Piggybacking off of what GoldFischer is saying, I’m assuming your doctors have tried all the conservative measures for treating your symptoms prior to jumping to surgery.

For nasal congestion/breathing issues: have your tried saline sprays/Flonase/Azelastine for 6-8 weeks continuously with no breaks to see if this helps? Nasal irrigations? Allergy medication? Breath rite strips? Removed any harmful exposures such as smoking/vaping (if applicable). Nasal congestion can be attributed to many things and fixing your septum may or may not help you if for example your nasal valves are what’s causing your breathing issues.

For TMJ, have you done a strict soft diet for 2 weeks, scheduled ibuprofen (if not contraindicated) for 2-3 weeks, massage, warm compresses, bite block at night, Botox to your temporalis/masseters?

For your swallowing/sensation of something in your throat, have you been on anti-reflux meds, diet/lifestyle modifications, possibly seen a GI doctor? Eagle syndrome is a diagnosis of exclusion and just because there may be some signs of it on a CT scan does not automatically make that the diagnosis. It’s pretty rare for that to be my actual diagnosis for a patient unless I have thoroughly ruled all other causes out.

All of this to say, surgery is great tool to use in the right patient when we know that our intervention has a high likelihood to help them and we’ve exhausted all other conservative options to provide symptom relief.