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The mastoid part of the temporal bone is the posterior (back) part of the
temporal bone The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. Th ...
, one of the
bone A bone is a Stiffness, rigid Organ (biology), organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red blood cell, red and white blood cells, store minerals, provid ...
s of the
skull The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, the ...
. Its rough surface gives attachment to various
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscl ...
s (via
tendon A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability ...
s) and it has openings for
blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...
s. From its borders, the mastoid part articulates with two other bones.


Etymology

The word "mastoid" is derived from the Greek word for "
breast The breast is one of two prominences located on the upper ventral region of a primate's torso. Both females and males develop breasts from the same embryological tissues. In females, it serves as the mammary gland, which produces and secret ...
", a reference to the shape of this bone.


Surfaces


Outer surface

Its outer surface is rough and gives attachment to the
occipitalis The occipitalis muscle (occipital belly) is a muscle which covers parts of the skull. Some sources consider the occipital muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscl ...
and
posterior auricular muscle The posterior auricular muscle is a muscle behind the auricle of the outer ear. It arises from the mastoid part of the temporal bone, and inserts into the lower part of the cranial surface of the auricle of the outer ear. It draws the auricle ba ...
s. It is perforated by numerous
foramina In anatomy and osteology, a foramen (;Entry "foramen"
in
(holes); for example, the
mastoid foramen The mastoid foramen is a hole in the posterior border of the temporal bone. It transmits an emissary vein between the sigmoid sinus and the suboccipital venous plexus, and a small branch of the occipital artery, the posterior meningeal artery to t ...
is situated near the posterior border and transmits a vein to the
transverse sinus The transverse sinuses (left and right lateral sinuses), within the human head, are two areas beneath the brain which allow blood to drain from the back of the head. They run laterally in a groove along the interior surface of the occipital bone. ...
and a small branch of the
occipital artery The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid muscles ...
to the
dura mater In neuroanatomy, dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. It is the outermost of the three layers of membrane called the meninges that protect the central nervous system. ...
. The position and size of this foramen are very variable; it is not always present; sometimes it is situated in the occipital bone, or in the suture between the temporal and the occipital.


Mastoid process

The mastoid process is located posterior and inferior to the
ear canal The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the middle ear. The adult human ear canal extends from the pinna to the eardrum and is about in length and in diameter. Struc ...
, lateral to the styloid process, and appears as a conical or pyramidal projection. It forms a bony prominence behind and below the ear. It has variable size and form (e.g. it is larger in the
male Male (symbol: ♂) is the sex of an organism that produces the gamete (sex cell) known as sperm, which fuses with the larger female gamete, or ovum, in the process of fertilization. A male organism cannot reproduce sexually without access to ...
than in the
female Female (Venus symbol, symbol: ♀) is the sex of an organism that produces the large non-motile ovum, ova (egg cells), the type of gamete (sex cell) that fuses with the Sperm, male gamete during sexual reproduction. A female has larger gamet ...
). It is also filled with
sinuses Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity. The maxillary sinuses are located under the eyes; the frontal sinuses are above the eyes; the ethmoidal sinuses are between the eyes and the sphenoid ...
, or
mastoid cells The mastoid cells (also called air cells of Lenoir or mastoid cells of Lenoir) are air-filled cavities within the mastoid process of the temporal bone of the cranium. The mastoid cells are a form of skeletal pneumaticity. Infection in these cells ...
. The mastoid process serves for the attachment of the
sternocleidomastoid The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ...
, the posterior belly of the
digastric muscle The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a small muscle located under the jaw. The term "digastric muscle" refers to this specific muscle. However, other muscles that have two separate muscle bellie ...
,
splenius capitis The splenius capitis () () is a broad, straplike muscle in the back of the neck. It pulls on the base of the skull from the vertebrae in the neck and upper thorax. It is involved in movements such as shaking the head. Structure It arises from th ...
, and
longissimus capitis The longissimus ( la, the longest one) is the muscle lateral to the semispinalis muscles. It is the longest subdivision of the erector spinae muscles that extends forward into the transverse processes of the posterior cervical vertebrae. Struct ...
. On the medial side of the process is a deep groove, the mastoid notch, for the attachment of the
digastric muscle The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a small muscle located under the jaw. The term "digastric muscle" refers to this specific muscle. However, other muscles that have two separate muscle bellie ...
; medial to this is a shallow furrow, the
occipital groove The mastoid part of the temporal bone is the posterior (back) part of the temporal bone, one of the bones of the skull. Its rough surface gives attachment to various muscles (via tendons) and it has openings for blood vessels. From its borders, t ...
, which lodges the
occipital artery The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid muscles ...
. The
facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of tas ...
passes close to the mastoid process.


Inner surface

The inner surface of the mastoid portion presents a deep, curved groove, the
sigmoid sulcus Sigmoid means resembling the lower-case Greek letter sigma (uppercase Σ, lowercase σ, lowercase in word-final position ς) or the Latin letter S. Specific uses include: * Sigmoid function, a mathematical function * Sigmoid colon, part of the ...
, which lodges part of the
transverse sinus The transverse sinuses (left and right lateral sinuses), within the human head, are two areas beneath the brain which allow blood to drain from the back of the head. They run laterally in a groove along the interior surface of the occipital bone. ...
; in it may be seen in the opening of the
mastoid foramen The mastoid foramen is a hole in the posterior border of the temporal bone. It transmits an emissary vein between the sigmoid sinus and the suboccipital venous plexus, and a small branch of the occipital artery, the posterior meningeal artery to t ...
. The groove for the transverse sinus is separated from the innermost of the mastoid cells by a very thin lamina of bone, and even this may be partly deficient.


Borders

The ''superior border'' of the mastoid part is broad and serrated, for articulation with the mastoid angle of the parietal. The ''posterior border'', also serrated, articulates with the inferior border of the occipital between the lateral angle and
jugular process The jugular process is a quadrilateral or triangular bony plate projecting lateralward from the posterior half of the occipital condyle; it is a part of the lateral part of the occipital bone. The jugular process is excavated in front by the jugul ...
. Anteriorly, the mastoid portion is fused with the descending process of the squama above; below, it enters into the formation of the
ear canal The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the middle ear. The adult human ear canal extends from the pinna to the eardrum and is about in length and in diameter. Struc ...
and the
tympanic cavity The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound. Structure On its lateral surface, it abuts the external auditory ...
.


Spaces

A section of the mastoid process shows it to be hollowed out into a number of spaces, the
mastoid cells The mastoid cells (also called air cells of Lenoir or mastoid cells of Lenoir) are air-filled cavities within the mastoid process of the temporal bone of the cranium. The mastoid cells are a form of skeletal pneumaticity. Infection in these cells ...
, which exhibit the greatest possible variety as to their size and number. At the upper and front part of the process, they are large and irregular and contain air, but toward the lower part, they diminish in size, while those at the apex of the process are frequently quite small and contain marrow; occasionally, they are entirely absent, and the mastoid is then solid throughout. In addition to these a large irregular cavity is situated at the upper and front part of the bone. It is called the
tympanic antrum The mastoid antrum (tympanic antrum, antrum mastoideum, Valsalva's antrum) is an air space in the petrous portion of the temporal bone, communicating posteriorly with the mastoid cells and anteriorly with the epitympanic recess of the middle ear vi ...
and must be distinguished from the mastoid cells, though it communicates with them. Like the mastoid cells, it is filled with air and lined by a prolongation of the mucous membrane of the tympanic cavity, with which it communicates. The tympanic antrum is bounded above by a thin plate of bone, the
tegmen tympani The tympanic cavity is a small cavity surrounding the ossicles, bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound. Structure On its lateral surface, it abuts the externa ...
, which separates it from the middle fossa of the
base of the skull The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for ...
, below by the mastoid process, laterally by the squama just below the
temporal line The parietal bones () are two bones in the skull which, when joined at a fibrous joint, form the sides and roof of the cranium. In humans, each bone is roughly quadrilateral in form, and has two surfaces, four borders, and four angles. It is named ...
, and medially by the
lateral semicircular canal The semicircular canals or semicircular ducts are three semicircular, interconnected tubes located in the innermost part of each ear, the inner ear. The three canals are the horizontal, superior and posterior semicircular canals. Structure The ...
of the
internal ear Internal may refer to: *Internality as a concept in behavioural economics *Neijia, internal styles of Chinese martial arts *Neigong or "internal skills", a type of exercise in meditation associated with Daoism *''Internal (album)'' by Safia, 2016 ...
, which projects into its cavity. It opens in front into that portion of the tympanic cavity which is known as the attic or
epitympanic recess The epitympanic recess is a hollow located on the superior/roof aspect of the middle ear. Clinical significance This recess is a possible route of spread of infection to the mastoid air cells located in the mastoid process of the temporal bone ...
. The tympanic antrum is a cavity of some considerable size at the time of birth; the mastoid air cells may be regarded as diverticula from the antrum and begin to appear at or before birth. By the fifth year, they are well-marked, but their development is not completed until toward
puberty Puberty is the process of physical changes through which a child's body matures into an adult body capable of sexual reproduction. It is initiated by hormonal signals from the brain to the gonads: the ovaries in a girl, the testes in a boy. ...
.


Development

The mastoid process is absent or rudimentary in the neonatal skull. It forms postnatally (starts to develop after 1 year old), as the sternocleidomastoid muscle develops and pulls on the bone. It usually finishes structural development by 2 years old.


Clinical significance


Mastoid process

Because of the late postnatal development of the mastoid process, antenatal injuries to the region often recover spontaneously. The largest size is found in
South Africans The population of South Africa is about 58.8 million people of diverse origins, cultures, languages, and religions. The South African National Census of 2022 was the most recent census held; the next will be in 2032. In 2011, Statistics Sout ...
and least found in North American Indians. Rarely, lesions can develop on the mastoid process.


See also

*
mastoiditis Mastoiditis is the result of an infection that extends to the air cells of the skull behind the ear. Specifically, it is an inflammation of the mucosal lining of the mastoid antrum and mastoid air cell system inside the mastoid process. The ma ...
*
mastoidectomy A mastoidectomy is a procedure performed to remove the mastoid air cells, air bubbles in the skull, near the inner ears. This can be done as part of treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. In addition, it is s ...


References


External links

* * *
Diagram - #5
(sourc
here
* {{Authority control Bones of the head and neck