Figure 1. Initial axial (A, B), coronal (C, D), and sagittal (E–H) computed tomography scans showing bilateral elongation of the styloid processes (yellow arrows). The right styloid process measured 35.4 mm (F) and the left styloid process measured 33.4 mm (H) (yellow arrows in F and H point toward the terminal portion of each styloid process). Note the posterior location of the elongated styloid process relative to the parapharyngeal space (B).