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Long styloid processes/stylohyoid ligaments

Case contributed by Frank Gaillard
Diagnosis certain

Lateral and frontal films demonstrate elongated styloid processes/stylohyoid ligaments. Otherwise normal study. 

 

These initial films were interpreted by the treating emergency physician as representing a swallowed chicken bone. The patient therefore underwent a CT. 

CT confirms elongated styloid processes/ossified stylohyoid ligaments. No other abnormality noted. 

 

Case Discussion

This previously asymptomatic 40-year-old female with very long styloid processes/stylohyoid ligaments presented to the emergency department with dysphagia. The initial films were interpreted by the treating emergency physician as representing a swallowed chicken bone.

Fortunately for the patient, not only did she not have a swallowed bone, but she also did not chronically suffer from Eagle syndrome.

Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.

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