Investigating the Effects of Trigeminal Impression and Internal Acoustic Opening Morphology Differences for Possible Surgical Applications

• Published in: World neurosurgery 2024-01, Vol.181, p.e84-e93
• Main Authors: Comert, Ayhan, Dogan, Ihsan, Cavdar Yilmaz, Niymet Pelin, Gungor, Yigit, Bekdemir, Yagmur, Kubat, Goktug, Gurpinar, Selin, Basarmak, Mustafa Bugra, Asan, Batuhan, Gul, Dicle, Gokmen, Derya
• Format: Article
• Language: English
• Subjects: Acoustics; Female; Head; Humans; Internal acoustic opening; Jugular foramen; Male; Petrous Bone; Sigmoid sinus; Skull Base - surgery; Superior petrosal sinus; Temporal Bone - diagnostic imaging; Temporal Bone - surgery; Trigeminal impression; Trigeminal pore
• ISSN: 1878-8750; 1878-8769; 1878-8769
• DOI: 10.1016/j.wneu.2023.08.004

The exhaustive information regarding the types of trigeminal pore (TP) or trigeminal impression (TI), internal acoustic opening (IAO), and related surgical approaches is lacking in the literature. Therefore, this study is performed to further elucidate the types of TP or TI, IAO, and the relationships with critical surgical landmarks in the skull base. Trigeminal impression (TI) and internal acoustic opening (IAO) found in 11 dry skulls, 24 right temporal bones, and 25 left temporal bones were examined on both sides to define their relationship to each other and nearby structures. The age and sex of these bones were not identified. Besides these, 77 skulls were examined by radiologic imaging methods. These skulls were identified by gender. According to test results, there was a significant difference between the left and right internal acoustic opening in the case of horizontal dimension (HD). The left HD-IAO is bigger than the right one. In addition, right HD-IAO, vertical dimension (VD) of right internal acoustic opening, left HD-IAO, and left VD-IAO values differed significantly in male and female patients. Investigating the relationship of TI and IAO with relevant structures suggests that surgical approaches involving the TP and IAO indicated that surgical approaches considering the TI and IAO variations may be used in the development of surgical processes and primary surgical interventions.