Morphometric Analysis and Clinical Importance of Foramen Ovale

Erengül Boduç; Lokman Öztürk

doi:10.5152/eurjther.2021.20059

Authors

Erengül Boduç Department of Anatomy, Kafkas University School of Medicine, Kars, Turkey https://orcid.org/0000-0001-8872-1993
Lokman Öztürk Department of Anatomy, Ege University School of Medicine, İzmir, Turkey

DOI:

https://doi.org/10.5152/eurjther.2021.20059

Keywords:

Basis cranii, foramen ovale, morphometry, percutaneous approach, photogrammetric measurement

Abstract

Objective: This study aimed to reveal the length, width, area, and perimeter measurements of foramen ovale (FO) with excessive bone count and correlation status. Methods: On basis cranii externa of crania, a metric scale was put in a place near to FO. Each FO was photographed with a metric scale, and length, width, area, and perimeter of FO were calculated by using the Image J software program. Results: The average values of the length, width, area, and perimeter of the FO are 7.05±1.43 mm, 3.30±1.24 mm, 15.68±9.51 mm2 , and 20.89±6.16 mm on the right side, and 6.83±1.53 mm, 3.30±1.34 mm, 15.61±8.73 mm2, and 21.00±6.41 mm on the left side, respectively. Conclusion: The fact that the number of measured bones in this study is quite high and the perimeter and area measurement parameters in the study can make this study unique compared with other studies. Thus, this study can shed light on clinical studies.

Metrics

Metrics Loading ...

References

Gardner E, Gray Dj, O’rahilly R. Anatomy-A Regional Study of Human Structure. Academic Medicine 1960; 698-9.

Bokhari Zh, Munira M, Samee Sm, Tafweez R. A Morphometric Study of Foramen Ovale in Dried Human Skulls. PJMHS 2017; 11: 1661-5.

Somesh Ms, Sridevi Hb, Prabhu Lv, Swamy Ms, Krishnamurthy A, Murlimanju Bv, Chettiar Gk. A morphometric study of foramen ovale. Turk Neurosurg 2011; 21: 378-83.

Yanagi S. Developmental studies on the foramen rotundum, foramen ovale and foramen spinosum of the human sphenoid bone. Hokkaido Igaku Zasshi 1987: 485-96.

Teul I, Czerwiński F, Gawlikowska A, Konstanty-Kurkiewicz V, Sławiński G. Asymmetry of the ovale and spinous foramina in mediaeval and contemporary sculls in radiological examinations. Folia Morphol 2002; 61: 147-52.

Skrzat J, Walocha J, Środek R, Niżankowska A. An atypical position of the foramen ovale. Folia Morphol 2006; 65: 396-9.

Zdilla, MJ, Fijalkowski KM. The shape of the foramen ovale: A visualization aid for cannulation procedures. J Craniofac Surg 2017; 28: 548-51.

Devi Jansirani D, Mugunthan N, Anbalagan J, Sudha R, Shivadeep S. A study on ossified pterygospinous and pterygoalar ligaments in Indian skulls. NJBMS 2012; 3: 13-8.

Krmpotić-Nemanić J, Vinter I, Hat J, Jalšovec D. Mandibular neuralgia due to anatomical variations. Eur Arch Otorhinolaryngol Suppl 1999; 256: 205-8.

Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery 2001; 48: 524-34.

Butera, G, Biondi‐Zoccai, GG, Carminati M, Caputi L, Usai S, Bussone G, Sangiorgi G. Systematic review and meta‐analysis of currently available clinical evidence on migraine and patent foramen ovale percutaneous closure: Much ado about nothing? Catheter Cardiovasc Interv 2010; 75: 494-504.

Santo Neto, H, Camilli JA, Marques MJ. Trigeminal neuralgia is caused by maxillary and mandibular nerve entrapment: greater incidence of right-sided facial symptoms is due to the foramen rotundum and foramen ovale being narrower on the right side of the cranium. Med Hypotheses 2005; 65: 1179-82.

Liu P, Zhong W, Liao C, Liu M, Zhang W. Narrow foramen ovale and rotundum: A role in the etiology of trigeminal neuralgia. J Craniofac Surg 2016; 27: 2168-70.

Alvernia, JE, Sindou MP, Dang ND. Maley JH, Mertens P. Percutaneous approach to the foramen ovale: an anatomical study of the extracranial trajectory with the incorrect trajectories to be avoided. Acta Neurochir 2010; 152: 1043-53.

Bohnstedt BN, Tubbs RS, Cohen-Gadol AA. The use of intraoperative navigation for percutaneous procedures at the skull base including a difficult-to-access foramen ovale. Oper Neurosurg 2012; 70: 177-80.

Peris-Celda M, Graziano F, Russo V, Mericle RA, Ulm AJ. Foramen ovale puncture, lesioning accuracy, and avoiding complications: microsurgical anatomy study with clinical implications. J Neurosurg 2013; 119: 1176-93.

Kaplan M, Erol FS, Ozveren MF, Topsakal C, Sam B, Tekdemir I. Review of complications due to foramen ovale puncture. J Clin Neurosci 2007; 14: 563-8.

Gusmão S, Oliveira M, Tazinaffo U, Honey CR. Percutaneous trigeminal nerve radiofrequency rhizotomy guided by computerized tomography fluoroscopy. J Neurosurg 2003; 99: 785-6.

Messerer M, Dubourg J, Saint-Pierre G, Jouanneau E, Sindou M. Percutaneous biopsy of lesions in the cavernous sinus region through the foramen ovale: diagnostic accuracy and limits in 50 patients. J Neurosurg 2012; 116: 390-8.

Desai SD, Shaik HS, Shepur MP, Thomas ST, Mavishettar GF, Haseena S. Morphometric analysis of Foramen ovale. JPSR 2012; 4: 1870.

Rao BS, Yesender M, Vinila BS. Morphological variations and morphometric analysis of foramen ovale with its clinical implications. Int J Anat Res 2017; 5: 3394-97.

Natsis K, Piagkou M, Repousi E, Tegos T, Gkioka A, Loukas M. 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 2018; 77: 90-8.

Zhu HY, Zhao JM, Yang M, Xia CL, Li YQ, Sun H, et al. Relative location of foramen ovale, foramen lacerum, and foramen spinosum in Hartel pathway. J Craniofac Surg 2014; 25: 1038-40.

Hwang SH, Lee MK, Park JW, Lee JE, Cho CW, Kim DJ. A Morphometric Analysis of the Foramen Ovale and the Zygomatic Points Determined by a Computed Tomography in Patients with Idiopathic Trigeminal Neuralgia. J Korean Neurosurg S 2005; 38: 202-5.

Osunwoke EA, Mbadugha CC, Orish CN, Oghenemavwe EL, Ukah CJ. A morphometric study of foramen ovale and foramen spinosum of the human sphenoid bone in the southern Nigerian population. J Appl Biosci 2010; 26: 1631-5.

Khan AA, Asari MA, Hassan A, Khan A, Asari M, Hassan A. Anatomic variants of foramen ovale and spinosum in human skulls. Int J Morphol 2012; 30: 445-9.

Wadhwa A, Sharma M, Kaur P. Anatomic variations of foramen ovale-clinical implications. Int J Basic and Applied Med Sci 2012; 2: 21-4.

Gupta N, Rai AL. Foramen ovale-morphometry and its surgical importance. IJMHS 2013; 3: 4-6.

Patil J, Kumar N, Mohandas Rao KG, Swamy Ravindra S. The foramen ovale morphometry of sphenoid bone in South Indian population. JCDR 2013: 7: 2668.

Patel R, Mehta CD. Morphometry of foramen ovale at base of skull in Gujarat. J Dent Med Sci 2014; 13: 26-30.

Ahmed MM, Jeelani M, Tarnum A. Anthropometry: a comparative study of right and left sided foramen ovale, jugular foramen and carotid canal. Int J Sci Stud 2015; 3: 88-94.

Bahşi İ. An Anatomic Study of the Supratrochlear Foramen of the Humerus and Review of the Literature. Eur J Ther 2019; 25: 295-303.