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Comprehensive review of the mastoid foramen

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Abstract

Anatomical variations of the mastoid foramen have been observed to vary in a number of qualities including size, number, and location. These variants have the potential to become problematic during surgical approaches to the posterior cranial fossa and mastoid part of the temporal bone, and should thus be appreciated by the surgeon. Herein, we discuss the mastoid foramen in detail including issues with such foramina that should be known to the neurosurgeon.

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References

  1. Cheatle A (1925) The mastoid emissary vein and its surgical importance. Proc R Soc Med 18:29–34

    CAS  PubMed  PubMed Central  Google Scholar 

  2. El Kettani C, Badaoui R, Fikri M, Jeanjean P, Montpellier D, Tchaoussoff J (2002) Pulmonary oedema after venous air embolism during craniotomy. Eur J Anaesthesiol 19:846–848

    Article  Google Scholar 

  3. Shaik HS, Shepur MP, Desai SD, Thomas ST, Maavishettar GF, Haseena S (2012) Study of mastoid canals and grooves in South Indian skulls. Indian J Med Healthc 1:32–33

    Google Scholar 

  4. Sicher H, DuBrul EL (1977) Oral anatomy, 6th edn. Guanabara Koogan, Rio de Janeiro

    Google Scholar 

  5. Hauser G, F., D. S. G. (1989) Epigenetic variants of the human skull. E. Schweizerbartsche Verlagsbuchhhandlung, Stuttgart

  6. Carolineberry A, Berry RJ (1967) Epigenetic variation in the human cranium. J Anat 101(Pt 2):361–379

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Louis RG Jr, Loukas M, Wartmann CT, Tubbs RS, Apaydin N, Gupta AA, Spentzouris G, Ysique JR (2009) Clinical anatomy of the mastoid and occipital emissary veins in a large series. Surg Radiol Anat 31:139–144

    Article  Google Scholar 

  8. Hadimani GA, Bagoji IB (2013) Study of mastoid canals and grooves in North Karnataka human skulls. J Clin Diagn Res 7(8):1537–1539

    PubMed  PubMed Central  Google Scholar 

  9. Murlimanju BV, Chettiar GK, Prameela MD, Tonse M, Kumar N, Saralaya VV (2014) Mastoid emissary foramina: an anatomical morphological study with discussion on their evolutionary and clinical implications. Anat Cell Biol 47:202–206

    Article  CAS  Google Scholar 

  10. Kim LK, Ahn CS, Fernandes AE (2014) Mastoid emissary vein: anatomy and clinical relevance in plastic & reconstructive surgery. J Plast Reconstr Aesthet Surg 67:775–780

    Article  Google Scholar 

  11. Wysocki J, Reymond J, Skarzyński H, Wróbel B (2006) The size of selected human skull foramina in relation to skull capacity. Folia Morphol (Warsz) 65:301–308

    CAS  Google Scholar 

  12. Pereira GA, Lopes PT, Santos AM, Pozzobon A (2013) Study of landmarks in dried skulls in a Brazil population. J Morphol Sci 30:94–97

    Google Scholar 

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

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Reis CV, Deshmukh V, Zabramski JM, Crusius M, Desmukh P, Spetzler RF, Preul MC (2007) Anatomy of the mastoid emissary vein and venous system of the posterior neck region: neurosurgical implications. Neurosurgery. 61(5 Suppl 2):193–200

    PubMed  Google Scholar 

  15. Robson CD, Mulliken JB, Robertson RL, Proctor MR, Steinberger D, Barnes PD, McFarren A, Muller U, Zurakowski D (2000) Prominent basal emissary foramina in syndromic craniosynostosis: correlation with phenotypic and molecular diagnoses. Am J Neuroradiol 21:1707–1717

    CAS  PubMed  Google Scholar 

  16. Falk D, Conroy GC (1983) The cranial venous sinus system in Australopithecus afarensis. Nature. 306:779–781

    Article  Google Scholar 

  17. Falk D (1986) Evolution of cranial blood drainage in hominids: enlarged occipital/marginal sinuses and emissary foramina. Am J Phys Anthropol 70:311–324

    Article  CAS  Google Scholar 

  18. Kimbel WH (1984) Variation in the pattern of cranial venous sinuses and hominid phylogeny. Am J Phys Anthropol 63:243–263

    Article  CAS  Google Scholar 

  19. Goucha S, Mnif N, Bouhala T, Tenzakhti F, El Andaloussi H, Fazaa B, Hamza R, Kamoun MR (2002) Value of imaging in GAPO syndrome. J Radiol 83(2 Pt 1):153–156

    CAS  PubMed  Google Scholar 

  20. Braga J, Boesch C (1997a) Further data about venous channels in South African Plio-Pleistocene hominids. J Hum Evol 33:423–447

    Article  CAS  Google Scholar 

  21. Schaeffer JP (1953) Morris human anatomy: a complete systematic treatise. Blakiston, New York

    Google Scholar 

  22. San Millán Ruíz D, Gailloud P, Yilmaz H, Perren F, Rathgeb JP, Rüfenacht DA, Fasel JH (2006) The petrosquamosal sinus in humans. J Anat 209(6):711–720. https://doi.org/10.1111/j.1469-7580.2006.00652

    Article  PubMed  PubMed Central  Google Scholar 

  23. Freire AR, Rossi AC, de Oliveira VC, Prado FB, Caria PH, Botacin PR (2013) Emissary foramens of the human skull: anatomical characteristics and its relations with clinical neurosurgery. Int J Morphol 31:287–292

    Article  Google Scholar 

  24. Hadeishi H, Yasui N, Suzuki A (1995) Mastoid canal and migrated bone wax in the sigmoid sinus: technical note. Neurosurgery 36:1220–1223

    Article  CAS  Google Scholar 

  25. Tedeschi H, Rhoton AL Jr (1994) Lateral approaches to the petroclival region. Surg Neurol 41:180–216

    Article  CAS  Google Scholar 

  26. Hampl M, Kachlik D, Kikalova K, Riemer R, Halaj M, Novak V, Stejskal P, Vaverka M, Hrabalek L, Krahulik D, Nanka O (2018) Mastoid foramen, mastoid emissary vein and clinical implications in neurosurgery. Acta Neurochir 160:1473–1482

    Article  Google Scholar 

  27. Roser F, Ebner FH, Ememann U et al (2016) Improved CT imaging for mastoid emissary vein visualization prior to posterior fossa approaches. J Neurol Surg A Cent Eur Neurosurg 77:511–514

    Article  Google Scholar 

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Correspondence to Joe Iwanaga.

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The protocol of the study did not require approval by the ethical committees or informed consent. The study followed the Declaration of Helsinki (64th WMA General Assembly, Fortaleza, Brazil, October 2013).

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Wang, C., Lockwood, J., Iwanaga, J. et al. Comprehensive review of the mastoid foramen. Neurosurg Rev 44, 1255–1258 (2021). https://doi.org/10.1007/s10143-020-01329-9

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