Hi Snapple2020 -
I had bilateral ES w/ my symptoms dominating on the left side. When Dr. Samji went over my CT scan with me, he pointed to the right side & said, “I’m removing this one first.” I questioned his decision because at the time of my consult the right side was relatively symptom-free compared to the left. He said it was because of the styloid angle. The right was growing more straight down & was thicker than the left. Prior to the time I had surgery, I did start having some scary symptoms on the right especially when I exercised hard. At that point, I began to understand his reasoning for removing the right side first. I will say that even up to the morning of my first styloidectomy, I still implored him to remove the left first because of the pain it was causing. He didn’t take pity on me & in the end, his decision was the best. At that time, he required 6 months between surgeries. I counted the days then minutes till my next surgery but ended up having a cycling accident w/ a head injury a week prior to my surgery date so surgery had to be postponed 3 more months. I cried when he told me that.
The angle of the styloids can determine what they’re irritating or compressing so angle can be an important factor in deciding priority when it comes to styloid removal.
When my CT scan was done, four wonderful 3D images were included. The ENT who diagnosed me let me take pics w/ my phone so I have copies of them. I never asked for a copy of my CT images but have wondered if the radiology lab that did the CT still has my scan in their archives. It’s something I may pursue eventually but is “water under the bridge” at this point.
I’ve been through the years of body work & chiropractic, too, & am continuing with it. I’ve been rough on my body & at my age, those old wounds are back biting me.