Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.202300362
Jornal Vascular Brasileiro
Review Article

Prevalence, morphology, morphometry and associated clinical implications of mastoid emissary veins: narrative review

Prevalência, morfologia, morfometria e implicações clínicas das veias emissárias mastóideas: uma revisão narrativa

Rajani Singh

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Abstract

Abstract: The mastoid emissary vein connects the posterior auricular vein to the sigmoid sinus and varies in size, number, location, and course, resulting in clinical complications. This study was conducted in response to the vast clinical implications associated with this vein. The aim of this review is to highlight and describe the prevalence, varied morphology, and morphometry of the mastoid emissary vein, how these varied parameters cause clinical complications, and how these can be rectified and avoided. A literature survey was conducted using various databases and different terms related to mastoid emissary vein were used to search the literature. Pitfalls related to surgery in the vicinity of this vein and their remedies were elucidated. The literature search revealed that the prevalence, morphology, and morphometry of mastoid emissary veins vary immensely and are responsible for morbidity and mortality. Pre-operative identification of mastoid veins is thus essential and so multidetector computed tomography of the temporal bone should be scheduled before planning surgery.

Keywords

mastoid foramen, mastoid emissary vein, skull base, temporal bone

Resumo

Resumo: A veia emissária mastóidea que conecta a veia auricular posterior ao seio sigmoide pode variar em tamanho, número, localização e curso, resultando em complicações clínicas. O objetivo desta revisão é destacar e descrever a prevalência, variação morfológica e morfometria da veia emissária mastóidea, além de como esses parâmetros causam complicações clínicas e como corrigi-las e reduzi-las. Foram conduzidas buscas em diversas bases de dados utilizando diferentes termos relacionados à veia emissária mastóidea. As armadilhas relacionadas a procedimentos cirúrgicos realizados nas proximidades dessa veia e as respectivas soluções foram descritas. A pesquisa na literatura revelou que a prevalência, a morfologia e a morfometria da veia emissária mastóidea variam imensamente, sendo responsáveis ​​por alta morbidade e mortalidade. Portanto, a identificação da veia mastóidea deve ser realizada no pré-operatório através de tomografia computadorizada multidetectores do osso temporal, antes do planejamento cirúrgico.
 

Palavras-chave

forame mastóideo, veia emissária mastóidea, base do crânio, osso temporal

References

1 Singhal S, Ravindranath R. Occipital emissary foramina in South Indian modern human skulls. ISRN Anat. 2013;2013:727489. http://dx.doi.org/10.5402/2013/727489. PMid:25938102.

2 El Kettani C, Badaoui R, Fikri M, Jeanjean P, Montpellier D, Tchaoussoff J. Pulmonary oedema after venous air embolism during craniotomy. Eur J Anaesthesiol. 2002;19(11):846-8. http://dx.doi.org/10.1017/S0265021502291358. PMid:12442943.

3 Shaik HS, Shepur MP, Desai SD, Thomas ST, Maavishettar GF, Haseena S. Study of mastoid canals and grooves in South Indian skulls. Indian J Med Health. 2012;1:32-3.

4 Braun JP, Tournade A. Venous drainage in the craniocervical region. Neuroradiology. 1977;13(3):155-8. http://dx.doi.org/10.1007/BF00626278. PMid:865680.

5 Reis CV, Deshmukh V, Zabramski JM, et al. Anatomy of the mastoid emissary vein and venous system of the posterior neck region: neurosurgical implications. Neurosurgery. 2007;61(5, Suppl 2):193-200, discussion 200-1. PMid:18091233.

6 Zhou W, Di G, Rong J, et al. Clinical applications of the mastoid emissary vein. Surg Radiol Anat. 2023;45(1):55-63. PMid:36520166.

7 Kim LKP, Ahn CS, Fernandes AEL. Mastoid emissary vein: anatomy and clinical relevance in plastic & reconstructive surgery. J Plast Reconstr Aesthet Surg. 2014;67(6):775-80. http://dx.doi.org/10.1016/j.bjps.2014.03.002. PMid:24713148.

8 San Millán Rúiz D, Gailloud P, Rüfenacht DA, Delavelle J, Henry F, Fasel JH. The craniocervical venous system in relation to cerebral venous drainage. AJNR Am J Neuroradiol. 2002;23(9):1500-8. PMid:12372739.

9 Pekçevik R, Öztürk A, Pekçevik Y, Toka O, Güçlü Aslan G, Çukurova İ. Mastoid Emissary Vein Canal Incidence and Its Relationship with Jugular Bulb and Sigmoid Sulcus Anatomical Variations. Turk Arch Otorhinolaryngol. 2021;59(4):244-52. http://dx.doi.org/10.4274/tao.2021.2021-4-26. PMid:35262041.

10 Louis RG Jr, Loukas M, Wartmann CT, et al. Clinical anatomy of the mastoid and occipital emissary veins in a large series. Surg Radiol Anat. 2009;31(2):139-44. http://dx.doi.org/10.1007/s00276-008-0423-5. PMid:18974919.

11 Koesling S, Kunkel P, Schul T. Vascular anomalies, sutures and small canals of the temporal bone on axial CT. Eur J Radiol. 2005;54(3):335-43. http://dx.doi.org/10.1016/j.ejrad.2004.09.003. PMid:15899333.

12 Pekcevik Y, Sahin H, Pekcevik R. Prevalence of clinically important posterior fossa emissary veins on CT angiography. J Neurosci Rural Pract. 2014;5(2):135-8. http://dx.doi.org/10.4103/0976-3147.131654. PMid:24966550.

13 Gulmez Cakmak P, Ufuk F, Yagci AB, Sagtas E, Arslan M. Emissary veins prevalence and evaluation of the relationship between dural venous sinus anatomic variations with posterior fossa emissary veins: MR study. Radiol Med (Torino). 2019;124(7):620-7. http://dx.doi.org/10.1007/s11547-019-01010-2. PMid:30825075.

14 Tsutsumi S, Ono H, Yasumoto Y. The mastoid emissary vein: an anatomic study with magnetic resonance imaging. Surg Radiol Anat. 2017;39(4):351-6. http://dx.doi.org/10.1007/s00276-016-1733-7. PMid:27539590.

15 Forte V, Turner A, Liu P. Objective tinnitus associated with abnormal mastoid emissary vein. J Otolaryngol. 1989;18(5):232-5. PMid:2769838.

16 Hampl M, Kachlik D, Kikalova K, et al. Mastoid foramen, mastoid emissary vein and clinical implications in neurosurgery. Acta Neurochir (Wien). 2018;160(7):1473-82. http://dx.doi.org/10.1007/s00701-018-3564-2. PMid:29779186.

17 San Millán Rúiz D, Gailloud P, Yilmaz H, et al. The petrosquamosal sinus in humans. J Anat. 2006;209(6):711-20. http://dx.doi.org/10.1111/j.1469-7580.2006.00652.x. PMid:17118059.

18 Wang C, Lockwood J, Iwanaga J, Dumont AS, Bui CJ, Tubbs RS. Comprehensive review of the mastoid foramen. Neurosurg Rev. 2021;44(3):1255-8. http://dx.doi.org/10.1007/s10143-020-01329-9. PMid:32507931.

19 Hadeishi H, Yasui N, Suzuki A. Mastoid canal and migrated bone wax in the sigmoid sinus: technical report. Neurosurgery. 1995;36(6):1220-4. http://dx.doi.org/10.1227/00006123-199506000-00028.

20 Rivet DJ, Goddard JK 3rd, Rich KM, Derdeyn C. Percutaneous transvenous embolization of a dural arteriovenous fstula through a mastoid emissary vein: Technical note. J Neurosurg. 2006;105(4):636-9. http://dx.doi.org/10.3171/jns.2006.105.4.636. PMid:17044571.

21 Hoshi M, Yoshida K, Ogawa K, Kawase T. Hypoglossal neurinoma-two case reports. Neurol Med Chir (Tokyo). 2000;40(9):489-93. http://dx.doi.org/10.2176/nmc.40.489. PMid:11021084.

22 Calligas JP, Todd NW Jr. Hemorrhage from large mastoid emissary vein: pedicled, rotated, indented, periosteal-galeal flap. Laryngoscope. 2014;124(2):551-3. http://dx.doi.org/10.1002/lary.24259. PMid:23775417.

23 Garza-Mercado R. Extradural hematoma of the posterior cranial fossa. Report of seven cases with survival. J Neurosurg. 1983;59(4):664-72. http://dx.doi.org/10.3171/jns.1983.59.4.0664. PMid:6886788.

24 Giesemann AM, Goetz GF, Neuburger J, Lenarz T, Lanfermann H. Persistent petrosquamosal sinus: high incidence in cases of complete aplasia of the semicircular canals. Radiology. 2011;259(3):825-33. http://dx.doi.org/10.1148/radiol.11101466. PMid:21386054.

25 Lee SH, Kim SS, Sung KY, Nam EC. Pulsatile tinnitus caused by a dilated mastoid emissary vein. J Korean Med Sci. 2013;28(4):628-30. http://dx.doi.org/10.3346/jkms.2013.28.4.628. PMid:23580003.

26 Demirpolat G, Bulbul E, Yanik B. The prevalence and morphometric features of mastoid emissary vein on multidetector computed tomography. Folia Med (Plovdiv). 2016;75(4):448-53. PMid:27830877.

27 Murlimanju BV, Chettiar GK, Prameela MD, et al. Mastoid emissary foramina: an anatomical morphological study with discussion on their evolutionary and clinical implications. Anat Cell Biol. 2014;47(3):202-6. http://dx.doi.org/10.5115/acb.2014.47.3.202. PMid:25276480.
 


Submitted date:
03/27/2023

Accepted date:
05/10/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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