Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202300362
Jornal Vascular Brasileiro
Artigo de Revisão

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

Referências

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Submetido em:
27/03/2023

Aceito em:
10/05/2023

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