Elongation of the styloid processes in kidney-transplanted patients: The role of ectopic calcification as possible cause of Eagle syndrome
Autor: | Christiane Bodin, Mary Louise Artero, Gaetano Castronovo, Ingrid Tonni, Federico Della Flora, Vanessa Nicolin, Roberto Di Lenarda, Erica Vettori, Fulvia Costantinides, Gabriele Bazzocchi |
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Přispěvatelé: | Costantinides, F., Della Flora, F., Tonni, I., Bodin, C., Bazzocchi, G., Artero, M. L., Castronovo, G., Vettori, E., Nicolin, V., Di Lenarda, R. |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Orofacial pain
Pathology medicine.medical_specialty medicine.medical_treatment kidney transplantation Clinical manifestation Kidney Bone remodeling 03 medical and health sciences Ectopic calcification 0302 clinical medicine bone metabolism Eagle syndrome hemodialysis orofacial pain orthopantomography Styloid process Facial Pain medicine Humans General Dentistry Kidney transplantation business.industry Ossification Heterotopic Temporal Bone 030206 dentistry medicine.disease medicine.anatomical_structure hemodialysi Otorhinolaryngology Hemodialysis medicine.symptom business 030217 neurology & neurosurgery |
Popis: | Objective: To investigate the relationship between the presence of ectopic calcification in the elongation of the styloid process (SP) and its possible clinical manifestation (Eagle syndrome) in a population of kidney-transplant patients previously treated with hemodialysis. Methods: Digital orthopantomography of 92 kidney-transplanted patients and 68 control subjects were analyzed to measure the length of SPs. Calcium, phosphate, alkaline phosphatase, and parathyroid hormone (PTH) blood levels were also available for comparison. Results: The mean length of SPs was significantly different between groups, as were phosphate and PTH values. Discussion: Renal transplant patients who have been treated with hemodialysis present elongated SPs, presumably due to alterations in phosphate balance and PTH levels. Thus, in cases of orofacial pain in patients with a history of altered bone metabolism, particularly when due to renal insufficiency, Eagle syndrome should be suspected as the main cause of symptoms. |
Databáze: | OpenAIRE |
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