I have posted here before. I have had pain that I believe is related to eagle syndrome for seven or eight years. Several years ago I got a diagnosis of eagle syndrome and I had an external procedure to shorten the styloid process on both sides. I didn't know too much about the condition at that time and the ENT who did the procedure had never done it before.
The surgery didn't help the symptoms, which are largely vascular. I am very skeptical that enough of the bone and calcified stylohyoid ligament were removed. Prior to surgery, my styloids were 4.7cm and 3.7cm.
Since then I have had the same pain, even some worsening vascular symptoms and I can't get anyone to help me. Recently I had some CT scans taken. I was wondering if you could tell me whether you think they look normal? The styloids are both still at least 2.5cm on each side and there is extensive calcification at the attachment of the stylohyoid ligament to the hyoid bone at the lesser cornu.
I'm sure you guys know how to read these scans but I marked the styloids and calcified ligaments with black arrows.
There is something I don't quite understand though, which is what I marked with a blue arrow. It appears to me to look like another bone of some sort under the stylohyoid ligament. I'm not sure what that is. It should be noted that I was also advised of the need to resect the greater horn of the hyoid bone so that accounts for why it is missing on these scans. On a previous scan, it appeared as though the tip of the greater horn was compressing the carotid artery. But did they leave a piece of that bone in there? I have no idea.
The doctors I saw didn't seem to think there was anything "significantly" wrong with these scans but I haven't gone over them in great depth.
It feels like a sharp stabbing pain at the base of my tongue. If I turn my neck in almost any direction I get light headed and weak. I get heart palpitations and feel throbbing behind my jaw and pain throughout the body of the carotids in my head and face. I strongly believe that the calcified bone that attaches to the hyoid is a major cause of this pain.
What do you guys think of these scans? I know we all probably have confirmation bias given that we all have these symptoms but I am looking for as unbiased an opinion as possible. Does it look like they didn't remove enough of the bone and ligament?
Any advise you could give me would really be appreciated.337-RightSide.jpg (202 KB) 338-LeftSide.jpg (184 KB)