Calcified stylohyoid ligaments

Case contributed by Tom Foster
Diagnosis almost certain

Presentation

Caries of lower right 8. OPG to assess prior to extraction.

Patient Data

Age: 30 years
Gender: Female
x-ray

Calcified stylohyoid ligaments bilaterally.

Carious lower right 8. Dentition otherwise as shown.

Case Discussion

This OPG shows incidental calcification of the stylohyoid ligaments bilaterally, sometimes referred to as Eagle syndrome if symptomatic. This ligamentous calcification can cause pain, cranial nerve or carotid artery compression.

It is often bilateral, usually has no obvious underlying cause and often may be asymptomatic. However symptoms can develop following regional surgery (e.g. post tonsillectomy).

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