Abstract
Variant foramina of the skull can lead to misdiagnosis on medical imaging and potentially, intraoperative complications if not appreciated. Here, we report an unusual foramen found superior to the frontozygomatic suture. The foramen was located on the left side at the superolateral rim of the orbit, 2.36 cm inferolateral to the supraorbital foramen. It was positioned 2.5 mm superior to the frontozygomatic suture. The foramen had a length of 3.1 mm and a width of 1.3 mm. The internal opening of the foramen was located 1.45 cm superolateral to the zygomaticotemporal foramen. We suggest that this foramen is a pathway for either a branch of the zygomatic nerve or lacrimal nerve and/or their vascular bundles. Although the prevalence of such a finding cannot be confirmed, such a case is of archival value as a comparison for future similar cases.
Similar content being viewed by others
Data availability
Not available.
References
White TD, Folkens PA (2005) The human bone manual. Elsevier Academic Press, London, UK
White TD, Black MT, Folkens PA (2012) Human osteology, 3rd edn. Elsevier, Academic Press, San Diego
Moore KL, Dalley AF, Agur AMR (2014) Clinically oriented anatomy, 7th edn. Lippincott Williams & Wilkins, Philadelphia
Standring S (2016) Gray’s anatomy, 41st edn. Elsevier Churchill Livingstone, Edinburgh
Iwanaga J, Wilson C, Watanabe K et al (2017) Anatomical study of the zygomaticotemporal branch inside the orbit. Cureus 9(9):e1727. https://doi.org/10.7759/cureus.1727
Khaqani MS, Tavosi F, Gholami M, Eftekharian HR, Khojastepour L (2018) Analysis of facial symmetry after zygomatic bone fracture management. J Oral Maxillofac Surg 76(3):595–604. https://doi.org/10.1016/j.joms.2017.10.005. (Epub 2017 Oct 14 PMID: 29121488)
Hauser G, De Stefano GF (1989) Epigenetic variants of the human skull. Lubrecht & Cramer Ltd, Port Jervis
Le Double AF. Traité des os du crane de l’homme et leur signification au point de vue de l’Anthropologie zoologique. Paris, Vigot Frères Editeurs
Samuelson TW, Margo CE, Levy MH, Pusateri TJ (1988) Zygomaticofrontal suture defect associated with orbital dermoid cyst. Surv Ophthalmol 33(2):127–130. https://doi.org/10.1016/0039-6257(88)90165-8
Yu M, Wang SM. Anatomy, Head and Neck, Zygomatic. [Updated 2021 Jun 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544257/. Accessed 8 Mar 2023
Iwanaga J, Badaloni F, Watanabe K, Yamaki KI, Oskouian RJ, Tubbs RS (2018) Anatomical study of the zygomaticofacial foramen and its related canal. J Craniofac Surg 29(5):1363–1365. https://doi.org/10.1097/SCS.0000000000004457. (PMID: 29521755)
Loukas M, Owens DG, Tubbs RS, Spentzouris G, Elochukwu A, Jordan R (2008) Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: anatomical study. Anat Sci Int 83(2):77–82. https://doi.org/10.1111/j.1447-073X.2007.00207.x. (PMID: 18507616)
Khalid S, Iwanaga J, Loukas M et al (2017) Bilateral absence of the zygomatic nerve and zygomaticofacial nerve and foramina. Cureus 9(7):e1505. https://doi.org/10.7759/cureus.1505
Iwanaga J, Wilson C, Watanabe K, Oskouian RJ, Tubbs RS (2017) Anatomical study of the zygomaticotemporal branch inside the orbit. Cureus 9(9):e1727. https://doi.org/10.7759/cureus.1727.PMID:29201576;PMCID:PMC5707168
Acknowledgements
The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind’s overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude [14].
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Contributions
JP; writing-original draft, formal analysis, Investigation. JI; formal analysis, Investigation, methodology. NK; methodology, investigation, resources, writing—review & editing. ASD; conceptualization, methodology, investigation, resources, writing—review & editing. RST; conceptualization, methodology, investigation, writing—review & editing. Approval of the final version of the manuscript: all authors.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval and consent to participate
The present study was performed in accordance with the requirements of the Declaration of Helsinki (64th WMA General Assembly, Fortaleza, Brazil, October 2013). The present study protocol did not require approval by the ethics committees of our institutions.
Consent for publication
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.
About this article
Cite this article
Patel, J., Iwanaga, J., Kitagawa, N. et al. Unreported variant foramen of the frontal bone: the latero-orbital foramen. Surg Radiol Anat 46, 181–184 (2024). https://doi.org/10.1007/s00276-023-03273-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-023-03273-x