Failed eagle surgery two years ago, can barely speak now

Hey,

I’m Roi Hacham. here. I’m 27 years.

I wrote here once 2 years ago after my failed surgery to eagle syndrome. Unfortunately. The problem is still with me and the pain is much worse. I am begging for your help.

I will try to explain myself and be as short as I can be.

More than three years ago (April 2019) I started to feel an odd pain in my left side of the neck. After Few days I remember I literally felt three is a bone in my throat that I couldn’t reach.

For 6 months I did all kind of tests, MRI, and more. Doctors said to me all kind of things, but none of them mentioned the eagle syndrome. At that time, I didn’t know it existed.

Obviously. During this time I suffered heavily. My main symptoms were the feel of the bone in my throat that led to immunes pressure in my throat and neck, but the worst pain was when I spoke. I literally felt the pain gets harder and harder as I speek. I had times over those 2 years I couldn’t speak for days-weeks, as the pain was so hard. It changes my whole life.

Generally, The pain was at degree of 6/10 for month, and then 10/10 for a month, for over 2 years. Over 2020, the pain became more long, and the waves of the pain became more often.

Approximately After a year from onset of pain, after multipole drugs and testes I tried didn’t help, Based on my description, the prof suspected I have eagle syndrome so told me to make CT scan, I have done so , and it showed that mu styloid on the left side of the neck is 3.6 cm. based on this, and my description, the prof said I have the syndrome.

At this stage (middle 2020), he recommended not the make the surgery as long as I can stand the pain, because he said it was so rare and the surgery a bit dangerous,

Since then, as I said, the pain became harder and harder, from March-Aperil 2021 I almost couldn’t speak at all. Therefore, I consulted with him, and we decided to make the surgery to remove a part of the styloid. The professor recommended the intraoral way, with the davincy robot which he was familiar with.

I was desperate to make the surgery as I couldn’t cope with the pain anymore. Nothing I did or tried in those years helped.

The surgery was scheduled, on June 8 2021.

I stayed at the hospital for the first 5 days, as I was in immense pain and the prof and doctors saif it is better for mo to stay so they can follow my recovery.

The, The following 3-4 weeks also were very hard, immense pain all around my throat, tonsils and neck. I could barely eat, speak and swallow. I was a bit frustrates, But, I must say i felt baby steps, and the prof said it wat natural healing so i tried to stay calm, and was hopeful it will get better. As days passed, I was able to eat more, and speak (still with much pain) a little bit more.

As I said, prior to the surgery. my main issue was pain came from speaking.

back to the recovery - after 4-5 weeks, I had feeling exactly the pain that I had prior to the surgery. Again, I cannot speak because of the pain.

it has been over a year and a half since the surgery. I can say now in confidence, that the surgery didn’t help me at all. My day to day is almost impossible – during most of the day I cant speak. There are some letters that are harder for me to say, for example “r” or “ch”, because those are letters that you pronounce from the inside of the neck.

I am in so much pain right now and so frustrated. I was sure that after almost 3 years of immense suffering, the surgery would give me my life back.

One of the CT check showed that my hyloid bone is also very big. I suspected that my pain maybe comes from this, but the professor said it wasn’t conclusive.

In conclusion, I am just desperate to hear another opinion and to understand what exactly my issue is, as it seems no one knows, and whether something that can help my pain. I just want a part of my life back.

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@Rogi, I’m so sorry that your ES surgery failed. Unfortunately, we’ve learned that intraoral surgery for ES has a lower success rate than the external approach because less of the styloid can be removed. It sounds like your surgeon did not remove enough of the styloid so the vagus nerve & possibly glossopharyngeal nerves are still being irritated or compressed by the styloid. We’ve had one other member from Israel who had her styloidectomy done by her dentist because she could find no surgeon to do it. We haven’t heard from her since her surgery to know if it was successful. Here’s the name of her dentist:
•Prof Yoav Talmi, Sheba Medical Centre, Tel HaShomer, Tel Aviv
http://www.talmi-clinic.co.il/ zerofivezero-sixeightsixonefourninesix

I expect there are doctors in your country who do this surgery but we have yet to find out who they are. In other countries, there are various types of specialists who do ES surgeries not just ENT doctors. These specialties include maxillofacial surgeons, neurosurgeons & vascular surgeons. It’s my opinion that a neurosurgeon or maxillofacial surgeon would be a good type of doctor for you to see for a second opinion & perhaps surgery.

As far as pain treatment goes, asking for a prescription to a nerve pain medication could be helpful. These include Gabapentin, Amitriptyline, or Cabamazepine. Nerve pain meds can take a number of weeks to help, & they can make you sleepy so starting on a low dose & gradually working up to the level that helps your symptoms is best.

You can try sleeping w/ your head elevated at night. Icing your neck a couple of times during the day may also help &/or try using heat. With ice you would apply an ice pack (w/ a thin towel between the ice & your skin) for 15 minutes then take at least a 45 min. break. Heat you can leave longer. Some members have found getting cold laser therapy helps. You want to stay away from high velocity neck adjustments by a chiropractor as that can make things worse.

We’re here for you so please let us know if my suggestions help. I hope others will offer what has helped them, too.

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Really awful for you that you’re in so much pain & surgery hasn’t helped at all…it would maybe be helpful if you could get another CT done to see how much of the styloid process was removed- as @Isaiah_40_31 says it sounds as if not enough of the styloid was removed to stop irritation of the nerves…
We have seen one research paper with Israeli authors- it doesn’t mention surgery at all so don’t know if they’re practising doctors or researchers, but might be worth looking the doctors up in case they could help at all? Here’s a link to the paper:
Styloid Process Elongation on Cervical Spine Computed Tomography is Associated with the Enthesopathy-Related Diseases of Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis. - Abstract - Europe PMC
I hope that you can get some treatment & that maybe the suggestions @Isaiah_40_31 has mentioned perhaps help… :pray:

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hi!

thank you so much for your help. @Isaiah_40_31 - yesterday i have reached out to the doctor you mentioned - prof yoav talmi.
I didn’t know who he was prior to that. he will be back in israel only on june, but we agreed i will send him information about my situation until then. hope he will know what to do.

jules - i have done another CT after the surgery, before it, my left styloid was 3.9 cm, and after the result was still that my styloid was long but it didn’t say how long.

i am wondering:

  1. if there is possibility like you said that i am still suffering as a result of the stlyloid is still long.
  2. and if not. what are the chances that i have hyloid syndrome? the doc said my hyloid is also bigger than normal but said that i dont have the hyloid syndrome.
    also he said he doesnt know why i am still suffering. he is clueless about me.
  3. and because of that - if i do still have the ES - is it even possible that i have such a difficulty specific in speaking? the pain intensifies and can make me lose my mind particulary when i speak (and particulary in certain letters such as “ch”, “r”, and “k”.
    im just trying to understand if someone else had specific speaking difficulty because of ES oy hyloid syndrome.

thank you again so much. waiting for your response.

roi

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We can’t say for definite whether it’s the remaining piece of styloid causing the symptoms, or whether you have issues with your hyoid bone, without seeing images it’s hard to tell & even with imaging you can’t see which nerves are being affected. But certainly difficulty & pain speaking are symptoms members with ES have had, if you’re able you could use the search function to find previous discussions about it. Here’s a link to one which comes up if you search for vocal changes:
Odd question about being monotone/ having trouble with vocal variety - General - Living with Eagle
Again, you can use the search function to look up hyoid bone syndrome as there have been a few discussions about this too.
Sorry that I can’t give you the answers you want about what’s causing your pain…

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@Rogi - It’s good you’ve been able to communicate with Prof Yoav Talmi. I very much hope that when you meet with him in June, he is willing & able to help you. I think the surgery he did was also intra-oral which wouldn’t be best in your case, so please talk to him about a surgery through your neck. Though he probably can’t do that, he may know of someone who could help you. A skull based Ear, Nose, & Throat (ENT also called an Otolaryngologist) doctor should be able to do your styloidectomy & cut the styloid back closer to your skull & additionally should be able to reduce your hyoid bone (usually it’s the greater horns of the hyoid that are too long) if it is necessary. Finding the doctor who will do that is the hard part.

Please let us know if you do find someone who can do your surgery so we can add another name to our Doctors List for your country.

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