@Isaiah_40_31 @Jules I did mean Vagus, I got some info confused from reading previous posts about it though, thank you. I will be sure to mention the concern though during the consult. For the CT scan 3D images, is that something I just mention to the imaging facility? Any explanation from Constantino about why he does that? Its not a deal breaker, just curious. Thank you
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@Andy89316 - From what I understand, it’s a specific software program that runs in an MRI machine that creates a FIESTA MRI (FIESTA-C - Questions and Answers in MRI & not many radiology clinics have it as @Jules noted. Usually, vagus nerve trouble can be detected via the types of symptoms a person has but also once the nerve is visualized during surgery. Dr. Costantino predominantly does surgeries for patients w/ Vascular Outflow Obstruction aka IJV compression. Unless your scans show IJV compression, you’d do better to contact Dr. Cognetti in Philadelphia who is a VERY experienced ES surgeon & has done hundreds of successful ES surgeries. He does do initial consults via telehealth.
•Dr David Cognetti, Thomas Jefferson University Hospital, Philadelphia 215- 955- 6760 (Has done many successful surgeries on members). Only removes ligaments if calcified. https://hospitals.jefferson.edu/find-a-doctor/c/cognetti-david-m.html
Also another doctor at U of Pennsylvania, Philadelphia, doesn’t want to be named, but contact scheduler Lindsay Flood 215- 829- 5180/ 800- 789- 7366, ask for her & say you have ES and would like scans to be reviewed by the appropriate surgeon.
Why Dr. Costantino cuts fascia & removes part of the digastric my have been mentioned in a discussion here, but I don’t recall off hand what his reasoning is.