Morphometric analysis of mastoid foramen and possible clinical and surgical implications
DOI:
https://doi.org/10.56102/afmo.2024.365Keywords:
Anatomy, Mastoid foramen, Clinical relevance, NeurosurgeryAbstract
Introduction: The mastoid foramen (MF) is a narrow fissure in the mastoid process and exhibits considerable anatomical variability. The mastoid emissary vein and the meningeal branch of the occipital artery are important structures that pass through the MF. Despite its anatomical importance, morphological and morphometric analyses of the MF remain scarce. Objectives: To investigate the morphological and morphometric aspects of the MF. Method: This observational cross-sectional study analyzed 78 human skulls. Measured variables included the diameter of the MF, the presence, number, and the location of MF in relation to the occipitomastoid suture, the position of MF in relation to the Frankfurt plane, and the distances between MF and specific anatomical points. Results: All skulls presented at least one MF. However, in 7.69% of the specimens, the MF was absent on one side. MF was present on the right side in 98.72% of specimens and on the left side in 93.59%. The MF pattern most frequently observed was four foramina, independent of laterality, in 23.08% of the skulls. No statistically significant differences were identified across the variables studied. Conclusion: This study described relevant morphometric and morphological parameters of the MF. Given the importance of the structures passing through this foramen, understanding its anatomic variations and measurements is essential.
References
Syed AZ et al. Incidental occurrence of an unusually large mastoid foramen on cone-beam computed tomography and review of the literature. Imaging Sci Dent. 2016 Mar; 46(1): 39-45. https://doi.org/10.5624/isd.2016.46.1.39
Hampl M et al. Mastoid foramen, mastoid emissary vein and clinical implications in neurosurgery. Acta Neurochir (Wien). 2018 Jul; 160(7): 1473-1482. https://doi.org/10.1007/s00701-018-3564-2
Wang C, et al. Comprehensive review o the mastoid foramen. Neurosurg Rev. 2021 Jun; 44(3): 1255-1258. https://doi.org/10.1007/s10143-020-01329-9
Yurdabakan ZZ et al. The morphometric analysis of the mastoid foramen and mastoid emissary canal on cone-beam computed tomography (CBCT). Surg Radil Anatl. 2023 Mar; 45(3): 303-314. https://doi.org/10.1007/s00276-023-03089-9
Kim LK et al. Mastoid emissary vein: anatomy and clinical relevance in plastic & reconstructive surgery. J Plast Reconstr Aesthet Surg. 2014 Jun; 67(6): 775-80. https://doi.org/10.1016/j.bjps.2014.03.002
Tsutsumi S et al. The mastoid emmissary vein: an anatomic study with magnetic resonance imaging. Surg Radiol Anat. 2017 Apr; 39(4): 351-356. https://doi.org/10.1016/j.bjps.2014.03.002
Onyango M, Njoroge E, Kibet K, Saidi H. Mastoid emissary foramina and their surgical relevance: an African osteological study. East Afr J Neurol Sci. 2023 Feb 27;2(1):4-9. Available from: https://theeajns.org/index.php/eajns/article/view/34
Patel DS et al. A Study of Different Position of Mastoid Foramen Related of Skull Bone. Int Editorial Advis Board. 2014;8(2):94.
Temiz M et al. Morphometric and morphological evaluation of mastoid emissary canal using cone-beam computed tomography. Sci Prog. 2023 Apr-Jun;106(2):368504231178382. https://doi.org/10.1177/00368504231178382.
Sehmi S. Bilateral Multiple Mastoid Foramina Along With a Unilateral Occipito Mastoid Canal in an Adult Skull of North Indian Origin-A Rare Variation. Acad Anat Int. 2012 Jan- -Jun;4(1):11-13. doi: 10.21276/aanat.2018.4.1.4. Available in: https://aijournals.com/index.php/aanat/article/view/108
Eisová S et al. Normal craniovascular variation in two modern European adult populations. J Anat. 2019 Oct;235(4):765-782. https://doi.org/10.1111/joa.13019.
Chaiyamoon A et al. Anatomical study of the mastoid foramina and mastoid emissary veins: classification and application to localizing the sigmoid sinus. Neurosurg Rev. 2024;47:16. https://doi.org/10.1007/s10143-023-02229-4.
Shaik HS et al. Study of Mastoid canals and grooves in South Indian skulls. Int J Med Health Sci. 2012 Apr;1(1):32-33.
Zhou W et al. Clinical applications of the mastoid emissary vein. Surg Radiol Anat. 2023 Jan;45(1):55-63. https://doi.org/10.1007/s00276-022-03060-0.
Singh R. Prevalence, morphology, morphometry and associated clinical implications of mastoid emissary veins: narrative review. J Vasc Bras. 2023 Jul 17;22; e20230036. https://doi.org/10.1590/1677-5449.202300362
Murlimanju BV et al. Mastoid emissary foramina: an anatomical morphological study with discussion on their evolutionary and clinical implications. Anat Cell Biol. 2014 Sep;47(3):202-6. https://doi.org/10.5115/acb.2014.47.3.202.
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Copyright (c) 2024 Ismael Felipe Gonçalves Galvão, Marcelo Moraes Valença, Thiago José Monteiro Borges da Silva Valente, João Marcos da Silva Dantas, Aparecida Aylara Isabella Souza Gonçalves, Renata Cristinny de Farias Campina, Fernando Augusto Pacífico
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