@mjzago - When imaging shows elongated styloids & symptoms known to be related to ES are also present, there is a great likelihood that Eagle Syndrome is the proper diagnosis. ES can also cause TMJ type symptoms due to the nerves that can get irritated by elongated styloids/calcified stylohyoid ligaments. The symptoms you’ve mentioned are among those seen w/ ES. Having a consult w/ one of the ES surgeons in your country who are on our Doctors List could also help you feel more comfortable about whether or not your symptoms could be from ES. Dr. Martini has had very good reviews from our members who’ve seen him for surgery.
Often people who report surgery didn’t help do so soon after surgery but a number of months later, their pain goes away but they don’t come back to share the good news. In other cases, the styloids haven’t been cut back far enough to stop irritating the nerves, thus the need to see a very experienced ES surgeon. There are also cases where co-morbidities are the cause of ongoing symptoms but sometimes those aren’t discovered until after the styloidectomies have been done. It is good to make sure you’re well informed about symptoms & surgical approaches prior to considering surgery. It sounds like you’re working at doing that now.
Here’s a post about ES symptoms that @Jules wrote that may be helpful for you: