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Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 203-209

Anterior tonsillar fossa approach to elongated styloid process

1 Department of Facio-Maxillary and Reconstructive Surgery, Vydehi Institute of Medical and Dental Sciences, Bengaluru, Karnataka, India
2 Department of Plastic and Reconstructive Surgery, Vydehi Institute of Medical Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Thyagraj Jayaram Reddy
Department of Plastic and Reconstructive Surgery, Vydehi Institute of Medical Sciences, Whitefield, Bengaluru, Karnataka
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DOI: 10.4103/ams.ams_189_19

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Aim: To demonstrate the efficacy of a new novel anterior tonsillar fossa approach in management of elongated styloid process syndrome. Material and Method: We operated upon 20 patients with confirmed, symptomatic elongated styloid process. None of these patients gave a previous positive history of trauma or any other procedure relating to tonsillar area. All these patients had undergone treatment or were under treatment for neuralgia/TMJ dysfunction syndrome. Diagnosis was confirmed by clinical examination followed by radiological findings. Results: 12 patients underwent bilateral styloidectomy (60%) and 8 patients, underwent unilateral styloidectomy (40%). The length of stolid process ranged from 34mm to 62mm (mean 44 mm). Post operative follow up period ranges from 6 months to 12 months.17 patients (85%) were asymptomatic & had complete remission of symptoms over a follow up period of 12 months. 2 patients had partial remission of symptoms & 1 patient was lost to follow-up. Conclusion: Our anterior tonsillar fossa approach to elongated styloid is safe & adequate in effective surgical management & more so with an additional advantage of not requiring tonsillectomy which is often performed in trans-pharyngeal technique.

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