RT, Shaw HJ. The styloid process syndrome: aetiological factors and surgical management. J Laryngol Otol 1977;91: 279-294.
Gök Ü. Yldz M. Eagle sendromu. Frat Tp Dergisi 2004;9(3): 79-81.
Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, swaldo Di Hipolito O, Ambrosano G M. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology 2005; 22; 112–5.
Montalbetti L, Ferrandi D, Pergami P, Savoldi F. Elongated styloid process and Eagle’s syndrome. Cephalalgia 1995; 15: 80-93.
Gossman JR, Tarsitano JJ. The styloid-stylohyoid syndrome. J Oral Surg 1977; 35: 555.
Diagnostic imaging of the jaws, (1st edn). Baltimore, MD: Williams & Wilkins; 1995, pp 617–648.
Carter L. Soft tissue calcification and ossification. In: White SC, Pharoah MJ, (eds). Oral radiology principles and interpretation, (5th edn). St. Louis, MO: Mosby-Year Book; 2004, pp 597–614.
Monsour PA, Young WG. Variability of the styloid process and styloid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol 1986; 61: 522-6.
Omnell K-AH, Gandhi C, Omnell ML. Ossification of the human stylohyoid ligament. A longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 1998; 85: 226-232.
llguy M, Ilguy D, Guler N, Bayrl G. Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 2005;33(1):96-102.
Bozkr MG, Bo:a H, Dere F. The Evaluation of Elongated Styloid Process in Panoramic Radiographs in Edentulous Patients. Tr J of Medical Sciences 1999; 29: 481-5.