Journal of ophthalmology, otology and laryngology . urve inward, indicated inthe Roentgenograph Plate I, which is located far beneath the thick-ened nodule which is relatively close to the base of the process. Considering the possibility of a fracture, for instance. I am notinclined to place much importance to the history of a fall, striking, as 352 A Very Long Styloid Process With Throat Symptoms. she says, the back of her head ; even though she claims the symptomsdate from that time, the latter may have been co-incident. A fracture of the shaft of the process under such circumstanceswould ha
Journal of ophthalmology, otology and laryngology . urve inward, indicated inthe Roentgenograph Plate I, which is located far beneath the thick-ened nodule which is relatively close to the base of the process. Considering the possibility of a fracture, for instance. I am notinclined to place much importance to the history of a fall, striking, as 352 A Very Long Styloid Process With Throat Symptoms. she says, the back of her head ; even though she claims the symptomsdate from that time, the latter may have been co-incident. A fracture of the shaft of the process under such circumstanceswould have to be the result of a sudden pull on the three musclesattached thereto, the possibility of which seems to me to be entirelyremote, as the process in this case is a stout one, the muscles aresmall and all the muscles, normally, extend downward, forward andinward as a continuation of the general direction of the process itself,especially the stylo-hyoid, the one most likely to offend on such anoccasion because of its attachment to the hvoid Plate 2. Showing the stump of the right styloid process after have been reduced one-third their size. The clinical findings at such a late day are valueless as an aid todiagnosis. After all, the history being unreliable, the clinical findings with-out value and the Roentgen ray not productive of any definite in-formation suggestive of fracture, a positive diagnosis of the deformityas to fracture is practically impossible. All things being equal, andwhile its presence is infrequent, a developmental elongation of thestyloid process causing symptoms is not as rare as a fracture of theprocess with the same results. 353 Geo. J. Alexander. A glance at the Roentgenograph Plate 3 shows distinctly thatthe expected is a reality. The left styloid process is rather thick,regular in outline, and while it is comparatively long, it is shorter thanthe one removed, the stump of which shows plainly on Plate 2 andon the opposite side,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectophthalmology, bookye
