Petrous apex
Citation, DOI, disclosures and article data
At the time the article was created Craig Hacking had no recorded disclosures.
View Craig Hacking's current disclosuresAt the time the article was last revised Derek Smith had no recorded disclosures.
View Derek Smith's current disclosuresThe petrous apex is the pyramid-shaped anteromedial part of the petrous part of the temporal bone. It is oriented obliquely in the skull base and articulates with the posterior aspect of the greater wing of the sphenoid and occipital bones.
The lateral boundary is the inner ear, medially the petro-occipital fissure, anteriorly the petrosphenoidal fissure and petrous part of the internal carotid artery in the carotid canal and posteriorly the posterior cranial fossa. Superiorly is the middle cranial fossa, Meckel cave and petrous ICA. Inferiorly is the jugular bulb and inferior petrosal sinus.
The internal auditory canal divides it into a larger anterior portion, containing bone marrow that may be pneumatized and a smaller posterior portion, derived from the otic capsule.
On this page:
Anatomical variants
- pneumatization of the petrous apex
Related pathology
- petrous apex cephalocoele
- asymmetric fatty bone marrow of the petrous apex
- cholesterol granuloma
- petrous apicitis
See also
Quiz questions
References
- 1. Razek AA, Huang BY. Lesions of the petrous apex: classification and findings at CT and MR imaging. (2012) Radiographics : a review publication of the Radiological Society of North America, Inc. 32 (1): 151-73. doi:10.1148/rg.321105758 - Pubmed
- 2. Last's anatomy, regional and applied. Churchill Livingstone. ISBN:044304662X. Read it at Google Books - Find it at Amazon
- 3. Susan Standring. Gray's Anatomy. ISBN: 9780702052309
Incoming Links
- Petro-occipital fissure
- Carotid canal
- Acquired cholesteatoma
- Skull (Towne view)
- Dorello canal
- Intraosseous schwannoma
- Petrous apex lesions (differential)
- Vestibular schwannoma
- Gradenigo syndrome
- Dorsum sellae
- Abducens nerve
- Petrous part of temporal bone
- Michel aplasia
- Porus trigeminus
- Body of sphenoid
- Intracranial epidermoid cyst
- Meckel’s cave
- Acute mastoiditis
- Cavernous sinus
- Trigeminal ganglion
Related articles: Anatomy: Head and neck
- skeleton of the head and neck
-
cranial vault
- scalp (mnemonic)
- fontanelle
-
sutures
- calvarial
- facial
- frontozygomatic suture
- frontomaxillary suture
- frontolacrimal suture
- frontonasal suture
- temporozygomatic suture
- zygomaticomaxillary suture
- parietotemporal suture (parietomastoid suture)
- occipitotemporal suture (occipitomastoid suture)
- sphenofrontal suture
- sphenozygomatic suture
- spheno-occipital suture (not a true suture)
- lacrimomaxillary suture
- nasomaxillary suture
- internasal suture
- basal/internal
- skull landmarks
- frontal bone
- temporal bone
- parietal bone
- occipital bone
- skull base (foramina)
-
facial bones
- midline single bones
- paired bilateral bones
- cervical spine
- hyoid bone
- laryngeal cartilages
-
cranial vault
- muscles of the head and neck
- muscles of the tongue (mnemonic)
- muscles of mastication
-
facial muscles
- epicranius muscle
- circumorbital and palpebral muscles
- nasal muscles
-
buccolabial muscles
- elevators, retractors and evertors of the upper lip
- levator labii superioris alaeque nasalis muscle
- levator labii superioris muscle
- zygomaticus major muscle
- zygomaticus minor muscle
- levator anguli oris muscle
- malaris muscle
- risorius muscle
- depressors, retractors and evertors of the lower lip
- depressor labii inferioris muscle
- depressor anguli oris muscle
- mentalis muscle
- compound sphincter
-
orbicularis oris muscle
- incisivus labii superioris muscle
- incisivus labii inferioris muscle
-
orbicularis oris muscle
- muscle of mastication
- modiolus
- elevators, retractors and evertors of the upper lip
- muscles of the middle ear
- orbital muscles
- muscles of the soft palate
- pharyngeal muscles
- suprahyoid muscles
- infrahyoid muscles
- intrinsic muscles of the larynx
- muscles of the neck
- platysma muscle
- longus colli muscle
- longus capitis muscle
- scalenus anterior muscle
- scalenus medius muscle
- scalenus posterior muscle
- scalenus pleuralis muscle
- sternocleidomastoid muscle
-
suboccipital muscles
- rectus capitis posterior major muscle
- rectus capitis posterior minor muscle
- obliquus capitis superior muscle
- obliquus capitis inferior muscle
- accessory muscles of the neck
- deep cervical fascia
-
deep spaces of the neck
- anterior cervical space
- buccal space
- carotid space
- danger space
- deep cervical fascia
- infratemporal fossa
- masticator space
- parapharyngeal space
- stylomandibular tunnel
- parotid space
- pharyngeal (superficial) mucosal space
- perivertebral space
- posterior cervical space
- pterygopalatine fossa
- retropharyngeal space
- suprasternal space (of Burns)
- visceral space
- surgical triangles of the neck
- orbit
- ear
- paranasal sinuses
- upper respiratory tract
- viscera of the neck
- blood supply of the head and neck
-
arterial supply
-
common carotid artery
- carotid body
- carotid bifurcation
- subclavian artery
- variants
-
common carotid artery
- venous drainage
-
arterial supply
- innervation of the head and neck
-
cranial nerves
- olfactory nerve (CN I)
- optic nerve (CN II)
- oculomotor nerve (CN III)
- trochlear nerve (CN IV)
-
trigeminal nerve (CN V) (mnemonic)
- trigeminal ganglion
- ophthalmic division
- maxillary division
- mandibular division
- abducens nerve (CN VI)
- facial nerve (CN VII)
-
vestibulocochlear nerve (CN VIII)
- vestibular ganglion (Scarpa's ganglion)
- glossopharyngeal nerve (CN IX)
- vagus nerve (CN X)
- (spinal) accessory nerve (CN XI)
- hypoglossal nerve (CN XII)
- parasympathetic ganglia of the head and neck
- cervical sympathetic ganglia
- greater occipital nerve
- third occipital nerve
-
cervical plexus
- muscular branches
- longus capitis
- longus colli
- scalenes
- geniohyoid
- thyrohyoid
-
ansa cervicalis
- omohyoid (superior and inferior bellies separately)
- sternothyroid
- sternohyoid
- phrenic nerve
- contribution to the accessory nerve (CN XI)
- cutaneous branches
- muscular branches
- brachial plexus
- pharyngeal plexus
-
cranial nerves
- lymphatic drainage of the head and neck
- embryological development of the head and neck