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.
Similar content being viewed by others
References
Cheatle A (1925) The mastoid emissary vein and its surgical importance. Proc R Soc Med 18:29–34
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
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
Sicher H, DuBrul EL (1977) Oral anatomy, 6th edn. Guanabara Koogan, Rio de Janeiro
Hauser G, F., D. S. G. (1989) Epigenetic variants of the human skull. E. Schweizerbartsche Verlagsbuchhhandlung, Stuttgart
Carolineberry A, Berry RJ (1967) Epigenetic variation in the human cranium. J Anat 101(Pt 2):361–379
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
Hadimani GA, Bagoji IB (2013) Study of mastoid canals and grooves in North Karnataka human skulls. J Clin Diagn Res 7(8):1537–1539
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
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
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
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
Boyd GI (1930) The emissary foramina of the cranium in man and the anthropoids. J Anat 65:108–121
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
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
Falk D, Conroy GC (1983) The cranial venous sinus system in Australopithecus afarensis. Nature. 306:779–781
Falk D (1986) Evolution of cranial blood drainage in hominids: enlarged occipital/marginal sinuses and emissary foramina. Am J Phys Anthropol 70:311–324
Kimbel WH (1984) Variation in the pattern of cranial venous sinuses and hominid phylogeny. Am J Phys Anthropol 63:243–263
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
Braga J, Boesch C (1997a) Further data about venous channels in South African Plio-Pleistocene hominids. J Hum Evol 33:423–447
Schaeffer JP (1953) Morris human anatomy: a complete systematic treatise. Blakiston, New York
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
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
Hadeishi H, Yasui N, Suzuki A (1995) Mastoid canal and migrated bone wax in the sigmoid sinus: technical note. Neurosurgery 36:1220–1223
Tedeschi H, Rhoton AL Jr (1994) Lateral approaches to the petroclival region. Surg Neurol 41:180–216
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
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
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
The authors declare that they have no conflict of interest.
Ethical approval
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).
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
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
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10143-020-01329-9