DİJİTAL PANORAMİK GÖRÜNTÜLERDE UZAMIŞ STİLOİD PROSES PREVALANSI VE STİLOİD PROSES UZUNLUĞUNUN YAŞ VE CİNSİYETLERE GÖRE DEĞERLENDİRİLMESİ

Year 2018, Volume: 28 Issue: 4, 451 - 456, 14.10.2018

Melda Mısırlıoğlu Mehmet Zahit Adışen , Kubilay Barış

https://doi.org/10.17567/ataunidfd.473682

Abstract

Amaç:
Bu çalışmanın amacı seçili bir hasta
grubuna ait panoramik görüntülerde uzamış stiloid proses (USP) prevalansının
belirlenmesi ve hastaların stiloid proses (SP) uzunluğunun yaş ve cinsiyetlere
göre dağılımının değerlendirilmesidir.

Gereç
ve yöntem: Ağız Diş ve Çene
Radyolojisi Anabilim Dalına müracaat eden 16-60 yaş aralığında 200 hastanın
(100 kadın, 100 erkek) dijital panoramik görüntüleri veri tabanından elde
edilerek çalışma gru- bu oluşturuldu. Bireyler yaşlarına göre 5 gruba ayrıldı
ve her grupta eşit sayıda hasta olacak şekilde görün- tüler sistemden rastgele
seçildi. Her panoramik görün- tü üzerinde sağ ve sol taraf SP uzunluğu CliniView
programında cetvel aracı kullanılarak ölçüldü. Uzunluk ölçümünde SP’nin
temporal kemikten ilk ayrıldığı yer ile en uç noktası referans noktalar olarak
belirlendi. Uzunluğu 30 mm’den fazla olan ölçümler USP olarak kabul edildi.
Elde edilen veriler SPSS 17.0 programına aktarılarak gruplar arası
istatistiksel karşılaştırma yapıldı.

Bulgular:
USP prevalansı %15 olarak bulundu. USP
görülen hastaların 18’inin erkek
(%60), 12’sinin (%40) kadın olduğu tespit edildi. Sol SP uzunluğu ortalama
24,64 ± 4,83 mm, sağ SP uzunluğu ortalama 24,35 ± 4,84 mm olarak ölçüldü.
Cinsiyetler ve yaş grupları için ölçüm değerlerinde istatistiksel olarak
anlamlı fark bu- lunmadı (p> 0,05). SP uzunluğunun yaş ile anlamlı
korelasyon göstermediği tespit edildi.

Sonuç:
Seçili hasta grubunda USP prevalansı
ve orta- lama SP uzunluğu değerleri literatürde bildirilen değer aralığında
saptanmıştır. Ayrıca SP uzunluğunun yaşa ve cinsiyete bağlı anlamlı fark
göstermediği tespit edilmiştir. Çalışma sonuçlarının doğruluğu daha geniş
çalışma popülasyonunda ve farklı görüntüleme yön- temleri kullanılarak
araştırılmalıdır.

Anahtar
Kelimeler: Stiloid proses, Eagle sendromu, temporal kemik,
panoramik görüntü

THE PREVALANCE OF ELONGATED STYLOID PROCESS IN DIGITAL
PANORAMIC IMAGES AND EVALUATION OF STYLOID PROCESS LENGHT ACCORDING TO GENDERS
AND AGE GROUPS

Aim: The purpose of the present
study is to determine the prevalence of elongated styloid process (ESP) and
investigate the distribution of styloid process (SP) length according to
genders and age groups in digital panoramic images of a selected patient
population.

Materials and Methods: A total of 200
panoramic images of patients (100 females, 100 males) aged between 16-60 years
were selected from the database of Oral and Maxillofacial Radiology Department.
Patients were equally divided into five groups according to their ages. Length
of right and left SPs were measured on digital panoramic images by an oral and
maxillofacial radiologist using ruler tool in CliniView software. The point
where the SP first separated from the temporal bone and the most apical point
of SP were identified as reference points for measurements. SP measuring more
than 30 mm was considered elongated. Obtained variables were entered SPSS 17.0
software for statistical analysis of measurements.

Results: Prevalence of ESP was found to
be 15%. Among patients with ESP 18
(60%) were male and 12 (40%) were female. Mean length of SP was 24,64 ± 4,83 mm
on left side and 24,35 ± 4,84 mm on right side. There was no significant
difference between genders and age groups for SP measurements (p>0,05).
Moreover, there was no significant correlation between age of the patients and
SP length.

Conclusion: The ESP prevalence and mean SP
length measurements in the selected patient group were in the range of reported
values in the literature. Also, it was determined that the SP length does not
differ significantly depending on gender and age. The accuracy of the study results should be furtherly
investigated in the larger study population with different imaging modalities.

Keywords:
Styloid process, Eagle’s Syndrome, temporal bone,
panoramic image

Keywords

Stiloid proses, Eagle sendromu, temporal kemik

References

• 1. Roopashri G, Vaishali M, David MP, Baig M, Shankar U. Evaluation of elongated styloid process on digital panoramic radiographs. J Contemp Dent Pract 2012;13:618-22.
• 2. Alpoz E, Akar GC, Celik S, Govsa F, Lomcali G. Prevalence and pattern of stylohyoid chain complex patterns detected by panoramic radiographs among Turkish population. Surgical and Radiologic Anatomy 2014;36:39-46.
• 3. Okabe S, Morimoto Y, Ansai T, et al. 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.
• 4. Eagle WW. Elongated styloid process: further observations and a new syndrome. Archives of otolaryngology 1948;47:630-40.
• 5. Watanabe P, Dias F, Issa J, Monteiro S, de Paula F, Tiossi R. Elongated styloid process and atheroma in panoramic radiography and its relationship with systemic osteoporosis and osteopenia. Osteoporosis international 2010;21:831-6.
• 6. Sudhakara Reddy R, Sai Kiran C, Sai Madhavi N, Raghavendra M, Satish A. Prevalence of elongation and calcification patterns of elongated styloid process in south India. J Clin Exp Dent 2013;5:e30-5.
• 7. Lins CCdSA, Tavares RMC, Silva CCd. Use of digital panoramic radiographs in the study of styloid process elongation. Anatomy Res Int 2015;2015: 474615.
• 8. Bagga MB, Kumar CA, Yeluri G. Clinicoradiologic evaluation of styloid process calcification. Imaging Sci Dent 2012; 42: 155-61.
• 9. Öztunç H, Evlice B, Tatli U, Evlice A. Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain. Head & Face Med 2014;10:5.
• 10. Chabikuli N, Noffke C. Styloid process elongation according to age and gender: a radiological study. South African Dent J 2016;71:470-3.
• 11. Vieira EMM, Guedes OA, De Morais S, De Musis CR, De Albuquerque PAA, Borges ÁH. Prevalence of elongated styloid process in a central brazilian population. Journal of clinical and diagnostic research: JCDR 2015;9:ZC90-2.
• 12. Guimarães A, Cury S, Silva M, Junqueira J, Torres S. Prevalence of elongated styloid process and/or ossified stylohyoid ligament in panoramic radiographs. Revista Gaúcha de Odontologia 2010; 58:481-5.
• 13. Valerio CS, Peyneau PD, de Sousa ACPR, et al. Stylohyoid syndrome: surgical approach. Journal of Craniofacial Surgery 2012;23:e138-40.
• 14. İlgüy M, İlgüy D, Güler N, Bayirli G. Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 2005; 33:96-102.
• 15. 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 Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2005;100:491-4.
• 16. Rath G, Anand C. Abnormal styloid process in a human skull. Surgical and Radiologic Anatomy 1991;13:227-9.
• 17. More CB, Asrani MK. Evaluation of the styloid process on digital panoramic radiographs. Indian Journal of Radiology and Imaging 2010;20:261-5.
• 18. de Oliveira Pinto PR, da Luz Vieira G, de Menezes LM, Rizzatto SMD, Brücker MR. Evaluation of the styloid process in subjects with class III malocclusion. Revista Odonto Ciência 2008;23:44-7.
• 19. Tavares H, Freitas C. Prevalence of the elongated styloid process of temporal bone and calcification of the stylohyoid ligament by panoramic radiography. Revista de Odontologia da Universidade da Cidade de Sao Paulo 2007;19:188-200.
• 20. Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated? Dentomax Radiol 2004;33:119-24.
• 21. De Paula M, Carraretto F. Prevalence of elongation of the styloid process in patients with temporomandibular disorders. Revista da Imagem. 2008;30:1-5.
• 22. Natsis K, Repousi E, Noussios G, Papathanasiou E, Apostolidis S, Piagkou M. The styloid process in a Greek population: an anatomical study with clinical implications. Anatomical Sci Int 2015;90:67-74.
• 23. Shaik MA, Naheeda N, Sultan K, Abdul W, Shahul H. Prevalence of elongated styloid process in Saudi population of Aseer region. Eur J Dent 2013;7:449-54.
• 24. Keur J, Campbell J, McCarthy J, Ralph W. The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol 1986;61:399-404.
• 25. MacDonald-Jankowski D. Calcification of the stylohyoid complex in Londoners and Hong Kong Chinese. Dentomaxillofac Radiol 2001;30:35-9.
• 26. Nalçacı R, Mısırlıoğlu M. Yaşlı bireylerde stiloid proçesin radyolojik olarak değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg 2006;16:1-6.
• 27. Sokler K, Sandev S. New classification of the styloid process length–clinical application on the biological base. Collegium Antropolog 2001; 25: 627-32.
• 28. Anbiaee N, Javadzadeh A. Elongated styloid process: is it a pathologic condition? Indian J Dent Res 2011;22:673-7.
• 29. Gokce C, Sisman Y, Ertas ET, Akgunlu F, Ozturk A. Prevalence of styloid process elongation on panoramic radiography in the Turkey population from cappadocia region. Eur J Dent 2008;2:18-22.