I agree with @Isaiah_40_31 's assessment, IJV compression both sides but worst on the left… To answer your question, sometimes removing the styloid can be enough to give space for the IJVs to expand, but not always so a shave might be needed…unfortunately, unless there’s pretty severe compression it’s not always easy to say. If you see one of the doctors most experienced with vascular ES, they usually check that the IJV is flowing well, so I would hope that if it wasn’t, they could then assess while you’re under if a shave is also needed?
In addition, your hyoid bone processes are quite large so they could potentially cause symptoms; choking or strangled sensation is common with HBS, or clicking, if you have any of those? It’s not easy to tell always from the angle of your images, but they could be close to the carotid artery… Also your neck is quite straight, you’ve lost the neck’s normal curve, & that can sometimes worsen IJV compression symptoms. There’s info & exercises which can help restore the curve here:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle
I’m sorry, I can’t remember if you’re waiting for an appointment with one of the doctors? Dr Cognetti is a good choice given the potential for VES, and hyoid?
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