@Hopee - My head tilted to the right but I didn’t notice it until I was recovering from my ES surgeries. It has straightened out some over the years since my surgeries. I have slight scoliosis that developed after I became an adult so that may have contributed to my head tilt. For a long time my right shoulder was also slightly lower than my left but I believe they are level now.
I can’t tell you for sure that ES was the cause of my head tilt & shoulder drop. I have been working on improving my posture so it’s possible that has contributed to my body straightening out. It’s possible ES played a role in my head tilt/shoulder drop because the nerves affected by elongated styloids can cause uneven muscle tension, & when side of the body is tighter than the other, things like a head tilt & shoulder drop or elevation can be the result.
Yes people have been diagnosed with ES with no ear or throat symptoms & have had surgery. Here is a link to a post about possible ES symptoms so you can check to see if there are some you have that you didn’t think ES could cause: