I’ve slightly annotated the second and third images. In the second image, the R greater horn of your hyoid bone looks very close to your spine.
In the third image, the L greater horn appears to be in contact w/ a vascular tissue which could be the external carotid artery, but it’s pretty diminutive if it is. The contact may not be causing significant compression but that can change depending on head/neck position.
Hyoid Bone Syndrome can also cause vocal trouble and has many similar symptoms to ES. The two problems can also occur simultaneously though it’s somewhat rare.
The vagus nerve is the nerve that innervates the vocal cords & w/ a blow to the neck, it could have been injured & is continuing to be irritated by an elongated styloid or hyoid bone.
Vagus Nerve Image.docx (81.7 KB)