Wow, thanks for all the suggestions! I’ll definitely look into the omahyoid theory and also see if the angles of my styloids are contributing. One surgeon thought 2.8cm was still elongated and thought a second surgery would be beneficial; the second surgeon I saw thought that wasn’t truly elongated and wondered if something else was causing the symptoms.
The first surgery I had (intraoral), they only detached the ligament and somewhat shortened/rounded the styloid but definitely didn’t remove it.