@BraveKat - I’m not used to seeing that sort of image of the hyoid. I do better w/ 3D rather than slices so I can’t comment. What I can tell you is a calcified stylohyoid ligament “tethers” the hyoid bone & keeps it from being able to move as it needs to when a person talks, swallows, breathes, burps, sings, sneezes, coughs, etc. This can cause pain, clicking & other uncomfy symptoms. I recall there have been a few discussions about the hyoid bone being pulled in the direction of a very calcified ES ligament especially after one styloid has been resected i.e. the remaining side can pull on the hyoid depending on how severe & where the calcification is on the stylohyoid ligament.
Here’s one post that mentions this & @a_catindisguise has written a lot about her experience with Hyoid Bone Syndrome & her successful surgery.