Morphometric and Topographic Study of Foramen Ovale in Indian Skulls

Authors

  • Suniti Raj Mishra G.S.V.M. Medical College
  • Su Shobhana G.S.V.M. Medical College
  • Shailendra Singh G.S.V.M. Medical College
  • Raveena Singh G.S.V.M. Medical College
  • Anamika Gaharwar G.S.V.M. Medical College

DOI:

https://doi.org/10.18034/mjmbr.v5i2.455

Keywords:

Base of Skull, Emissary Vein, Foramen Spinosum, Mandibular Nerve, Middle Cranial Fossa, Sphenoid, Trigeminal Neuralgia, Zygomatic Arch

Abstract

Foramen ovale is an important foramen for neurosurgeons and used for percutaneous trigeminal rhizotomy in trigeminal neuralgia. The present study was undertaken to study anatomic variations in appearance, dimensions of foramen ovale and its location in relation to the zygomatic arch.

The study was conducted on 50 dry human skulls of known sex, available in the museum of Anatomy Dept. in G.S.V.M. Medical College, Kanpur.  The shape of foramen ovale and presence of any accessory bony structure like spur, spine, tubercle or bony plate were observed on both sides. The length and width of foramen ovale and its distance from articular tubercle and the anterior root of  Zygomatic Arch was  measured on both sides.  The metric data was statistically analysed for bilateral symmetry and sexual dimorphism.

The shape of foramen ovale was typically oval in most of the skulls (66%). In 40% sides any accessory bony structure was not seen while bony plate in 45% sides, spine in 6% and bridge like bony septa dividing the foramen into two compartments in 2% was observed. The mean length and width of foramen ovale in male skulls was 7.50+/-0.90 mm and 4.20+/-0.70 mm and 7.7+/-1.00 mm and 3.9+/-0.80 mm in the female skulls.  The mean distance of foramen ovale from articular tubercle on Zygomatic arch was 32.8 +/- 2.8 mm in males and 31.1 +/- 2.4 mm in females. The mean distance from anterior root of Zygomatic arch was 21.4 +/- 1.9 mm in males and 21.6 +/- 1.7 mm in females.

There was no significant difference in measurements of various metric parameters between right and left sides of foramen ovale (p>0.05) but highly significant difference was observed between male and female dimensions of all metric parameters.(p<0.001). Thus the foramen ovale does not exhibit bilateral symmetry but the sexual dimorphism is evident. The data is helpful for surgical practices.

 

Downloads

Download data is not yet available.

Author Biographies

  • Suniti Raj Mishra, G.S.V.M. Medical College

    Professor and Head, Department of Anatomy, G.S.V.M. Medical College, Kanpur, INDIA

  • Su Shobhana, G.S.V.M. Medical College

    Postgraduate Student, Department of Anatomy, G.S.V.M. Medical College, Kanpur, INDIA

  • Shailendra Singh, G.S.V.M. Medical College

    Lecturer, Department of Anatomy, G.S.V.M. Medical College, Kanpur, INDIA

  • Raveena Singh, G.S.V.M. Medical College

    Postgraduate Student, Department of Anatomy, G.S.V.M. Medical College, Kanpur, INDIA

  • Anamika Gaharwar, G.S.V.M. Medical College

    Assistant Professor, Department of Anatomy, G.S.V.M. Medical College, Kanpur, INDIA

References

Berge JK, Bergman RA (2001) Variations in size and in symmetry of foramina of the human skull. Clin Anat, 14: 406-413.

Berlis A, Putz R, Schumacher M (1992) Direct and CT measurements of canals and foramina of the skull base. Br J Radiol, 65: 653–661.

Burdan, W. Umławska, W. Dworzański, R. Klepacz, J. Szumiło, E. Starosławska, A. (2011) Drop Anatomical variances and dimensions of the superior orbital fissure and foramen ovale in adults Folia Morphol. Vol. 70(4): 263–271

Calcaterra TC, Cherney EF, Hanafee WF (1973) Normal variations in size and neoplastic changes of skull foramina. Laryngoscope, 83: 1385–1397.

Daimi SR, Siddiqui AU, Gill SS (2011) Analysis of foramen ovale with special emphasis on pterygoalar bar and pterygoalar foramen Folia Morphol. Vol. 70(3): 149–153

Dayoub H, Schueler WB, Shakir H, Kimmell KT, Sincoff EH (2010) The relationship between the zygomatic arch and the floor of the middle cranial fossa: a radiographic study. Neurosurgery, 66(6 ) : 363-369.

Edinger T, Kitts DB (1954) The foramen ovale. Evolution 8: 389-404.

Hauser G, DE Stefano GF (1989) Epigenetic variant of the human skull. Schweizebart, Stuttgart.

Henderson WR. (1966) A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. J Anat;100: 905-908

John D A, Thenmozhi (2015) Anatomical Variations of Foramen ovale J. Pharm. Sci. & Res. Vol. 7(6), 2015, 327-329

Kato H, Kanematsu M, Goshima S, Kondo H, Nishibori H, Tsuge Y, Yokoyama R, Hoshi H, Shiratori Y, Onozuka M (2006) Skull base metastasis from hepatocellular carcinoma revealed by cranial nerve palsy: Reports of two cases. Eur J Radiol, 54: 1-4.

Khan AA, Asari MA, Hassan A (2012) Anatomic variants of foramen ovale and spinosum in human skulls. Int. J. Morphol., 30(2):445-449.

Lang J, Maier R , Schafhauser O (1984). Postnatal enlargement of the foramina rotundum ovale at spinosum and their topographical changes. Anatomischer Anzeiger 156(5): 351-387.

Lawrence EG, Steven WP, Michael YM C, Allen DE (1994) Skull-Base Foramina of the Middle Cranial Fossa: Reassessment of Normal Variation with High-Resolution CT Am J Neuroradio,15:283-291

Lindblom K (1936) A roentgenographic study of the vascular channels of the skull. Acta Radiol, 30: 211– 223.

Lindblom K. (1936) A roentgenographic study of the vascular channels of the skull, with special reference to intracranial tumors and arterio- venous aneurysms. Acta Radio, 30:1-146

M. Sindou, M. Messerer, J. Alvernia, and G. Saint-Pierre Percutaneous biopsy through the foramen ovale for parasellar lesions: surgical anatomy, method, and indications Advances and technical standards in neurosurgery 2012, XIV, 190

Osunwoke E.A, Mbadugha C.C, Orish C.N, Oghenemavwe E.L. and Ukah C.J (2005)A morphometric study of foramen ovale and foramen spinosum of the human sphenoid bone in the southern Nigerian population Journal of Applied Biosciences 26: 1631 - 1635

Patel R, Mehta CD (2014) Morphometry of Foramen Ovale at base of skull in Gujarat IOSR Journal of Dental and Medical Sciences Volume 13 (6) (IV) : 26-30

Ray B, Gupta N and Ghose S (2005). Anatomic variations of foramen ovale. Kathmandu University Medical Journal, 3: 64–68.

Reymond J, Charuta A, Wysocki J (2005) The morphology and morphometry of the foramina of the greater wing of the human sphenoid bone. Folia Morphol, 64: 188–193.

Schelling F (1978) The emissaries of the human skull. Anat Anz, 143: 340–382.

Shapiro R, Robinson F. (1967) The foramina of the middle fossa: a phylogenetic, anatomic and pathologic study. AJR Am J Roentgenol 1967; 101 :779-794

Sharma NA., Garud R S (2011) Morphometric evaluation and a report on the aberrations of the foramina in the intermediate region of the human cranial base: A study of an Indian population Eur J Anat, 15 (3): 140-149

Sondheimer FK. (1971) Basal foramina and canals. In: Newton TH, Potts DG, eds. Radiology of the skull and brain: the skull. Vol 1, Book 1. St. Louis: Mosby, 1971:287-347

Tiwari R (1998) Surgical landmarks of the infratemporal fossa. Craniomaxillofac surg. Apr; 26 (20): 84-6

Tubbs RS, May WR, Apaydin N, Shoja MM, Shokouhi G, Loukas M, Cohen Gadol AA (2009) Ossification of ligaments near the foramen ovale: an anatomic study with potential clinical significance regarding transcutaneous approaches to the skull base Neurosurgery, 2009 (65) (6): 60- 64

Wadhwa A, Sharma M, Kaur P (2012) Anatomic variations of foramen ovale– clinical implications International Journal of Basic and Applied Medical Sciences, Vol. 2 (3) : 21-24

Wood-Jones F. (1931) The non-metrical morphological characters of the skull as criteria for racial diagnosis. Part 1: general discussion of the morphological characters employed in racial diagnosis. J Anat 1931; 65:179-195

Yanagi S (1987). Developmental studies on the foramen rotundum, foramen ovale and foramen spinosum of the human sphenoid bone. The Hokkaido journal of medical science 62(3) 485-496

-- 0 --

Downloads

Published

2018-12-31

Issue

Section

Peer-reviewed Article

How to Cite

Mishra, S. R. ., Shobhana, S., Singh, S. ., Singh, R. ., & Gaharwar, A. . (2018). Morphometric and Topographic Study of Foramen Ovale in Indian Skulls. Malaysian Journal of Medical and Biological Research, 5(2), 75-84. https://doi.org/10.18034/mjmbr.v5i2.455