Stylomastoid foramen
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The stylomastoid foramen is a
foramen In anatomy and osteology, a foramen (;Entry "foramen"
in
between the styloid and
mastoid 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, ...
processes 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. ...
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, th ...
. It is the termination of the
facial canal The facial canal (''canalis nervi facialis''), also known as the Fallopian canal, is a Z-shaped canal running through the temporal bone of the skull. It runs from the internal acoustic meatus to the stylomastoid foramen. It contains the facial ...
, and transmits 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 taste ...
, and
stylomastoid artery The stylomastoid artery enters the stylomastoid foramen and supplies the tympanic cavity, the tympanic antrum and mastoid cells, and the semicircular canals. It is a branch of the posterior auricular artery, and thus part of the external caroti ...
. Facial nerve
inflammation Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molec ...
in the stylomastoid foramen may cause
Bell's palsy Bell's palsy is a type of facial paralysis that results in a temporary inability to control the facial muscles on the affected side of the face. In most cases, the weakness is temporary and significantly improves over weeks. Symptoms can vary ...
.


Structure

The stylomastoid foramen is between the styloid and
mastoid 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, ...
processes 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. ...
. The average distance between the opening of the stylomastoid foramen and the styloid process is around 0.7 mm or 0.8 mm in adults, but may decrease to around 0.2 mm during aging. The stylomastoid foramen transmits 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 taste ...
, and the
stylomastoid artery The stylomastoid artery enters the stylomastoid foramen and supplies the tympanic cavity, the tympanic antrum and mastoid cells, and the semicircular canals. It is a branch of the posterior auricular artery, and thus part of the external caroti ...
. These 2 structures lie directly next to each other.


Clinical significance

Bell's palsy Bell's palsy is a type of facial paralysis that results in a temporary inability to control the facial muscles on the affected side of the face. In most cases, the weakness is temporary and significantly improves over weeks. Symptoms can vary ...
can result from
inflammation Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molec ...
of 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 taste ...
where it leaves the skull at the stylomastoid foramen. Patients with Bell's palsy appear with facial drooping on the affected side.


Additional images

File:Facial canal.png, Facial canal File:Slide1CAC.JPG, Lateral head anatomy detail.Facial nerve dissection.


References


External links

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Diagram at patientsforum.com
{{Authority control Foramina of the skull