Bony canal and grooves of the middle meningeal artery: mythic structures in anatomy and neurosurgery?

Abstract:

BACKGROUND:It has been previously published that the frontal branch of the middle meningeal artery (MMA) is usually embedded in a bony canal (BC). Although the incidence of the BC was over 70%, this structure is currently omitted both in anatomical nomenclature and in most of the literature. We found the same gap pertaining to the grooves for the MMA on the skull base. The aims of our study were to assess the incidence and morphometry of the MMA BC and grooves on the skull base. MATERIALS AND METHODS:Computed tomography (CT) scans of 378 patients, 172 skull bases as well as 120 sphenoidal bones and 168 temporal bones, and 12 histological specimens from 3 men and 3 women and 3 different regions of the MMA course were assessed. RESULTS:Based on CT scans, the incidence of the BC was 85.44% and was significantly higher in females than in males. Most of the canals and grooves were bilateral. The mean canal length was 17.67 mm, the mean transverse diameter 1.33 mm, and the mean distance from the superior orbital fissure (dFOS) was 26.7 mm. In the skull bases, the BC incidence was 70.07%, the mean canal length 10.74 mm, and the mean dFOS was 19.16 mm. The groove for the MMA on the temporal and sphenoidal bones was present in 99.42% and 95.35%, respectively. Histological specimens confirmed the presence of the MMA and accompanying vein/s. CONCLUSIONS:Based on our results, we suggest the addition of the BC and grooves for the middle meningeal vessels to the upcoming version of the Terminologia Anatomica.

journal_name

Folia Morphol (Warsz)

journal_title

Folia morphologica

authors

Eberlova L,Pisova S,Papezova L,Mirka H,Hosek P,Steflova M,Maleckova A,Kachlik D,Stepanek D

doi

10.5603/FM.a2019.0098

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

450-461

issue

3

eissn

0015-5659

issn

1644-3284

pii

VM/OJS/J/64719

journal_volume

79

pub_type

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