The diagnosis and treatment of neuralgias of the face, head and neck form one of the most difficult clinical problems. It is likely that the neuralgias constitute a symptom complex of multiple origin. We wish to call attention to the fact that a form of neuralgia closely resembling the glossopharyngeal type can be caused by an abnormal elongation of the styloid process and that the pain can be relieved by operative intervention.
Glossopharyngeal pain has been of interest to us for some time. In past years we have encountered 5 cases in which glossopharyngeal pain occurred in the presence of an elongated styloid process. Operation was refused in each of these cases, however, and conclusive proof of the correlation was lacking until the patient whose case is to be reported came under observation.
A review of the literature reveals a limited amount of material on this subject. Weinlechner observed a
LOESER LH, CARDWELL EP. ELONGATED STYLOID PROCESSA CAUSE OF GLOSSOPHARYNGEAL NEURALGIA. Arch Otolaryngol. 1942;36(2):198–202. doi:10.1001/archotol.1942.03760020034003
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