Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 9/2020

11.05.2020 | Original Article

Evaluation of stylohyoid complex in subjects with different types of malocclusions using cone-beam computed tomography: a retrospective study in a Turkish subpopulation

verfasst von: Fahrettin Kalabalık, Onur Şahin

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 9/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

According to the functional matrix theory, the development of maxillomandibular complex may be affected by the surrounding tissues. The aim of this study was to evaluate the length and angulation of the styloid process in different types of malocclusions using cone-beam computed tomography (CBCT).

Methods

Angulations and length of the styloid process were evaluated in CBCT images of 97 individuals retrospectively. The patients were classified as class I, II, and III groups according to sagittal skeletal classes. The mean length, anterior angulation, and medial angulation of the styloid process were analyzed. Statistical significance was evaluated at p < 0.05.

Results

The mean styloid process length in group class III was found to be significantly longer than class I (p: 0.035). Anterior angle was significantly higher in class III group than in other groups (p < 0.05). No statistically significant difference was found in medial angle between the groups (p: 0.506).

Conclusion

According to present findings, class III malocclusion is associated with the stylohyoid complex morphology due to longer styloid process lengths and higher anterior angle values.
Literatur
1.
Zurück zum Zitat Ab Rahman S, Takeuchi K, Ohno Y, bt Ismar FNF, Sugita Y, Maeda H, Alam MK (2018) Comparison between 2D and 3D measurement of styloid process length. J Hard Tissue Biol 27:51–54CrossRef Ab Rahman S, Takeuchi K, Ohno Y, bt Ismar FNF, Sugita Y, Maeda H, Alam MK (2018) Comparison between 2D and 3D measurement of styloid process length. J Hard Tissue Biol 27:51–54CrossRef
2.
Zurück zum Zitat Baccetti T, Reyes BC, McNamara JA Jr (2005) Gender differences in class III malocclusion. Angle Orthod 75:510–520PubMed Baccetti T, Reyes BC, McNamara JA Jr (2005) Gender differences in class III malocclusion. Angle Orthod 75:510–520PubMed
3.
Zurück zum Zitat Basekim CC, Mutlu H, Gungor A, Silit E, Pekkafali Z, Kutlay M, Colak A, Ozturk E, Kizilkaya E (2005) Evaluation of styloid process by three-dimensional computed tomography. Eur Radiol 15:134–139CrossRef Basekim CC, Mutlu H, Gungor A, Silit E, Pekkafali Z, Kutlay M, Colak A, Ozturk E, Kizilkaya E (2005) Evaluation of styloid process by three-dimensional computed tomography. Eur Radiol 15:134–139CrossRef
4.
Zurück zum Zitat Bastir M, Rosas A (2006) Correlated variation between the lateral basicranium and the face: a geometric morphometric study in different human groups. Arch Oral Biol 51:814–824CrossRef Bastir M, Rosas A (2006) Correlated variation between the lateral basicranium and the face: a geometric morphometric study in different human groups. Arch Oral Biol 51:814–824CrossRef
5.
Zurück zum Zitat Buyuk C, Gunduz K, Avsever H (2018) Morphological assessment of the stylohyoid complex variations with cone beam computed tomography in a Turkish population. Folia Morphol 77:79–89CrossRef Buyuk C, Gunduz K, Avsever H (2018) Morphological assessment of the stylohyoid complex variations with cone beam computed tomography in a Turkish population. Folia Morphol 77:79–89CrossRef
6.
Zurück zum Zitat Carlson DS (2005) Theories of craniofacial growth in the postgenomic era. Semin Orthod 11:172–183CrossRef Carlson DS (2005) Theories of craniofacial growth in the postgenomic era. Semin Orthod 11:172–183CrossRef
7.
Zurück zum Zitat Colby CC, Del Gaudio JM (2011) Stylohyoid complex syndrome: a new diagnostic classification. Arch Otolaryngol Head Neck Surg 137:248–252CrossRef Colby CC, Del Gaudio JM (2011) Stylohyoid complex syndrome: a new diagnostic classification. Arch Otolaryngol Head Neck Surg 137:248–252CrossRef
8.
Zurück zum Zitat de Andrade KM, Rodrigues CA, Watanabe PC, Mazzetto MO (2012) Styloid process elongation and calcification in subjects with tmd: clinical and radiographic aspects. Braz Dent J 23:443–450CrossRef de Andrade KM, Rodrigues CA, Watanabe PC, Mazzetto MO (2012) Styloid process elongation and calcification in subjects with tmd: clinical and radiographic aspects. Braz Dent J 23:443–450CrossRef
9.
Zurück zum Zitat Deljo E, Filipovic M, Babacic R, Grabus J (2012) Correlation analysis of the hyoid bone position in relation to the cranial base, mandible and cervical part of vertebra with particular reference to bimaxillary relations/teleroentgenogram analysis. Acta Inform Med 20:25–31CrossRef Deljo E, Filipovic M, Babacic R, Grabus J (2012) Correlation analysis of the hyoid bone position in relation to the cranial base, mandible and cervical part of vertebra with particular reference to bimaxillary relations/teleroentgenogram analysis. Acta Inform Med 20:25–31CrossRef
10.
Zurück zum Zitat Dibbets J (1996) Morphological associations between the angle classes. Eur J Orthod 18:111–118CrossRef Dibbets J (1996) Morphological associations between the angle classes. Eur J Orthod 18:111–118CrossRef
11.
Zurück zum Zitat Eagle WW (1962) The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg 28:1–5PubMed Eagle WW (1962) The symptoms, diagnosis and treatment of the elongated styloid process. Am Surg 28:1–5PubMed
12.
Zurück zum Zitat Esenlik E, Plana NM, Grayson BH, Flores RL (2017) Cephalometric predictors of clinical severity in Treacher Collins syndrome. Plast Reconstr Surg 140:1240–1249CrossRef Esenlik E, Plana NM, Grayson BH, Flores RL (2017) Cephalometric predictors of clinical severity in Treacher Collins syndrome. Plast Reconstr Surg 140:1240–1249CrossRef
14.
Zurück zum Zitat İlgüy D, İlgüy M, Fişekçioğlu E, Dölekoğlu S (2013) Assessment of the stylohyoid complex with cone beam computed tomography. Iran J Radiol 10:21–26CrossRef İlgüy D, İlgüy M, Fişekçioğlu E, Dölekoğlu S (2013) Assessment of the stylohyoid complex with cone beam computed tomography. Iran J Radiol 10:21–26CrossRef
15.
Zurück zum Zitat Jena AK, Duggal R (2011) Hyoid bone position in subjects with different vertical jaw dysplasias. Angle Orthod 81:81–85CrossRef Jena AK, Duggal R (2011) Hyoid bone position in subjects with different vertical jaw dysplasias. Angle Orthod 81:81–85CrossRef
16.
Zurück zum Zitat Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L (2004) Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol 33:119–124CrossRef Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L (2004) Elongated styloid process: when is it really elongated? Dentomaxillofac Radiol 33:119–124CrossRef
17.
Zurück zum Zitat Kim JH, Arita ES, Pinheiro LR, Yoshimoto M, Watanabe PCA, Cortes ARG (2018) Computed tomographic artifacts in maxillofacial surgery. J Craniofac Surg 29:e78–e80CrossRef Kim JH, Arita ES, Pinheiro LR, Yoshimoto M, Watanabe PCA, Cortes ARG (2018) Computed tomographic artifacts in maxillofacial surgery. J Craniofac Surg 29:e78–e80CrossRef
18.
Zurück zum Zitat Kosar MI, Atalar MH, Sabanciogullari V, Tetiker H, Erdil FH, Cimen M, Otag I (2011) Evaluation of the length and angulation of the styloid process in the patient with pre-diagnosis of Eagle syndrome. Folia Morphol 70:295–299 Kosar MI, Atalar MH, Sabanciogullari V, Tetiker H, Erdil FH, Cimen M, Otag I (2011) Evaluation of the length and angulation of the styloid process in the patient with pre-diagnosis of Eagle syndrome. Folia Morphol 70:295–299
19.
Zurück zum Zitat Kursoglu P, Unalan F, Erdem T (2005) Radiological evaluation of the styloid process in young adults resident in Turkey’s Yeditepe University faculty of dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:491–494CrossRef Kursoglu P, Unalan F, Erdem T (2005) Radiological evaluation of the styloid process in young adults resident in Turkey’s Yeditepe University faculty of dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:491–494CrossRef
20.
Zurück zum Zitat Marsan G, Oztas E, Cura N, Kuvat SV, Emekli U (2010) Changes in head posture and hyoid bone position in Turkish class III patients after mandibular setback surgery. J Craniomaxillofac Surg 38:113–121CrossRef Marsan G, Oztas E, Cura N, Kuvat SV, Emekli U (2010) Changes in head posture and hyoid bone position in Turkish class III patients after mandibular setback surgery. J Craniomaxillofac Surg 38:113–121CrossRef
21.
Zurück zum Zitat Moss ML (1997) The functional matrix hypothesis revisited. 1. The role of mechanotransduction. Am J Orthod Dentofac Orthop 112:8–11CrossRef Moss ML (1997) The functional matrix hypothesis revisited. 1. The role of mechanotransduction. Am J Orthod Dentofac Orthop 112:8–11CrossRef
22.
Zurück zum Zitat Moss ML (1997) The functional matrix hypothesis revisited. 2. The role of an osseous connected cellular network. Am J Orthod Dentofac Orthop 112:221–226CrossRef Moss ML (1997) The functional matrix hypothesis revisited. 2. The role of an osseous connected cellular network. Am J Orthod Dentofac Orthop 112:221–226CrossRef
23.
Zurück zum Zitat Okur A, Özkırış M, Serin HI, Gencer ZK, Karaçavuş S, Karaca L, Kantarcı M, Saydam L (2014) Is there a relationship between symptoms of patients and tomographic characteristics of styloid process? Surg Radiol Anat 36:627–632CrossRef Okur A, Özkırış M, Serin HI, Gencer ZK, Karaçavuş S, Karaca L, Kantarcı M, Saydam L (2014) Is there a relationship between symptoms of patients and tomographic characteristics of styloid process? Surg Radiol Anat 36:627–632CrossRef
24.
Zurück zum Zitat Onbas O, Kantarci M, Murat Karasen R, Durur I, Cinar Basekim C, Alper F, Okur A (2005) Angulation, length, and morphology of the styloid process of the temporal bone analyzed by multidetector computed tomography. Acta Radiol 46:881–886CrossRef Onbas O, Kantarci M, Murat Karasen R, Durur I, Cinar Basekim C, Alper F, Okur A (2005) Angulation, length, and morphology of the styloid process of the temporal bone analyzed by multidetector computed tomography. Acta Radiol 46:881–886CrossRef
25.
Zurück zum Zitat Oz U, Orhan K, Aksoy S, Ciftci F, Özdoğanoğlu T, Rasmussen F (2016) Association between pterygoid hamulus length and apnea hypopnea index in patients with obstructive sleep apnea: a combined three-dimensional cone beam computed tomography and polysomnographic study. Oral Surg Oral Med Oral Pathol Oral Radiol 121:330–339CrossRef Oz U, Orhan K, Aksoy S, Ciftci F, Özdoğanoğlu T, Rasmussen F (2016) Association between pterygoid hamulus length and apnea hypopnea index in patients with obstructive sleep apnea: a combined three-dimensional cone beam computed tomography and polysomnographic study. Oral Surg Oral Med Oral Pathol Oral Radiol 121:330–339CrossRef
26.
Zurück zum Zitat Oztunc H, Evlice B, Tatli U, Evlice A (2014) Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain. Head Face Med 10:5CrossRef Oztunc H, Evlice B, Tatli U, Evlice A (2014) Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain. Head Face Med 10:5CrossRef
27.
Zurück zum Zitat Ramirez-Yañez GO (2019) Craniofacial growth and development. In: Liem E (ed) Sleep disorders in pediatric dentistry, 1st edn. Springer, Burnaby, pp 39–56CrossRef Ramirez-Yañez GO (2019) Craniofacial growth and development. In: Liem E (ed) Sleep disorders in pediatric dentistry, 1st edn. Springer, Burnaby, pp 39–56CrossRef
28.
Zurück zum Zitat Sahin O, Kalabalik F, Tatar B, Odabasi O (2019) Cone-beam computed tomographic evaluation of styloid process in patients with temporomandibular disorders and asymptomatic individuals. J Craniofac Surg 30:2236–2238CrossRef Sahin O, Kalabalik F, Tatar B, Odabasi O (2019) Cone-beam computed tomographic evaluation of styloid process in patients with temporomandibular disorders and asymptomatic individuals. J Craniofac Surg 30:2236–2238CrossRef
29.
Zurück zum Zitat Sancio-Goncalves FC, de Abreu MH, Netto Soares JM, Amaral SA, Barbosa Porfirio FM, Naves MD, Abdo EN (2013) Stylohyoid complex ossification in temporomandibular disorder: a case–control study. J Prosthet Dent 109:79–82CrossRef Sancio-Goncalves FC, de Abreu MH, Netto Soares JM, Amaral SA, Barbosa Porfirio FM, Naves MD, Abdo EN (2013) Stylohyoid complex ossification in temporomandibular disorder: a case–control study. J Prosthet Dent 109:79–82CrossRef
30.
Zurück zum Zitat Scavone G, Caltabiano DC, Raciti MV, Calcagno MC, Pennisi M, Musumeci AG, Ettorre GC (2019) Eagle's syndrome: a case report and CT pictorial review. Radiol Case Rep 14:141–145CrossRef Scavone G, Caltabiano DC, Raciti MV, Calcagno MC, Pennisi M, Musumeci AG, Ettorre GC (2019) Eagle's syndrome: a case report and CT pictorial review. Radiol Case Rep 14:141–145CrossRef
31.
Zurück zum Zitat Shaik MA, Kaleem SM, Wahab A, Hameed S (2013) Prevalence of elongated styloid process in Saudi population of Aseer region. Eur J Dent 7:449–454CrossRef Shaik MA, Kaleem SM, Wahab A, Hameed S (2013) Prevalence of elongated styloid process in Saudi population of Aseer region. Eur J Dent 7:449–454CrossRef
32.
Zurück zum Zitat Steiner CC (1959) Cephalometrics in clinical practice. Angle Orthod 29:8–29 Steiner CC (1959) Cephalometrics in clinical practice. Angle Orthod 29:8–29
33.
Zurück zum Zitat Sutherland K, Lee RWW, Chan TO, Ng S, Hui DS, Cistulli PA (2018) Craniofacial phenotyping in chinese and caucasian patients with sleep apnea: influence of ethnicity and sex. J Clin Sleep Med 14:1143–1151CrossRef Sutherland K, Lee RWW, Chan TO, Ng S, Hui DS, Cistulli PA (2018) Craniofacial phenotyping in chinese and caucasian patients with sleep apnea: influence of ethnicity and sex. J Clin Sleep Med 14:1143–1151CrossRef
34.
Zurück zum Zitat Yavuz H, Caylakli F, Yildirim T, Ozluoglu LN (2008) Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol 265:1393–1396CrossRef Yavuz H, Caylakli F, Yildirim T, Ozluoglu LN (2008) Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol 265:1393–1396CrossRef
35.
Zurück zum Zitat Yılmaz D, Orhan K, Cesur E (2020) Evaluation of the relationship between stylohyoid complex morphology and maxillary/mandibular position using cone beam computed tomography. Folia Morphol 79:148–155 Yılmaz D, Orhan K, Cesur E (2020) Evaluation of the relationship between stylohyoid complex morphology and maxillary/mandibular position using cone beam computed tomography. Folia Morphol 79:148–155
Metadaten
Titel
Evaluation of stylohyoid complex in subjects with different types of malocclusions using cone-beam computed tomography: a retrospective study in a Turkish subpopulation
verfasst von
Fahrettin Kalabalık
Onur Şahin
Publikationsdatum
11.05.2020
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 9/2020
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-020-02486-8

Weitere Artikel der Ausgabe 9/2020

Surgical and Radiologic Anatomy 9/2020 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.