The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome

Differentiation of true from mimicking Eagle’s syndrome based on conventional radiography is difficult; however, cone beam computed tomography (CBCT) images can contribute to proper diagnosis of mimicking Eagle’s syndrome. The aim was to study radiological images of a 37-year old female patient (pat...

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Autores principales: Tijanić, Miloš, Burić, Nikola, Burić, Kristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7459491/
https://www.ncbi.nlm.nih.gov/pubmed/32764440
http://dx.doi.org/10.3390/ijerph17165654
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author Tijanić, Miloš
Burić, Nikola
Burić, Kristina
author_facet Tijanić, Miloš
Burić, Nikola
Burić, Kristina
author_sort Tijanić, Miloš
collection PubMed
description Differentiation of true from mimicking Eagle’s syndrome based on conventional radiography is difficult; however, cone beam computed tomography (CBCT) images can contribute to proper diagnosis of mimicking Eagle’s syndrome. The aim was to study radiological images of a 37-year old female patient (patient #1), with chronic cervicofacial pain who underwent radiological diagnosis with a conventional panoramic machine; another 75-year old male patient (patient #2), with chronic oropharyngeal pain, underwent a radiological diagnosis with the CBCT machine, with a field of a view of 16 × 12 cm. Exposure factors were 120 kVp, 7 mA, with a 20 s exposure time of acquisition. The results show a panoramic image (patient #1) with a pathologically elongated styloid process 46 mm of length, which was surgically removed, releasing the patient from further pain episodes. CBCT acquisition (patient #2) showed an impacted left maxillary canine in the edentulous maxilla and a peculiar elongation of both stylohyoid complexes as impressive, “collar-like”, bilateral, elongated, multiple segmented, calcified stylohyoid complexes, without pressure on the vital neurovascular neck structures, mimicking true Eagle’s syndrome. The impacted maxillary canine was surgically extracted with a subsequent resolution of pain episodes and the cessation of neurological complaints. The conclusions suggest that the use of CBCT images can contribute to differentiating mimicking from true Eagle’s syndrome, which has been rarely reported in the literature.
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spelling pubmed-74594912020-09-02 The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome Tijanić, Miloš Burić, Nikola Burić, Kristina Int J Environ Res Public Health Case Report Differentiation of true from mimicking Eagle’s syndrome based on conventional radiography is difficult; however, cone beam computed tomography (CBCT) images can contribute to proper diagnosis of mimicking Eagle’s syndrome. The aim was to study radiological images of a 37-year old female patient (patient #1), with chronic cervicofacial pain who underwent radiological diagnosis with a conventional panoramic machine; another 75-year old male patient (patient #2), with chronic oropharyngeal pain, underwent a radiological diagnosis with the CBCT machine, with a field of a view of 16 × 12 cm. Exposure factors were 120 kVp, 7 mA, with a 20 s exposure time of acquisition. The results show a panoramic image (patient #1) with a pathologically elongated styloid process 46 mm of length, which was surgically removed, releasing the patient from further pain episodes. CBCT acquisition (patient #2) showed an impacted left maxillary canine in the edentulous maxilla and a peculiar elongation of both stylohyoid complexes as impressive, “collar-like”, bilateral, elongated, multiple segmented, calcified stylohyoid complexes, without pressure on the vital neurovascular neck structures, mimicking true Eagle’s syndrome. The impacted maxillary canine was surgically extracted with a subsequent resolution of pain episodes and the cessation of neurological complaints. The conclusions suggest that the use of CBCT images can contribute to differentiating mimicking from true Eagle’s syndrome, which has been rarely reported in the literature. MDPI 2020-08-05 2020-08 /pmc/articles/PMC7459491/ /pubmed/32764440 http://dx.doi.org/10.3390/ijerph17165654 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tijanić, Miloš
Burić, Nikola
Burić, Kristina
The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title_full The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title_fullStr The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title_full_unstemmed The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title_short The Use of Cone Beam CT(CBCT) in Differentiation of True from Mimicking Eagle’s Syndrome
title_sort use of cone beam ct(cbct) in differentiation of true from mimicking eagle’s syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7459491/
https://www.ncbi.nlm.nih.gov/pubmed/32764440
http://dx.doi.org/10.3390/ijerph17165654
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