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Foramen Rotundum Dimensions and Landmarks in Indian Adults: Anatomical Insight for Skull Base Surgery
Khursheed Raza1, Neha Xalxo2, S Shivshankar3
1Associate Professor, Department of Anatomy, All India Institute of Medical Sciences, Deoghar, India.
Maedica
|July 8, 2026
Summary
This study provides crucial morphometric data for the foramen rotundum (FR) in Indian adults, establishing the anterior clinoid process as a reliable surgical landmark for skull base procedures.
Area of Science:
- Anatomy
- Skull Base Surgery
- Medical Imaging
Background:
- The foramen rotundum (FR) is vital for transmitting the maxillary nerve.
- Anatomical variations of the FR impact skull base lesion diagnosis and surgery.
- Limited morphometric data exists for the FR in the Indian population.
Purpose of the Study:
- To determine the morphometric characteristics and anatomical features of the FR in Indian adults.
- To establish reliable surgical landmarks for safe skull base surgery.
- To address the gap in population-specific data for the Indian demographic.
Main Methods:
- Examined 30 dry adult human skulls and 30 CT scans.
- Measured FR breadth, height, and distance from the anterior clinoid process.
- Utilized digital calipers and specialized CT software, with statistical analysis for asymmetry.
Main Results:
- The FR was consistently present with round shapes and regular margins.
- Mean FR dimensions were recorded for both dry skulls and CT scans.
- No significant asymmetry was found between left and right sides; the anterior clinoid process distance was consistent.
Conclusions:
- Established population-specific morphometric data for the FR in Indian adults.
- Validated the anterior clinoid process as a dependable surgical landmark.
- Provided essential reference points for endoscopic and lateral skull base approaches, improving surgical safety and diagnostic accuracy.
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