Os stylohyoideum
The stylohyoid is the longest bone of the hyoid apparatus, extending from the petrous temporal bone of the skull to the ceratohyoid. In horses, it articulates with the temporal bone via the tympanohyoid cartilage. Fusion or proliferation at this joint causes temporohyoid osteoarthropathy (THO), a serious condition that can lead to cranial nerve damage and vestibular dysfunction.
The hyoid apparatus is assessed via throat palpation and guttural pouch endoscopy. THO is a serious condition; CT is the gold standard for diagnosis.
Cranial nerve VII/VIII dysfunction from THO
Progressive proliferative osteoarthropathy of the temporohyoid joint that may cause fusion of the joint and fracture of the petrous temporal bone, damaging CN VII and CN VIII as they traverse the bone
Fractures of the hyoid bones from trauma (kicks to the throat, rearing and falling backward, or iatrogenic during dental work). Can compromise the airway.
Cranial nerve VII/VIII dysfunction from THO Signs include: Consult veterinarian for specific symptoms.
Progressive proliferative osteoarthropathy of the temporohyoid joint that may cause fusion of the joint and fracture of the petrous temporal bone, damaging CN VII and CN VIII as they traverse the bone. Signs include: Consult veterinarian for specific symptoms.; Head shaking; difficulty eating; ear rubbing; acute onset vestibular signs (head tilt, nystagmus, circling); facial nerve paralysis; keratitis (corneal ulceration from inability to blink)
Fractures of the hyoid bones from trauma (kicks to the throat, rearing and falling backward, or iatrogenic during dental work). Can compromise the airway. Signs include: Difficulty swallowing; swelling under the jaw or throat; pain when manipulating the throat area; abnormal respiratory noise; resistance to poll flexion; may see blood at the nostrils.; Consult veterinarian for specific symptoms.
The hyoid apparatus is assessed via throat palpation and guttural pouch endoscopy. THO is a serious condition; CT is the gold standard for diagnosis.
See the Stylohyoid Bone (Right) on our interactive 3D horse model. Open 3D Model