Just wanted to extend my empathy- I have had several horse things that were bizarrely unusual, “almost never happen” according to vets. It is so tough & frustrating, especially after multiple things, which feels like it should be statistically impossible! So I just wanted to say that you aren’t alone!
I was given very good advice with a previous horse - just go straight to the specialist if you have something complex like this. As others have mentioned, you will spend more & waste time trying to pick at pieces around the edges, even if it doesn’t feel that way at first. They were right. There is definitely a time & place for the big clinics.
I will cross my fingers for you two & salute your thoughtful care for your boy. He’s lucky he found you!