The stylohyoid splits at its insertion to surround the intermediate digastric tendon before attaching to the hyoid. This split is the unique anatomical feature that distinguishes it from other hyoid muscles.
| Origin | Posterior surface of the styloid process of the temporal bone |
|---|---|
| Insertion | Body of the hyoid bone — lateral aspect, splitting to surround the intermediate digastric tendon |
| Nerve Supply | Facial nerve — stylohyoid branch (VII) |
| Blood Supply | Occipital and posterior auricular arteries |
| Actions | Elevates and retracts the hyoid during swallowing; Elongates the floor of the mouth |
|---|
Eagle syndrome (elongated styloid process) compresses or irritates the stylohyoid as it runs from an elongated styloid process to the hyoid, producing throat pain, dysphagia, and referred ear pain. Styloidectomy reduces the styloid length, releasing the stylohyoid.
Not directly palpable but its hyoid attachment is palpated during swallowing.
Elongated styloid process irritating the stylohyoid muscle and adjacent structures producing throat pain and dysphagia, managed by intra-oral or external styloidectomy.
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