Just an update bc I know people are always looking for info on drs. I saw Dr Mannion at Vanderbilt today and feel like it was a really good visit. He was kind, informative, and extremely patient. I was also able to see him within a week of my referral, but I am already a patient at Vanderbilt due to having long COVID since 2020, so that might have expedited things. Anyway, I was very concerned about jugular vein compression but he said my styloids, while pretty long, are not posing a threat. He said it is up to me whether I want them out or not, and if I do he said it would be a relatively simple surgery (his main area of practice is ENT oncology, so he does a lot of delicate operations in delicate areas). I have opted to wait and see how things go (of course! No one wants this surgery!). He said my globus throat sensation may be due to acid reflux (which I do have) and we are going to work on that first, realizing that it could actually be the left styloid causing the sensation. The other pain is manageable at this point, so I’m going to give it a while and see how it goes. I appreciated the conservative approach. He did say that he does recommend the surgery for people for whom it is clear that their styloids are causing major pain and/or compression. In my case since there is no compression he says it isn’t dangerous, it’s just a matter of how much discomfort I want to bear moving forward. At any rate, I thought he was a spectacular doctor (and I’ve seen A LOT of Drs over the last 4+ years!) and he really seemed well informed. Just wanted to share because I know it’s a challenge to get in with certain high profile surgeons. I’ll update about the globus/acid reflux when I have a better idea of whether they are related in my case. Take care, all.
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I’m glad that you had a good visit, and felt confident with your doctor’s approach! I’m sure this info will be helpful for other members…I hope that the reflux treatments helps, & that you can leave surgery for now 
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Thx for the great ofc visit summary @Pamela! It’s good to know Dr. Mannion is conservative & recognized you may have another source for your globus sensation than the styloids. We also recommend waiting to have surgery until the symptoms affect one’s ability to live life normally. I also hope you don’t need surgery, but if you do, you’ve met a good & experienced doctor who can help you. 
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