I had an appointment with Dr. Patel in Portland OR, and while he took the time with me and looked over my CT Cone Beam showing both right and left elongate styloid, he was not think I needed surgery to remove them. My symptoms are severe headaches, pain in neck, chest pain, brain fog, loss of energy. I’m finding it to be difficult to find a surgeon to do this surgery. I would not recommend Dr. Patel if you are seeking a surgeon for ES.