CASE 127: ELONGATED STYLOID PROCESS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 47 yo, one week ago suffering of pain on his right side of neck after swallowing.
ENT doctor checked him up with NAD [nothing abnormal detected].
Ultrasound of the neck on the right submandibular scanning in middle line detected one hyperechoic structure, size of 3 cm and posterior shadowing which was not detected on the left site of submandibular area scanning.

There was no fluid arround this structure. Pressing with the probe on the structure made patient very painful. Sonologist suggested a foreign body as bone fish.

After the endoscopy results were negative, MDCT was done at  this  area and detected the right  styloid process was too long  (# 4 cm ) in comparison to the left (#3 cm  of length).

This echostructure  is the tip of the right styloid process, a case of EAGLE 's syndrome.

FURTHER READING:

eagle-syndrome