Skip to main content

Advertisement

Log in

Foramen venosum: a clinicoanatomic insight into its occurrence and morphometry

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The present study aimed to evaluate the foramen venosum (FV) frequency, incidence, morphometry and relation with foramen ovale in an Indian population. The emissary vein passing through it may spread extracranial facial infections to the intracranial cavernous sinus. Due to its close proximity with the foramen ovale and its variable occurrence, awareness about its presence and anatomy is essential to neurosurgeons operating in this region.

Methods

62 dry adult human skulls were studied for the occurrence and morphometry of foramen venosum, both at the middle cranial fossa and extracranial base of the skull. Dimensions were taken using Java-based image processing program, IMAGE J. After collection of data, appropriate statistical analysis was done.

Results

The foramen venosum was observed in 49.1% skulls. Its presence was noted more frequently at the extracranial skull base than in the middle cranial fossa. No significant difference was observed between the two sides. FV at the extracranial view of the skull base had a larger maximum diameter than in the middle cranial fossa; however, the distance between FV and the foramen ovale was found to be more at the middle cranial fossa than at the extracranial view of the skull base on both the right and left side. Variations in the shape of the foramen venosum were also observed.

Conclusion

The present study is not only of great importance to anatomists, but also to radiologists and neurosurgeons for better planning and execution of the surgical approach to the middle cranial fossa through the foramen ovale to prevent iatrogenic injuries.

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

Similar content being viewed by others

Availability of data and materials

All data and materials are available upon reasonable request.

References

  1. Bayrak S, Kurşun-Çakmak EŞ, Atakan C, Orhan K (2018) Anatomic study on sphenoidal emissary foramen by using cone beam computed tomography. J Craniofac Surg 29:e477–e480. https://doi.org/10.1097/SCS0000000000004492

    Article  PubMed  Google Scholar 

  2. Boyd GI (1930) Emissary foramina of cranium in man and the anthropoids. J Anat 65:108–121

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Chaisuksunt V, Kwathai L, Namonta K, Rungruang T, Apinha-smit W, Choompoopong S (2012) Occurrence of the foramen Vesalius and its morphometry relevant to clinical consideration. Sci World J. https://doi.org/10.1100/2012/817454

    Article  Google Scholar 

  4. Costa do Nascimento J, da Silva Neto E, de Oliveira Ribeiro E, de Almeida Holanda M, Valença M, Oliveira Gomes L (2018) Foramen venosum in macerated skulls from the North-East of Brazil: morphometric study. Eur J Anat 22(1):17–22

    Google Scholar 

  5. Görürgöz C, Paksoy CS (2020) Morphology and morphometry of the foramen venosum: a radiographic study of CBCT images and literature review. Surg Radiol Anat 42:779–790. https://doi.org/10.1007/s00276-020-02450-6

    Article  PubMed  Google Scholar 

  6. Gupta N, DrA Y, ProfRJ T, Shrivastava A (2014) Incidence of foramen vesalius in adult human North Indian Crania. IOSR J Dent Med Sci 13:34–38. https://doi.org/10.9790/085

    Article  Google Scholar 

  7. Gupta N, Ray B, Ghosh S (2005) Anatomic characteristics of foramen vesalius. Kathmandu Univ Med J 2:155–158

    Google Scholar 

  8. Jadhav S, Ambali M, Zambare B (2016) Sphenoidal emissary foramen and its clinical consideration. Int J Res Med Sci. https://doi.org/10.18203/2320-6012.ijrms20161978

    Article  Google Scholar 

  9. Leonel LCPC, Peris-Celda M, Sousa SDG, Haetinger RG, Liberti EA (2020) The sphenoidal emissary foramen and the emissary vein: anatomy and clinical relevance. Clin Anat 33:767–781. https://doi.org/10.1002/ca.23504

    Article  PubMed  Google Scholar 

  10. Maletin M, Vukovic M, Sekulic M, Drljevic-Todic V (2019) Morphological characteristics of foramen Vesalius in dry adult human skulls. Med Pregl 72:357–361. https://doi.org/10.2298/MPNS1912357M

    Article  Google Scholar 

  11. Mamatha Y, Thilak NYT (2019) Foramina of alisphenoid—a morphological and morphometric study in an adult dry skull of South Indian population. Indian J Anat Surg Head Neck Brain 5(1):17–20. https://doi.org/10.18231/j.ijashnb.2019.003

    Article  Google Scholar 

  12. Monika S, Srivastava NN, Asgar A, Jain A, Rani M, Gupta NK (2021) Presence of Foramen Vesalius and Canaliculus Innominatus & its morphometric study. Int J Heal Clin Res 4(8):23–26

    Google Scholar 

  13. Moore KL, Dalley AF, Agur AMR (2014) Clinically oriented anatomy, 7th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  14. Murlimanju B, Reddy G, Latha V, Vasudha V, Rao C, Mangala M (2015) Foramen of Vesalius: prevalence, morphology, embryological basis and clinical implications. J Surg Acad 5:24–28

    Google Scholar 

  15. Natsis K, Piagkou M, Repousi E, Tegos T, Gkioka A, Loukas M (2018) The size of the foramen ovale regarding to the presence and absence of the emissary sphenoidal foramen: is there any relationship between them? Folia Morphol 77(1):90–98. https://doi.org/10.5603/FM.a2017.0068

    Article  CAS  Google Scholar 

  16. Nayak G, Pradhan S, Panda SK, Chinara PK (2018) Anatomical study of foramen vesalius. J Evol Med Dent Sci 7:3847–3850. https://doi.org/10.14260/jemds/2018/862

    Article  Google Scholar 

  17. Nemzek WR, Brodie HA, Hecht ST, Chong BW, Babcook CJ, Seibert JA (2000) MR, CT, and plain film imaging of the developing skull base in fetal specimens. Am J Neuroradiol 21:1699–1706

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Nirmala D, Hema N (2014) Study of emissary sphenoidal foramen and its clinical implications. J Evid Based Med Healthcare 1(4):175–179

    Article  Google Scholar 

  19. Ozer MA, Govsa F (2014) Measurement accuracy of foramen of vesalius for safe percutaneous techniques using computer- assisted three-dimensional landmarks. Surg Radiol Anat 36:147–154. https://doi.org/10.1007/s00276-013-1148-7

    Article  PubMed  Google Scholar 

  20. Peper C, Iwanaga J, Dumont AS, Tubbs RS (2022) A giant foramen of Vesalius: case report. Anat Cell Biol 55:373–375. https://doi.org/10.5115/acb.22.017

    Article  PubMed  PubMed Central  Google Scholar 

  21. Piagkou M, Kostares M, Duparc F, Papanagiotou P, Politis C, Tsakotos G, Pantazis N, Natsis K (2023) The sphenoidal emissary foramina prevalence: a meta-analysis of 6,369 subjects. Surg Radiol Anat 45(1):43–53. https://doi.org/10.1007/s00276-022-03051-1

    Article  PubMed  Google Scholar 

  22. Prakash KG, Viveka S (2015) Morphometry and variations of foramen venosum: significance in surgical approach to mandibular nerve. Int J Anat Res 3(4):1737–1740. https://doi.org/10.16965/ijar.2015.322

    Article  Google Scholar 

  23. Priya G (2022) A rare anatomical variation in foramen of Vesalius: a useful guide for maxillofacial surgeons. World J Biol Pharm Health Sci 9(1):1–4. https://doi.org/10.30574/wjbphs.2022.9.1.0130

    Article  Google Scholar 

  24. Raval BB, Singh P, Rajguru J (2015) A morphologic and morphometric study of foramen vesalius in dry adult human skulls of gujarat region. J Clin Diagn Res. https://doi.org/10.7860/JCDR/2015/11632.5553

    Article  PubMed  PubMed Central  Google Scholar 

  25. Rossi A, Friere A, Prado F, Caria P, Botacin P (2010) Morphological characteristics of foramen Vesalius and its relationship with clinical implications. J Morphol Sci 27:26–29

    Google Scholar 

  26. Schmitt Charles B (1967) C. D. O’Malley, “Andreas Vesalius of Brussels 1514–1564. J Hist Philos 5(2):174

    Article  Google Scholar 

  27. Sondheimer FK (1971) Basal foramina and canals. In: Newton TH, Potts DG (eds) Radiology of the skull and brain. Mosby, Saint Louis, pp 305–321

    Google Scholar 

  28. Standring S (2016) Gray’s anatomy—the anatomical basis of clinical practice, 41st edn. Elsevier, London, pp 429–431

    Google Scholar 

  29. Sthapak E, Pasricha N, Singh A, Bhatnagar R, Bedi RS (2022) Foramen ovale and associated accessory foramina: a computerized tomography study to determine morphometry and analyze gender and age differences. Natl J Clin Anat 11:90–95

    Article  Google Scholar 

  30. Toledo Junior JS, de Lima MS, Moreira Correia M, Rodrigues Coutinho R, de Faria Magalhães Torres D (2016) Foramen venosum: prevalence, patency and correlation with cephalic index. Int J Morphol 34:1328–1332. https://doi.org/10.4067/S0717-95022016000400025

    Article  Google Scholar 

Download references

Funding

The authors did not recieve any financial support for the submitted work.

Author information

Authors and Affiliations

Authors

Contributions

NP: material preparation, data collection, analysis, and manuscript writing. SS: material preparation, data collection, analysis, and manuscript writing. SM: material preparation, analysis, and manuscript editing. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shikha Singh.

Ethics declarations

Conflict of interest

The authors have no interests of financial, non-financial, or personal nature.

Ethical approval

This declaration is not applicable.

Additional information

Publisher's Note

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

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Parveen, N., Singh, S. & Mishra, S. Foramen venosum: a clinicoanatomic insight into its occurrence and morphometry. Surg Radiol Anat 45, 409–415 (2023). https://doi.org/10.1007/s00276-023-03106-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-023-03106-x

Keywords

Navigation