A proposed extension to the elongated styloid process definition: A morphological study with high-resolution tomography computer
•The location of the styloid process is important because of its relation to adjacent neurovascular structures: carotid arteries, internal jugular vein, and several cranial nerves.•The normally length of styloid process ranges between 20–30mm, considering elongated those≥30mm, but other authors prop...
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| Veröffentlicht in: | Morphologie 2020-05, Vol.104 (345), p.117-124 |
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| creator | Muñoz-Leija, M.A. Ordóñez Rivas, F.O. Barrera-Flores, F.J. Treviño-González, J.L. Pinales-Razo, R. Guzmán-López, S. Elizondo-Omaña, R.E. Quiroga-Garza, A. |
| description | •The location of the styloid process is important because of its relation to adjacent neurovascular structures: carotid arteries, internal jugular vein, and several cranial nerves.•The normally length of styloid process ranges between 20–30mm, considering elongated those≥30mm, but other authors propose an elongated SP be considered>45mm.•In our asymptomatic patients, the mean length was on elongated range: 31.67±0.97mm on right side and 31.64±0.90mm on left side.•A 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length then the proposed≤45mm.•The high prevalence of asymptomatic patients with elongated styloid process in this study and the literature supports the need for a new definition of elongated.
The objective of the present study was to evaluate the morphology and angulation of the styloid process (SP), analyzing results stratified by gender, side and age on asymptomatic patients. We retrospectively analyzed 99 high-resolution computed tomography study images from asymptomatic patients. The images were assessed intra-observatory by a head and neck expert radiologist. Data for length, morphology, and angulation in a coronal and sagittal plane were recorded and stratified by age and gender. Morphology was classified according to the Langlais modified by Guimares classification. The mean lengths were 31.67±0.97mm and 31.64±0.90mm for the right and left sides respectively. Using the Langlais modified by Guimares classification, the normal type was the most prevalent and without a statistically significant difference when comparing between genders. A total of 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length than the proposed≤45mm. The right transverse angle was greater in men than women, and a statistically significant difference was found (P=0.010). We show the morphological variability of the SP. Although our results are reported with the traditional definition, the high prevalence supports the need for a new definition of elongated SP and a normal angulation ranges.
L’objectif de la présente étude était d’évaluer la morphologie et l’angulation du processus styloïde (SP), en analysant les résultats stratifiés par sexe, côté et âge sur des patients asymptomatiques. Nous avons analysé rétrospectivement 99 images d’é |
| doi_str_mv | 10.1016/j.morpho.2020.01.005 |
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The objective of the present study was to evaluate the morphology and angulation of the styloid process (SP), analyzing results stratified by gender, side and age on asymptomatic patients. We retrospectively analyzed 99 high-resolution computed tomography study images from asymptomatic patients. The images were assessed intra-observatory by a head and neck expert radiologist. Data for length, morphology, and angulation in a coronal and sagittal plane were recorded and stratified by age and gender. Morphology was classified according to the Langlais modified by Guimares classification. The mean lengths were 31.67±0.97mm and 31.64±0.90mm for the right and left sides respectively. Using the Langlais modified by Guimares classification, the normal type was the most prevalent and without a statistically significant difference when comparing between genders. A total of 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length than the proposed≤45mm. The right transverse angle was greater in men than women, and a statistically significant difference was found (P=0.010). We show the morphological variability of the SP. Although our results are reported with the traditional definition, the high prevalence supports the need for a new definition of elongated SP and a normal angulation ranges.
L’objectif de la présente étude était d’évaluer la morphologie et l’angulation du processus styloïde (SP), en analysant les résultats stratifiés par sexe, côté et âge sur des patients asymptomatiques. Nous avons analysé rétrospectivement 99 images d’étude de tomodensitométrie à haute résolution de patients asymptomatiques. Les images ont été évaluées en intra-observateur par un radiologue expert de la tête et du cou. Les données de longueur, de morphologie et d’angulation dans un plan coronal et sagittal ont été enregistrées et stratifiées par âge et sexe. La morphologie a été classée selon Langlais modifié par la classification de Guimares. Les longueurs moyennes étaient respectivement de 31,67±0,97mm et 31,64±0,90mm pour les côtés droit et gauche. En utilisant la classification de Langlais modifiée par Guimares, le type normal était le plus répandu et sans différence statistiquement significative lors de la comparaison entre les sexes. Un total de 27,6 % présentait un SP allongé morphologiquement (>25mm de processus continu), 49,5 % présentait un SP allongé radiologiquement (>30mm), et un total de 9,59 % avait une longueur plus longue que les≤45mm proposé. L’angle transversal droit était plus important chez les hommes que chez les femmes, et une différence statistiquement significative a été trouvée (n=0,010). Nous montrons la variabilité morphologique du SP. Bien que nos résultats soient rapportés en utilisant la définition traditionnelle, la prévalence élevée confirme la nécessité d’une nouvelle définition de la SP longue et d’une plage d’angulation normale.</description><identifier>ISSN: 1286-0115</identifier><identifier>DOI: 10.1016/j.morpho.2020.01.005</identifier><identifier>PMID: 32070640</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anatomic Variation ; Anatomy ; Asymptomatic Diseases - epidemiology ; Computer tomography ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Ossification, Heterotopic - diagnosis ; Ossification, Heterotopic - epidemiology ; Prevalence ; Retrospective Studies ; Styloid process ; Temporal bone ; Temporal Bone - abnormalities ; Temporal Bone - diagnostic imaging ; Tomography, X-Ray Computed ; Young Adult</subject><ispartof>Morphologie, 2020-05, Vol.104 (345), p.117-124</ispartof><rights>2020 Elsevier Masson SAS</rights><rights>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c277t-ebce8e9317bdc8aab84e4371138a89a7759b86f4f8be91644fb8af9881f4ebf33</citedby><cites>FETCH-LOGICAL-c277t-ebce8e9317bdc8aab84e4371138a89a7759b86f4f8be91644fb8af9881f4ebf33</cites><orcidid>0000-0001-7766-2369</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.morpho.2020.01.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32070640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Muñoz-Leija, M.A.</creatorcontrib><creatorcontrib>Ordóñez Rivas, F.O.</creatorcontrib><creatorcontrib>Barrera-Flores, F.J.</creatorcontrib><creatorcontrib>Treviño-González, J.L.</creatorcontrib><creatorcontrib>Pinales-Razo, R.</creatorcontrib><creatorcontrib>Guzmán-López, S.</creatorcontrib><creatorcontrib>Elizondo-Omaña, R.E.</creatorcontrib><creatorcontrib>Quiroga-Garza, A.</creatorcontrib><title>A proposed extension to the elongated styloid process definition: A morphological study with high-resolution tomography computer</title><title>Morphologie</title><addtitle>Morphologie</addtitle><description>•The location of the styloid process is important because of its relation to adjacent neurovascular structures: carotid arteries, internal jugular vein, and several cranial nerves.•The normally length of styloid process ranges between 20–30mm, considering elongated those≥30mm, but other authors propose an elongated SP be considered>45mm.•In our asymptomatic patients, the mean length was on elongated range: 31.67±0.97mm on right side and 31.64±0.90mm on left side.•A 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length then the proposed≤45mm.•The high prevalence of asymptomatic patients with elongated styloid process in this study and the literature supports the need for a new definition of elongated.
The objective of the present study was to evaluate the morphology and angulation of the styloid process (SP), analyzing results stratified by gender, side and age on asymptomatic patients. We retrospectively analyzed 99 high-resolution computed tomography study images from asymptomatic patients. The images were assessed intra-observatory by a head and neck expert radiologist. Data for length, morphology, and angulation in a coronal and sagittal plane were recorded and stratified by age and gender. Morphology was classified according to the Langlais modified by Guimares classification. The mean lengths were 31.67±0.97mm and 31.64±0.90mm for the right and left sides respectively. Using the Langlais modified by Guimares classification, the normal type was the most prevalent and without a statistically significant difference when comparing between genders. A total of 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length than the proposed≤45mm. The right transverse angle was greater in men than women, and a statistically significant difference was found (P=0.010). We show the morphological variability of the SP. Although our results are reported with the traditional definition, the high prevalence supports the need for a new definition of elongated SP and a normal angulation ranges.
L’objectif de la présente étude était d’évaluer la morphologie et l’angulation du processus styloïde (SP), en analysant les résultats stratifiés par sexe, côté et âge sur des patients asymptomatiques. Nous avons analysé rétrospectivement 99 images d’étude de tomodensitométrie à haute résolution de patients asymptomatiques. Les images ont été évaluées en intra-observateur par un radiologue expert de la tête et du cou. Les données de longueur, de morphologie et d’angulation dans un plan coronal et sagittal ont été enregistrées et stratifiées par âge et sexe. La morphologie a été classée selon Langlais modifié par la classification de Guimares. Les longueurs moyennes étaient respectivement de 31,67±0,97mm et 31,64±0,90mm pour les côtés droit et gauche. En utilisant la classification de Langlais modifiée par Guimares, le type normal était le plus répandu et sans différence statistiquement significative lors de la comparaison entre les sexes. Un total de 27,6 % présentait un SP allongé morphologiquement (>25mm de processus continu), 49,5 % présentait un SP allongé radiologiquement (>30mm), et un total de 9,59 % avait une longueur plus longue que les≤45mm proposé. L’angle transversal droit était plus important chez les hommes que chez les femmes, et une différence statistiquement significative a été trouvée (n=0,010). Nous montrons la variabilité morphologique du SP. Bien que nos résultats soient rapportés en utilisant la définition traditionnelle, la prévalence élevée confirme la nécessité d’une nouvelle définition de la SP longue et d’une plage d’angulation normale.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomic Variation</subject><subject>Anatomy</subject><subject>Asymptomatic Diseases - epidemiology</subject><subject>Computer tomography</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ossification, Heterotopic - diagnosis</subject><subject>Ossification, Heterotopic - epidemiology</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Styloid process</subject><subject>Temporal bone</subject><subject>Temporal Bone - abnormalities</subject><subject>Temporal Bone - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>1286-0115</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP3DAUhH1oBVvgH6DKRy4JduLEDgekFaKAhNRLOVuO87zxKomD7bTdGz-9XmXbY0_v8L6Z0QxC15TklND6dp-Pzs-9ywtSkJzQnJDqE9rQQtQZobQ6R19C2BPCaMn4GTovC8JJzcgGfWzx7N3sAnQYfkeYgnUTjg7HHjAMbtqpmF4hHgZnuyOrIQTcgbGTjYm9w1u8hg9uZ7UaErt0B_zLxh73dtdnHoIblrj6jm7n1dwfsHbjvETwl-izUUOAq9O9QG_fHn88PGev359eHravmS44jxm0GgQ0JeVtp4VSrWDASk5pKZRoFOdV04raMCNaaGjNmGmFMo0Q1DBoTVleoJvVN1V4XyBEOdqgYRjUBG4JsigrUfGmrkhC2Ypq70LwYOTs7aj8QVIij3vLvVwry-PeklCZ9k6yr6eEpR2h-yf6O3YC7lcAUs-fFrwM2sKkobMedJSds_9P-ANo4JmL</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Muñoz-Leija, M.A.</creator><creator>Ordóñez Rivas, F.O.</creator><creator>Barrera-Flores, F.J.</creator><creator>Treviño-González, J.L.</creator><creator>Pinales-Razo, R.</creator><creator>Guzmán-López, S.</creator><creator>Elizondo-Omaña, R.E.</creator><creator>Quiroga-Garza, A.</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7766-2369</orcidid></search><sort><creationdate>202005</creationdate><title>A proposed extension to the elongated styloid process definition: A morphological study with high-resolution tomography computer</title><author>Muñoz-Leija, M.A. ; Ordóñez Rivas, F.O. ; Barrera-Flores, F.J. ; Treviño-González, J.L. ; Pinales-Razo, R. ; Guzmán-López, S. ; Elizondo-Omaña, R.E. ; Quiroga-Garza, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c277t-ebce8e9317bdc8aab84e4371138a89a7759b86f4f8be91644fb8af9881f4ebf33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomic Variation</topic><topic>Anatomy</topic><topic>Asymptomatic Diseases - epidemiology</topic><topic>Computer tomography</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ossification, Heterotopic - diagnosis</topic><topic>Ossification, Heterotopic - epidemiology</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Styloid process</topic><topic>Temporal bone</topic><topic>Temporal Bone - abnormalities</topic><topic>Temporal Bone - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muñoz-Leija, M.A.</creatorcontrib><creatorcontrib>Ordóñez Rivas, F.O.</creatorcontrib><creatorcontrib>Barrera-Flores, F.J.</creatorcontrib><creatorcontrib>Treviño-González, J.L.</creatorcontrib><creatorcontrib>Pinales-Razo, R.</creatorcontrib><creatorcontrib>Guzmán-López, S.</creatorcontrib><creatorcontrib>Elizondo-Omaña, R.E.</creatorcontrib><creatorcontrib>Quiroga-Garza, A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Morphologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Muñoz-Leija, M.A.</au><au>Ordóñez Rivas, F.O.</au><au>Barrera-Flores, F.J.</au><au>Treviño-González, J.L.</au><au>Pinales-Razo, R.</au><au>Guzmán-López, S.</au><au>Elizondo-Omaña, R.E.</au><au>Quiroga-Garza, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A proposed extension to the elongated styloid process definition: A morphological study with high-resolution tomography computer</atitle><jtitle>Morphologie</jtitle><addtitle>Morphologie</addtitle><date>2020-05</date><risdate>2020</risdate><volume>104</volume><issue>345</issue><spage>117</spage><epage>124</epage><pages>117-124</pages><issn>1286-0115</issn><abstract>•The location of the styloid process is important because of its relation to adjacent neurovascular structures: carotid arteries, internal jugular vein, and several cranial nerves.•The normally length of styloid process ranges between 20–30mm, considering elongated those≥30mm, but other authors propose an elongated SP be considered>45mm.•In our asymptomatic patients, the mean length was on elongated range: 31.67±0.97mm on right side and 31.64±0.90mm on left side.•A 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length then the proposed≤45mm.•The high prevalence of asymptomatic patients with elongated styloid process in this study and the literature supports the need for a new definition of elongated.
The objective of the present study was to evaluate the morphology and angulation of the styloid process (SP), analyzing results stratified by gender, side and age on asymptomatic patients. We retrospectively analyzed 99 high-resolution computed tomography study images from asymptomatic patients. The images were assessed intra-observatory by a head and neck expert radiologist. Data for length, morphology, and angulation in a coronal and sagittal plane were recorded and stratified by age and gender. Morphology was classified according to the Langlais modified by Guimares classification. The mean lengths were 31.67±0.97mm and 31.64±0.90mm for the right and left sides respectively. Using the Langlais modified by Guimares classification, the normal type was the most prevalent and without a statistically significant difference when comparing between genders. A total of 27.6% presented a morphologically elongated SP (>25mm of continuous process), 49.5% presented a radiologically elongated SP (>30mm), and a total of 9.59% had a longer length than the proposed≤45mm. The right transverse angle was greater in men than women, and a statistically significant difference was found (P=0.010). We show the morphological variability of the SP. Although our results are reported with the traditional definition, the high prevalence supports the need for a new definition of elongated SP and a normal angulation ranges.
L’objectif de la présente étude était d’évaluer la morphologie et l’angulation du processus styloïde (SP), en analysant les résultats stratifiés par sexe, côté et âge sur des patients asymptomatiques. Nous avons analysé rétrospectivement 99 images d’étude de tomodensitométrie à haute résolution de patients asymptomatiques. Les images ont été évaluées en intra-observateur par un radiologue expert de la tête et du cou. Les données de longueur, de morphologie et d’angulation dans un plan coronal et sagittal ont été enregistrées et stratifiées par âge et sexe. La morphologie a été classée selon Langlais modifié par la classification de Guimares. Les longueurs moyennes étaient respectivement de 31,67±0,97mm et 31,64±0,90mm pour les côtés droit et gauche. En utilisant la classification de Langlais modifiée par Guimares, le type normal était le plus répandu et sans différence statistiquement significative lors de la comparaison entre les sexes. Un total de 27,6 % présentait un SP allongé morphologiquement (>25mm de processus continu), 49,5 % présentait un SP allongé radiologiquement (>30mm), et un total de 9,59 % avait une longueur plus longue que les≤45mm proposé. L’angle transversal droit était plus important chez les hommes que chez les femmes, et une différence statistiquement significative a été trouvée (n=0,010). Nous montrons la variabilité morphologique du SP. Bien que nos résultats soient rapportés en utilisant la définition traditionnelle, la prévalence élevée confirme la nécessité d’une nouvelle définition de la SP longue et d’une plage d’angulation normale.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>32070640</pmid><doi>10.1016/j.morpho.2020.01.005</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7766-2369</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anatomic Variation Anatomy Asymptomatic Diseases - epidemiology Computer tomography Cross-Sectional Studies Female Humans Male Middle Aged Ossification, Heterotopic - diagnosis Ossification, Heterotopic - epidemiology Prevalence Retrospective Studies Styloid process Temporal bone Temporal Bone - abnormalities Temporal Bone - diagnostic imaging Tomography, X-Ray Computed Young Adult |
| title | A proposed extension to the elongated styloid process definition: A morphological study with high-resolution tomography computer |
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