[Anomalies of mineralization of the temporal styloid process (author's transl)]

Three cases treated by medical means are reported, and reports in the published literature briefly reviewed. --Anatomically the temporal styloid process is related to four main structures : the carotid artery and vein, and the facial and glossopharyngeal nerves. --Hypotheses as to the pathogenesis of these lesions are based on clinical findings. The anomalies may be discovered : 1) On radiological examination. 2) Present as pain in the tonsillar region radiating to the neck. 3) Fronto-orbital or temporo-occipital headaches. 4) Sudden repetitive bouts of syncope. --Therapy includes psychotherapy, local infiltration of an anesthetic, or removal of a fragment of the calcified styloid process by a cervical or pharyngeal approach.