Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 7/2020

11.03.2020 | Review

Morphology and morphometry of the foramen venosum: a radiographic study of CBCT images and literature review

verfasst von: Cansu Görürgöz, Candan Semra Paksoy

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 7/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The goal of this study was to assess the morphological variations, location, and morphometric measurements of the foramen venosum (FV) and analyse its interrelationships with other foramina on cone-beam computed tomography (CBCT) scans.

Methods

A total of 269 individual CBCT scans were evaluated retrospectively. The presence or absence of FVs and their diameter, shape, and confluence to foramen ovale were recorded. The distances between anatomic structures and the FV were calculated. Appropriate statistical analysis was performed for the collected data.

Results

Of the 269 cases studied, nine were excluded due to duplicate foramina that made statistical analysis difficult. In the 260 evaluated scans, the FV was identified in 190 individuals (73.1%). The incidence was 148 (56.9%) on the right side and 152 (58.5%) on the left side. The FV was present unilaterally in 80 (30.8%) and bilaterally in 110 (42.3%) out of the 260 individuals. The mean maximum diameter of FV was 1.75 ± 1.27 mm, and no significant differences related to gender and age were detected (p < 0.05). The most prevalent foramen shape was the oval type (45.9% on the right side and 40.8% on the left side).

Conclusion

FV is a very frequent anatomical variation. This foramen can exist either bilaterally or unilaterally. No significant differences related to sex, side, or age could be found in the present study. The anatomic characteristics of FV should be considered during interventions in the middle cranial fossa. CBCT imaging with lower radiation doses and thin slices may prove useful before surgical skull-base procedures.
Literatur
1.
Zurück zum Zitat Alves N, Deana NF (2016) Cavernous sinus thrombosis of odontogenic origin. Int J Clin Exp Med 9:5301–5307 Alves N, Deana NF (2016) Cavernous sinus thrombosis of odontogenic origin. Int J Clin Exp Med 9:5301–5307
2.
Zurück zum Zitat Alves N, Deana NF (2017) Anatomical study of the foramen venosum and its clinical implications. J Anat Soc India 66(2):123–126CrossRef Alves N, Deana NF (2017) Anatomical study of the foramen venosum and its clinical implications. J Anat Soc India 66(2):123–126CrossRef
3.
Zurück zum Zitat Aviles-Solis JC, Olivera-Barrios A, de La Garza CO, Elizondo-Omaña RE, Guzmán-López S (2011) Prevalencia y características morfométricas del foramen venoso en cráneos del noreste de México. Int J Morphol 29(1):158–163CrossRef Aviles-Solis JC, Olivera-Barrios A, de La Garza CO, Elizondo-Omaña RE, Guzmán-López S (2011) Prevalencia y características morfométricas del foramen venoso en cráneos del noreste de México. Int J Morphol 29(1):158–163CrossRef
4.
Zurück zum Zitat 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–e480PubMedCrossRef 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–e480PubMedCrossRef
5.
Zurück zum Zitat Berge JK, Bergman RA (2001) Variations in size and in symmetry of foramina of the human skull. Clin Anat 14(6):406–413PubMedCrossRef Berge JK, Bergman RA (2001) Variations in size and in symmetry of foramina of the human skull. Clin Anat 14(6):406–413PubMedCrossRef
6.
Zurück zum Zitat Berlis A, Putz R, Schumacher M (1992) Direct and CT measurements of canals and foramina of the skull base. Br J Radiol 65(776):653–661PubMedCrossRef Berlis A, Putz R, Schumacher M (1992) Direct and CT measurements of canals and foramina of the skull base. Br J Radiol 65(776):653–661PubMedCrossRef
8.
Zurück zum Zitat Chaisuksunt V, Kwathai L, Namonta K, Rungruang T, Apinhasmit W, Chompoopong S (2012) Occurrence of the foramen of Vesalius and its morphometry relevant to clinical consideration. Sci World J 2012(6):817454 Chaisuksunt V, Kwathai L, Namonta K, Rungruang T, Apinhasmit W, Chompoopong S (2012) Occurrence of the foramen of Vesalius and its morphometry relevant to clinical consideration. Sci World J 2012(6):817454
9.
Zurück zum Zitat Crockett JC, Rogers MJ, Coxon FP, Hocking LJ, Helfrich MH (2011) Bone remodelling at a glance. J Cell Sci 124(7):991–998PubMedCrossRef Crockett JC, Rogers MJ, Coxon FP, Hocking LJ, Helfrich MH (2011) Bone remodelling at a glance. J Cell Sci 124(7):991–998PubMedCrossRef
10.
Zurück zum Zitat do Nascimento JJC, de Silva Neto EJ, de Sliveira Ribeiro EC et al (2018) Foramen venosum in macerated skulls from the North–East of Brazil: morphometric study. Eur J Anat 22(1):17–22 do Nascimento JJC, de Silva Neto EJ, de Sliveira Ribeiro EC et al (2018) Foramen venosum in macerated skulls from the North–East of Brazil: morphometric study. Eur J Anat 22(1):17–22
11.
Zurück zum Zitat Dogan NA, Fazliogullari Z, Uysal II, Seker M, Karabukut AK (2014) Anatomical examination of the foramens of the middle cranial fossa. Int J Morphol 32(1):43–48CrossRef Dogan NA, Fazliogullari Z, Uysal II, Seker M, Karabukut AK (2014) Anatomical examination of the foramens of the middle cranial fossa. Int J Morphol 32(1):43–48CrossRef
12.
Zurück zum Zitat Ginsberg LE, Pruett SW, Chen MY et al (1994) Skull-base foramina of the middle cranial fossa: reassessment of normal variation with high-resolution CT. Am J Neuroradiol 15(2):283–291PubMed Ginsberg LE, Pruett SW, Chen MY et al (1994) Skull-base foramina of the middle cranial fossa: reassessment of normal variation with high-resolution CT. Am J Neuroradiol 15(2):283–291PubMed
13.
Zurück zum Zitat Gupta N, Ray B, Ghosh S (2005) Anatomic characteristics of foramen vesalius. Kathmandu Univ Med J 3(2):155–158 Gupta N, Ray B, Ghosh S (2005) Anatomic characteristics of foramen vesalius. Kathmandu Univ Med J 3(2):155–158
14.
Zurück zum Zitat Gupta N, Yadav A, Thomas RJ, Shrivastava A (2014) Incidence of foramen Vesalius in adult human North Indian crania. J Dent Med Sci 13(5):34–38 Gupta N, Yadav A, Thomas RJ, Shrivastava A (2014) Incidence of foramen Vesalius in adult human North Indian crania. J Dent Med Sci 13(5):34–38
15.
Zurück zum Zitat Hinteregger M, Zschiegner F, Lirk P et al (2004) A new guidance device facilitates percutaneous puncture of the foramen ovale in human cadavers. Can J Anaesth 51(10):90–992CrossRef Hinteregger M, Zschiegner F, Lirk P et al (2004) A new guidance device facilitates percutaneous puncture of the foramen ovale in human cadavers. Can J Anaesth 51(10):90–992CrossRef
16.
Zurück zum Zitat Jadhav SD, Ambali MP, Zambare BR (2016) Sphenoidal emissary foramen and its clinical consideration. Int J Res Med Sci 4(7):2926CrossRef Jadhav SD, Ambali MP, Zambare BR (2016) Sphenoidal emissary foramen and its clinical consideration. Int J Res Med Sci 4(7):2926CrossRef
17.
Zurück zum Zitat Kale A, Aksu F, Ozturk A et al (2009) Foramen of Vesalius. Saudi Med J 30(1):56–59PubMed Kale A, Aksu F, Ozturk A et al (2009) Foramen of Vesalius. Saudi Med J 30(1):56–59PubMed
18.
Zurück zum Zitat Kaplan M, Erol FS, Ozveren MF, Topsakal C, Sam B, Tekdemir I (2007) Review of complications due to foramen ovale puncture. J Clin Neurosci 14(6):563–568PubMedCrossRef Kaplan M, Erol FS, Ozveren MF, Topsakal C, Sam B, Tekdemir I (2007) Review of complications due to foramen ovale puncture. J Clin Neurosci 14(6):563–568PubMedCrossRef
19.
Zurück zum Zitat Kim DI, Kim HS (1995) High resolution CT evaluation on the morphologic characteristics and variations of foramen ovale and adjacent foramina in the skull base. Korean J Radiol 33(1):43–48CrossRef Kim DI, Kim HS (1995) High resolution CT evaluation on the morphologic characteristics and variations of foramen ovale and adjacent foramina in the skull base. Korean J Radiol 33(1):43–48CrossRef
20.
Zurück zum Zitat Kim HY, Chung EC, Suh JS, Choi HY, Ko EJ, Lee MS (1997) Skull-base foramina of the middle cranial fossa: assessment of normal variation with high-resolution CT. J Korean Radiol Soc 36:747–752CrossRef Kim HY, Chung EC, Suh JS, Choi HY, Ko EJ, Lee MS (1997) Skull-base foramina of the middle cranial fossa: assessment of normal variation with high-resolution CT. J Korean Radiol Soc 36:747–752CrossRef
21.
Zurück zum Zitat Kodama K, Inoue K, Nagashima M et al (1997) Studies on the foramen vesalius in the Japanese juvenile and adult skulls. Hokkaido Igaku Zasshi 72(6):667–674PubMed Kodama K, Inoue K, Nagashima M et al (1997) Studies on the foramen vesalius in the Japanese juvenile and adult skulls. Hokkaido Igaku Zasshi 72(6):667–674PubMed
22.
Zurück zum Zitat Lanzieri CF, Duchesneau PM, Rosenbloom SA, Smith AS, Rosenbaum AE (1988) The significance of asymmetry of the foramen of Vesalius. Am J Neuroradiol 9(6):1201–1204PubMed Lanzieri CF, Duchesneau PM, Rosenbloom SA, Smith AS, Rosenbaum AE (1988) The significance of asymmetry of the foramen of Vesalius. Am J Neuroradiol 9(6):1201–1204PubMed
23.
Zurück zum Zitat Lazarus L, Naidoo N, Satyapal KS (2015) An osteometric evaluation of the foramen spinosum and venosum. Int J Morphol 33(2):452–458CrossRef Lazarus L, Naidoo N, Satyapal KS (2015) An osteometric evaluation of the foramen spinosum and venosum. Int J Morphol 33(2):452–458CrossRef
24.
Zurück zum Zitat Leonel LCPC, de Sousa SDG, Liberti EA (2018) Topographic and microscopic anatomical description of the emissary sinus of foramen ovale in adult humans. Clin Neurol Neurosurg 169:77–85PubMedCrossRef Leonel LCPC, de Sousa SDG, Liberti EA (2018) Topographic and microscopic anatomical description of the emissary sinus of foramen ovale in adult humans. Clin Neurol Neurosurg 169:77–85PubMedCrossRef
26.
Zurück zum Zitat Lunsford LD, Niranjan A, Kondziolka D (2007) Surgical management options for trigeminal neuralgia. J Korean Neurosurg Soc 41(6):359–366 Lunsford LD, Niranjan A, Kondziolka D (2007) Surgical management options for trigeminal neuralgia. J Korean Neurosurg Soc 41(6):359–366
27.
Zurück zum Zitat Murlimanju BV, Reddy GR, Latha VP et al (2015) Foramen Vesalius: prevalence, morphology, embryological basis and clinical implications. J Surg Acad 5:24–28 Murlimanju BV, Reddy GR, Latha VP et al (2015) Foramen Vesalius: prevalence, morphology, embryological basis and clinical implications. J Surg Acad 5:24–28
28.
Zurück zum Zitat 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):90–98CrossRef 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):90–98CrossRef
29.
Zurück zum Zitat 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(9):1699–1706PubMed 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(9):1699–1706PubMed
30.
Zurück zum Zitat Nirmala D, Hema N (2014) Study of emissary sphenoidal foramen and its clinical implications. J Evid Based Med Healthc 1(4):175–179CrossRef Nirmala D, Hema N (2014) Study of emissary sphenoidal foramen and its clinical implications. J Evid Based Med Healthc 1(4):175–179CrossRef
31.
Zurück zum Zitat 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(2):147–154PubMedCrossRef 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(2):147–154PubMedCrossRef
32.
Zurück zum Zitat Prakash KG, Viveka S (2015) Morphometry and variations of foramen Vesalius: significance in surgical approach to mandibular nerve. Int J Anat Res 3(4):1737–1740CrossRef Prakash KG, Viveka S (2015) Morphometry and variations of foramen Vesalius: significance in surgical approach to mandibular nerve. Int J Anat Res 3(4):1737–1740CrossRef
33.
Zurück zum Zitat Ramalho AJ, Sousa-Rodriguez CF, Rodas PMDM et al (2007) A incidência e as relações morfométricas do forame emissário do esfenóide em crânios humanos. Int J Morphol 25(1):147–148 Ramalho AJ, Sousa-Rodriguez CF, Rodas PMDM et al (2007) A incidência e as relações morfométricas do forame emissário do esfenóide em crânios humanos. Int J Morphol 25(1):147–148
34.
Zurück zum Zitat Raval BB, Singh PR, Rajguru J (2015) A morphologic and morphometric study of foramen Vesalius in dry adult human skulls of Gujarat region. J Clin Diagn Res 9(2):AC04–AC07PubMedPubMedCentral Raval BB, Singh PR, Rajguru J (2015) A morphologic and morphometric study of foramen Vesalius in dry adult human skulls of Gujarat region. J Clin Diagn Res 9(2):AC04–AC07PubMedPubMedCentral
35.
Zurück zum Zitat 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(3):188–193 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(3):188–193
36.
Zurück zum Zitat Rossi AC, Freire AR, Prado FB, Caria PH, Botacin PR (2010) Morphological characteristics of foramen of Vesalius and its relationship with clinical implications. J Morphol Sci 27(1):26–29 Rossi AC, Freire AR, Prado FB, Caria PH, Botacin PR (2010) Morphological characteristics of foramen of Vesalius and its relationship with clinical implications. J Morphol Sci 27(1):26–29
37.
Zurück zum Zitat Sekimoto K, Koizuka S, Saito S, Goto F (2005) Thermogangliolysis of Gasserian ganglion under computed tomography fluoroscopy. J Anesth 19(2):177–179PubMedCrossRef Sekimoto K, Koizuka S, Saito S, Goto F (2005) Thermogangliolysis of Gasserian ganglion under computed tomography fluoroscopy. J Anesth 19(2):177–179PubMedCrossRef
38.
Zurück zum Zitat Schmalfuss IM, Camp M (2008) Skull base: pseudolesion or true lesion? Eur Radiol 18(6):1232–1243PubMedCrossRef Schmalfuss IM, Camp M (2008) Skull base: pseudolesion or true lesion? Eur Radiol 18(6):1232–1243PubMedCrossRef
39.
Zurück zum Zitat Shahidi S, Bahrampour E, Soltanimehr E et al (2014) The accuracy of a designed software for automated localization of craniofacial landmarks on CBCT images. BMC Med Imaging 14(1):32PubMedPubMedCentralCrossRef Shahidi S, Bahrampour E, Soltanimehr E et al (2014) The accuracy of a designed software for automated localization of craniofacial landmarks on CBCT images. BMC Med Imaging 14(1):32PubMedPubMedCentralCrossRef
40.
Zurück zum Zitat Shaik H, Shepur M, Desai S, Thomas S, Maavishettar G, Haseena S (2012) Study of foramen Vesalius in South Indian skulls. Indian J Med Healthc 1(1):22–24 Shaik H, Shepur M, Desai S, Thomas S, Maavishettar G, Haseena S (2012) Study of foramen Vesalius in South Indian skulls. Indian J Med Healthc 1(1):22–24
41.
Zurück zum Zitat Shapiro R, Robinson F (1967) The foramina of the middle fossa: a phylogenetic, anatomic and pathologic study. Am J Roentgenol 101(4):779–794CrossRef Shapiro R, Robinson F (1967) The foramina of the middle fossa: a phylogenetic, anatomic and pathologic study. Am J Roentgenol 101(4):779–794CrossRef
42.
Zurück zum Zitat Shinohara AL, de Souza Melo CG, Silveira EMV, Lauris JRP, Andreo JC, de Castro RA (2010) Incidence, morphology and morphometry of the foramen of Vesalius: complementary study for a safer planning and execution of the trigeminal rhizotomy technique. Surg Radiol Anat 32(2):159–164PubMedCrossRef Shinohara AL, de Souza Melo CG, Silveira EMV, Lauris JRP, Andreo JC, de Castro RA (2010) Incidence, morphology and morphometry of the foramen of Vesalius: complementary study for a safer planning and execution of the trigeminal rhizotomy technique. Surg Radiol Anat 32(2):159–164PubMedCrossRef
43.
Zurück zum Zitat Singh AP, Sekhon J (2015) Emissary sphenoidal foramen: rare but not to ignore. Ann Int Med Dent Res 1(3):218 Singh AP, Sekhon J (2015) Emissary sphenoidal foramen: rare but not to ignore. Ann Int Med Dent Res 1(3):218
44.
Zurück zum Zitat Srimani P, Mukherjee P, Sarkar M et al (2014) Foramina in alisphenoid—observational study on their osseomorphology and morphometry. Int J Anat Radiol Surg 3(1):1–6 Srimani P, Mukherjee P, Sarkar M et al (2014) Foramina in alisphenoid—observational study on their osseomorphology and morphometry. Int J Anat Radiol Surg 3(1):1–6
45.
Zurück zum Zitat Vescan AD, Snyderman CH, Carrau RL, Mintz A, Gardner P, Branstetter B, Kassam AB (2007) Vidian canal: analysis and relationship to the internal carotid artery. Laryngoscope 117:1338–1342PubMedCrossRef Vescan AD, Snyderman CH, Carrau RL, Mintz A, Gardner P, Branstetter B, Kassam AB (2007) Vidian canal: analysis and relationship to the internal carotid artery. Laryngoscope 117:1338–1342PubMedCrossRef
46.
Zurück zum Zitat Williams PL, Bannister LH, Martin MM et al (1995) Gray’s anatomy, 38th edn. Churchill Livingstone, London, pp 425–736 Williams PL, Bannister LH, Martin MM et al (1995) Gray’s anatomy, 38th edn. Churchill Livingstone, London, pp 425–736
47.
Zurück zum Zitat Wood-Jones F (1931) The non-metrical morphological characters of the skull as criteria for racial diagnosis: part I: general discussion of the morphological characters employed in racial diagnosis. J Anat 65:179–195PubMedPubMedCentral Wood-Jones F (1931) The non-metrical morphological characters of the skull as criteria for racial diagnosis: part I: general discussion of the morphological characters employed in racial diagnosis. J Anat 65:179–195PubMedPubMedCentral
48.
Zurück zum Zitat Wysocki J, Reymond J, Skarżyński H, Wróbel B (2006) The size of selected human skull foramina in relation to skull capacity. Folia Morphol 65(4):301–308 Wysocki J, Reymond J, Skarżyński H, Wróbel B (2006) The size of selected human skull foramina in relation to skull capacity. Folia Morphol 65(4):301–308
Metadaten
Titel
Morphology and morphometry of the foramen venosum: a radiographic study of CBCT images and literature review
verfasst von
Cansu Görürgöz
Candan Semra Paksoy
Publikationsdatum
11.03.2020
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 7/2020
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-020-02450-6

Weitere Artikel der Ausgabe 7/2020

Surgical and Radiologic Anatomy 7/2020 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.