Journal of ophthalmology, otology and laryngology . e 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
Journal of ophthalmology, otology and laryngology . e 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, on Plate 3, and its preoperative form on Plate1 ; note, too, on Plate 3 that the direction of the unoperated styloidprocess is normal, and that it is straight, with only the slightest ten-dency to curve inw ard toward the median line. For correction of the deformity and elimination of the symptoms,a portion of the process was removed in the following manner: Under a general anaesthesia (ether) an incision was made through. Plate 3. Shows the unoperated styloid process of the opposite side, or left side, and thestump of the operated one after operation. the soft tissues of the protruding body in the center of the tonsil stumpdown to the tip of the process, and sharp dissection made first with asmall periosteal elevator to free the periosteum from the tip, then bluntdissection with the forefinger by pressure, to the point of attachmentof the stylo-glossus and stylo-pharyngus muscles, when sharp dis-section with the periosteal elevator was again necessary. Three and a half millimeters of the bony process was then bittenoff in four pieces by means of a long-nosed Rongeur forceps, to thenodule previously mentioned, leaving in place about two millimetersof its base, as shown in Plate 2, the operation being completed bydissecting out the tonsil stump. 354 A Very Long Styloid Process With Throat Symptoms. The post-operative treatment was the same as that of to
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectophthalmology, bookye
