Skip to main content
Log in

A Study on Surgical Implications and Variations of Suprameatal Spine and Other Landmarks on the Lateral Surface of Temporal Bone

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Mastoidectomy forms the main surgical procedure for eradication of disease in chronic otitis media. Such a surgery which contemplates a complete exenteration of all the tympano-mastoid cavities is rightly considered as a difficult one mainly because a large number of vitally important structures are crowded together in the small field of operation and there is always a risk of damaging them. It is therefore, extremely important that the otologist who would undertake this surgery be thorough with the details of the surgical relations of this region. Out of the various structures seen on the lateral surface of temporal bone one very important structure is the suprameatal spine. It is shown to have great variations in shape and size and has been a mystery to researchers due to the implications it is known to have on mastoid region anatomy. In this study we have evaluated the various types of suprameatal spine, prevalence of each type and the effect of each to other landmarks encountered during surgery and also the effect of mastoid pneumatisation on the same.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. World Health Organization. (2004). Chronic suppurative otitis media:burden of illness and management options. Geneve:World Health Organization. https://apps.who.int/iris/handle/10665/42941

  2. Fonseca A, Bento R (2014) A brief history of mastoidectomy. Int Arch Otorhinolaryngol 17(02):168–178

    Article  Google Scholar 

  3. Peker T, Pelin C, Turgut H, Anıl A, Sevim A (1998) Various types of suprameatal spines and depressions in the human temporal bone. Eur Arch Otorhinolaryngol 255(8):391–395

    Article  CAS  Google Scholar 

  4. Anson B, Bast T, Richany S (1955) LXXVI The fetal and early postnatal development of the tympanic ring and related structures in man. Ann of Otol Rhinol Laryngol 64(3):802–823

    Article  CAS  Google Scholar 

  5. Thomsen J (1993) Anson Donaldson surgical anatomy of the temporal bone fourth edn. Int J Pediatr Otorhinolaryngol 26(3):285–286

    Article  Google Scholar 

  6. Aslan A, Mutlu C, Celik O, Govsa F, Ozgur T, Egrilmez M (2004) Surgical implications of anatomical landmarks on the lateral surface of the mastoid bone. Surg Radiol Anat. https://doi.org/10.1007/s00276-004-0235-1

    Article  Google Scholar 

  7. Graham M (1990) Atlas of otologic surgery edited by Marcos V. Goycoolea, Michael M. Paparella, Rick L. Nissen. W.B. Saunders Company Philadelphia 1989, 369. Head Neck 12(4):369–369

    Article  Google Scholar 

  8. Antonelli P (1996) Atlas of temporal bone and lateral skull base surgery. By Mario Sanna, Essam Saleh, Alessandra Russo, and Abdel Taibah, Thieme Medical Publishers Inc, New York, 1995, 198. Head Neck 18(5):479–480

    Article  Google Scholar 

  9. Froehlich P (1996) Manual of middle ear surgery volume 2: mastoid surgery and reconstructive procedures. Int J Pediatr Otorhinolaryngol 35(2):180–181

    Article  Google Scholar 

  10. Rhoton A (2000) The temporal bone and transtemporal approaches. Neurosurgery 47(suppl 3):S211–S265

    Article  Google Scholar 

  11. Meltzer PE (1934) The mastoid cells: their arrangement in relation to the sigmoid portion of the transverse sinus. Arch Otolaryngol 19(3):326–335

    Article  Google Scholar 

  12. Tumarkin A (1959) On the nature and significance of hypocellularity of the mastoid. J Laryngol Otol 73(1):34–44

    Article  CAS  Google Scholar 

  13. [Internet]. 2020 [cited 22 September 2020]. Available from: https://www.researchgate.net/publication/333450168_Study_of_Sigmoid_Sinus_Variations_in_the_Temporal_Bone_by_Micro_Dissection_and_its_Classification_-_A_Cadaveric_Study

  14. Shatz A, Sadé J (1990) Correlation between mastoid pneumatization and position of the lateral sinus. Ann Otol Rhinol Laryngol 99(2):142–145

    Article  CAS  Google Scholar 

  15. Turgut S, Tos M (1992) Correlation between temporal bone pneumatization, location of lateral sinus and length of the mastoid process. J Laryngol Otol 106(6):485–489

    Article  CAS  Google Scholar 

  16. Sarmiento P, Eslait F (2004) Surgical classification of variations in the anatomy of the sigmoid sinus. Otolaryngol Head Neck Surg 131(3):192–199

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nitish Aggarwal.

Ethics declarations

Conflicts of interest

All the authors declare they have no conflict of interest and have not received any funding.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institute.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Prakash, B.G., Aggarwal, N., Babu, A.R. et al. A Study on Surgical Implications and Variations of Suprameatal Spine and Other Landmarks on the Lateral Surface of Temporal Bone. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 3850–3855 (2022). https://doi.org/10.1007/s12070-021-02672-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-021-02672-z

Keywords

Navigation