Olivares GCS, Villegas GJ, Suárez OC, Hernández A, García GH, Gudiño MRA

Language: Spanish
References: 8
Page: 36-39
PDF size: 240.12 Kb.

ABSTRACT

Introduction: the calcification of the stylohyoid ligament is a dystrophic condition where insoluble mineral salts are deposited in the soft tissues; the surgeon's early diagnosis using advanced imaging techniques might be the best guarantee to select the right clinical protocol. Objective: to describe the importance of radiographic diagnosis in the management of recurrent infection of the parotidomaseterine space associated with calcification of the stylohyoid ligament. Presentation of case: a 9-year-old female patient started symptoms with an 7 cm diameter increase in volume in the left parotidomaseteric region, echosonography and magnetic resonance imaging were evaluated, evidencing increased thickness of the parenchyma of the ipsilateral parotid gland; computed tomography data was analyzed, observing a hyperdense image with longitudinal course in apparent relation to the left parotid duct diagnosing calcification of the stylohyoid ligament and its association with the recurring infection. Results: after permeabilization of the affected parotid duct, there was a notable clinical improvement, absence of signs of phlogosis and unpleasant symptoms. Daily controls were carried out for 5 days, evidencing facial symmetry improvement, no pain on palpation, after three months control presented a slight increase in volume to physical efforts. Conclusion: calcification of the stylohyoid ligament is reported as a radiographic finding in 23% of cases, the predisposing factors are elderly patients, previous trauma to the neck and the parotidomaseteric region, although it is a pathology of unknown etiology, it can trigger clinical manifestations similar to infectious odontogenic, glandular and lymph node pathologies, for which its importance is raised in terms of its image-guided diagnosis.

REFERENCES

1. Chitre. V, Premchandra. D. Recurrent parotitis. Arc of Disease in childhood. 1997; 77: 359-363.

2. Al-Khateeb. T, Dajani. T, Jamal. G. Mineralization of the stylohyoid ligament complex in a Jordanian sample: a clinicoradiographic study. J Oral Maxillofac Surg. 2010; 68 (6): 1242-1251. doi: 10.1016/j.joms.2009.07.090.

3. Al-Amad S, Bayatti S, Alshamsi H. Stylohyoid ligament calcification and its association with dental diseases. Int Dent J. 2023; 73 (1): 151-156. doi: 10.1016/j.identj.2022.06.021.

4. Erkul E, Gillespie M. Sialendoscopy for non-stone disorders: the current evidence. Laryngoscope Investig Otolaryngol. 2016; 1 (5): 140-145. doi: 10.1002/lio2.33.

5. Kiringoda. R, Eisele. D, Chang. J. A comparison of parotid imaging characteristics and sialendoscopic findings in obstructive salivary disorders. Laryngoscope. 2014; 124 (12): 2696-2701. doi: 10.1002/lary.24787.

6. Leerdam. C, Martin. H, Isaacs D. Recurrent parotitis of childhood. J Paediatr Child Health. 2005; 41 (12): 631-634. doi: 10.1111/j.1440-1754.2005.00773.x.

7. Bhatty. A, Piggot. T, Soames JV, McLean NR. Chronic non-specific parotid sialadenitis. Br J Plast Surg. 1998; 51 (7): 517-521. doi: 10.1054/bjps.1997.0135.

8. Miziara I, Campelo. V. Infantile recurrent parotitis: follow up study of five cases and literature review. Braz J Otorhinolaryngol. 2005; 71 (5): 570-575. doi: 10.1016/s1808-8694(15)31259-3.