New patient, scheduled for transoral, mostly terrified and wondering if its right thing to do

That is good news at least here. Thank you. So if that muscle controls that function of the hyoid, will I no longer be able to move the tongue to elongate the mouth base and the opposite or do the surrounding ligaments take care of that just the same.

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https://anatomytool.org/content/openstax-anatphys-fig1113-muscle-anterior-neck-english-labels

There is a lot of redundancies all over the place. In many cases people (including me) do not notice or almost do not notice any significant difference, given that the surgery is done properly and no complications occur.

Complications do occur, however, in rare cases. Some effects are temporary and resolve within a few days/weeks/months, though some people in very rare cases report permanent effects.

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@KoolDude saw my chiro today. He took an extra 5 mins after asking him some questions about my CT. So, we have this. Its the 3d image, he lopped off my jaw with the software so we could get a better view. Looks to me like something wrapped around that styloid which Im sure cant be good. Thoughts?

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Nope, I bet nothing is wrapped around the styloid. It is just the sideview that is giving the impression that the external carotid artery (red arrow) is wrapped around it since it appears before the styloid (blue line). You need front-view to see and we already saw that the other day in second image. Red arrow points to the ECA you are seeing the 3D image.

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Another 10k thank yous. Question if you know the answer: What is this elongation from? Is it just the natural lottery of stuff or does some trauma begat this? Extra points for how long it may grow before one feels issues.

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Good question. I plead ignorance on this. There are number of theories about the causes which you can google but no one seems to know the exact cause so I am in the same boat as you…

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The theories on why styloids grow longer are tonsillectomy in the past, neck trauma, & metabolic disorders causing extra calcium to be laid down. And there seems to be a genetic link, as we have had members where it seems to run in the family, so it would seem some people just have naturally long styloids.
There’s no set length which will cause symptoms; the ‘average’ styloid length is thought to be anywhere from 1.5cms- 3 cms. But even short styloids can cause symptoms if they’re growing at an angle or very wide.

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Do you know what type of scan this is called? I keep seeing them in here.

I’ll have to post my scans too. Does your styloid connect to your hyoid? I could feel a popping on my hyoid bone for a long time. Do you feel that at all? Your CTs look similar to mine.

Edit: I figured the scan out and posted mine as best I could

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I think on here some of the ones even I see are Digital or Dynamic somehow, still trying to grasp the diff. Wht you see from me is just what you get with a regular CT scan (the black and white), the color one, i just found out is actually on the same disc and is the 3d rendering of the CT scan as put to me by my chiro. Had o idea that lived on the same disc. I do not know if my styloid is connected to my hyoid, I just dont have that specific of knowledge yet. Maybe @KoolDude or @Isaiah_40_31 can chime in here. Also I dont see any uploaded pics here from you, you may want to try again. I attached my images by hitting that oittle button up there with the up arrow and then selecting the file i wanted to upload, hope that helps.

Well with the limited images you posted, I don’t see stylohyoid calcification that goes all the way to the hyoid. There is calcification on the Styloid itself that is why it is elongated to begin with but don’t know if it extends to the hyoid. One needs to examine the whole CT to see.

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I agree w/ what @KoolDude said, though he’s the one who can evaluate the whole CT scan. I’m still at sea on that front. :crazy_face:

Dr Bunnell, is in Jacksonville and regularly does Eagle Surgery. He should be on the list. I went to him for a second opinion. Dr. Arnold did both of my surgeries he is a cancer specialist in Miami. I prefer external surgery because they can see what they are doing and get the most of the styliod as possible. My pain started after a filling and it was then that my styliod pressed into my trigeminal nerve. After my first surgery but before my second surgery I developed tinnitus in my side that was not operated on. My tinnitus did not get better after my second surgery. If you want to talk to me about these two doctors please contact me and I would be happy to share my experience. I live in Jupiter, Fl.

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@ann - Dr. Bunnell is on our Doctors List. I am sorry your tinnitus stuck with you after your second ES surgery.

Thank you for coming back to share doctor information. :blush:

The thing about calcium you was talking about is infact a cause. But it is weird and rare.

I’ve been recently diagnosed ES and im about to get surgery, don’t know when.

Anyways, i was born with Familial hypocalciuric hypercalcemia. Have not been treated for that when i was a child, but it caused some weird symptoms as i 've grown older. I take a pill to keep the calcium levels down and also take regularly bloodwork for chek up.

My personal doctor and the doctor who is dealing with FHH is actually thinking that my ES is probably caused by FHH.

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@Henrick, Thank you for sharing this information. We have had a couple of members w/ parathyroid dysfunction that caused hypercalcemia & which they think led to their getting ES so it definitely makes sense that your hereditary hypo/hypercalcemia situation could also be the cause of your ES.

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