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Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review

Elongated styloid syndrome (ESS) can present with myriad symptoms that mimic common features of orofacial pain, such as temporomandibular joint disorders (TMJDs), often causing a challenge and delay in diagnosis. We report the case of a 52-year-old male with a three-year history of non-painful click...

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Autor principal: Alsoghier, Abdullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Oral and Maxillofacial Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318311/
https://www.ncbi.nlm.nih.gov/pubmed/37394936
http://dx.doi.org/10.5125/jkaoms.2023.49.3.157
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author Alsoghier, Abdullah
author_facet Alsoghier, Abdullah
author_sort Alsoghier, Abdullah
collection PubMed
description Elongated styloid syndrome (ESS) can present with myriad symptoms that mimic common features of orofacial pain, such as temporomandibular joint disorders (TMJDs), often causing a challenge and delay in diagnosis. We report the case of a 52-year-old male with a three-year history of non-painful clicking during jaw movement initially diagnosed as TMJD-related internal derangement. The patient presented with a history of annoying jaw sounds for three years, described as a popping sound without bilateral clicking or crepitation. Tinnitus and progressive hearing loss were observed in the right ear, and a hearing aid was recommended by an otolaryngologist. The patient was initially diagnosed with TMJD and managed accordingly; nevertheless, his symptoms persisted. Imaging revealed prominent bilateral styloid process elongation that exceeded the recognized cut-off level of >30 mm for elongation. The patient was informed of his diagnosis and its treatment but opted only for further swallowing and auditory assessments of his ear and nose symptoms. Clinicians should consider including ESS as a differential diagnosis in patients presenting with non-specific chronic orofacial symptoms for timely diagnosis and favorable clinical outcomes.
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spelling pubmed-103183112023-07-05 Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review Alsoghier, Abdullah J Korean Assoc Oral Maxillofac Surg Case Report Elongated styloid syndrome (ESS) can present with myriad symptoms that mimic common features of orofacial pain, such as temporomandibular joint disorders (TMJDs), often causing a challenge and delay in diagnosis. We report the case of a 52-year-old male with a three-year history of non-painful clicking during jaw movement initially diagnosed as TMJD-related internal derangement. The patient presented with a history of annoying jaw sounds for three years, described as a popping sound without bilateral clicking or crepitation. Tinnitus and progressive hearing loss were observed in the right ear, and a hearing aid was recommended by an otolaryngologist. The patient was initially diagnosed with TMJD and managed accordingly; nevertheless, his symptoms persisted. Imaging revealed prominent bilateral styloid process elongation that exceeded the recognized cut-off level of >30 mm for elongation. The patient was informed of his diagnosis and its treatment but opted only for further swallowing and auditory assessments of his ear and nose symptoms. Clinicians should consider including ESS as a differential diagnosis in patients presenting with non-specific chronic orofacial symptoms for timely diagnosis and favorable clinical outcomes. The Korean Association of Oral and Maxillofacial Surgeons 2023-06-30 2023-06-30 /pmc/articles/PMC10318311/ /pubmed/37394936 http://dx.doi.org/10.5125/jkaoms.2023.49.3.157 Text en Copyright © 2023 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alsoghier, Abdullah
Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title_full Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title_fullStr Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title_full_unstemmed Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title_short Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
title_sort elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318311/
https://www.ncbi.nlm.nih.gov/pubmed/37394936
http://dx.doi.org/10.5125/jkaoms.2023.49.3.157
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