Hi & welcome!
I’m sorry, but I deleted your link to the x-ray as it had your name on it…if you’re able to remove your name & re-post, that would be good, but I wanted to protect your privacy!
I did have a look & it was interesting as you could see there were segments of calcification on the right side, so it may well be that your stylo-hyoid ligament has calcified rather than the styloid growing longer (ES can be caused by either an elongated styloid process, or calcified ligaments, or both).The left side wasn’t as clear though. As @Isaiah_40_31 says, we’re not medically trained, but are experienced at looking at images of styloids- we can’t diagnose you but can say if it’s worth looking into further, & looking at your images & given the measurements you’ve been told from the MRI, plus your symptoms I’d say that it is worth seeing someone with more experience than your dentist.
The pain you describe could be from the Trigeminal nerve, or otherwise the Facial nerve, or both- these nerves are commonly affected by the styloids. It might be worth trying a different nerve pain medication if the Gabapentin doesn’t help- Amitriptyline or Carbamazepine for example?
There are a couple of doctors on our list who we’ve been told about, although we don’t know much, and obviously India is a big country so I have no idea if they’re any good for you, but here’s a link:
Doctor Lists – no discussion - Symptoms and Treatments / Doctor Information - Living with Eagle
There was also a research paper authored by dentists:
Elongated Styloid Process- A Review by Silpiranjan Mishra (1) C. Krithika (2) RamachandranSudarsshan (3), S C Selvamuthukumar (4), Priya Ramani (2), S. Uma Maheswari (1)
Affiliation:- 1Post graduate trainee, 2Reader, 3Senior lecture, 4Professor and HOD, Department of Oral Medicine and Radiology, Thai Moogambigai dental college, Chennai, Tamilnadu, India
But no idea if they do treat ES.
Otherwise we suggest that members try ENTs, Otolaryngologists, Skull base surgeons, Head & Neck cancer surgeons or Head and Neck Neurovascular surgeons as they all operate in the same area as the styloid processes. I have no idea about healthcare in India, how you go about getting referrals, whether you have to pay etc; would it be possible for you to get a CT of your head and neck done, as this is the best scan to diagnose ES, and to be referred to one of these sorts of doctors?
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