MIDDLE CRANIAL
FOSSA
DR. JITEN LAD
2ND YEAR RESIDENT DOCTOR
DEPT OF E.N.T
INTERNAL SURFACE OF BASE OF SKULL
• Internal surface of base of skull
presents natural subdivisions into
anterior, middle and posterior
cranial fossae.
MIDDLE CRANIAL FOSSA
• It is deeper than the anterior cranial fossa.
• It is shaped like a butterfly, being narrow and shallow in the middle;
wide and deep on each side.
BOUNDRIES
• Anterior:-
Posterior border of lesser
wing of Sphenoid
Anterior clinoid process
Anterior margin of Sulcus
Chiasmaticus.
• Posterior:-
Superior border of petrous part of
temporal bone
Dorsum Sella of Sphenoid
• Lateral:-
 Greater wing of sphenoid
Anteroinferior angle of parietal bone
Squamous part of temporal bone
• Floor:-
 Sphenoid in median region
FORAMEN CONTENT
OPTIC CANAL -OPTIC NERVE (CN II)
-OPTHALMIC ARTERIES
SUPERIOR ORBITAL FISSURE -OPTHALMIC VEIN
-OPTHALMIC NERVE (CN V1)
-CRANIAL NERVE III, IV, VI
-SYMPATHETIC FIBERS
FORAMEN ROTUNDUM -MAXILLARY NERVE ( CN V2)
FORAMEN OVALE -MANDIBULAR NERVE ( CN V3)
-ACCESSORY MENINGEAL ARTERY
-LESSER PETROSAL NERVE
-EMISSARY VEIN
FORAMEN SPINOSUM -MIDDLE MENINGEAL ARTERYAND VEIN
-EMISSARY VEIN
-NERVUS SPINOSUS (MENINGEAL
BRANCH OF MANDIBULAR NERVE)
FORAMEN LACERUM -MEINGEAL BRANCH OF ASCENDING
PHARYNGEALARTERY
-EMISSARY VEIN
-GREATER PETROSAL NERVE
-INTERNAL CAROTID ARTERY
CAROTID CANAL -INTERNAL CARTID ARTERY
-INTERNAL CAROTID VENOUS PLEXUS
-SYMPATHETIC NERVE PLEXUS
HIATUS FOR LESSER PETROSAL NERVE -LESSER PETROSAL NERVE
HIATUS FOR GREATER PETROSAL NERVE -GREATER PETROSAL NERVE
-PETROSAL BRANCH OF MIDDLE MENINGEAL
ARTERY
MIDDLE CRANIAL FOSSA and structures passing through

MIDDLE CRANIAL FOSSA and structures passing through

  • 1.
    MIDDLE CRANIAL FOSSA DR. JITENLAD 2ND YEAR RESIDENT DOCTOR DEPT OF E.N.T
  • 2.
    INTERNAL SURFACE OFBASE OF SKULL • Internal surface of base of skull presents natural subdivisions into anterior, middle and posterior cranial fossae.
  • 3.
    MIDDLE CRANIAL FOSSA •It is deeper than the anterior cranial fossa. • It is shaped like a butterfly, being narrow and shallow in the middle; wide and deep on each side.
  • 4.
    BOUNDRIES • Anterior:- Posterior borderof lesser wing of Sphenoid Anterior clinoid process Anterior margin of Sulcus Chiasmaticus.
  • 5.
    • Posterior:- Superior borderof petrous part of temporal bone Dorsum Sella of Sphenoid • Lateral:-  Greater wing of sphenoid Anteroinferior angle of parietal bone Squamous part of temporal bone • Floor:-  Sphenoid in median region
  • 6.
    FORAMEN CONTENT OPTIC CANAL-OPTIC NERVE (CN II) -OPTHALMIC ARTERIES SUPERIOR ORBITAL FISSURE -OPTHALMIC VEIN -OPTHALMIC NERVE (CN V1) -CRANIAL NERVE III, IV, VI -SYMPATHETIC FIBERS FORAMEN ROTUNDUM -MAXILLARY NERVE ( CN V2) FORAMEN OVALE -MANDIBULAR NERVE ( CN V3) -ACCESSORY MENINGEAL ARTERY -LESSER PETROSAL NERVE -EMISSARY VEIN FORAMEN SPINOSUM -MIDDLE MENINGEAL ARTERYAND VEIN -EMISSARY VEIN -NERVUS SPINOSUS (MENINGEAL BRANCH OF MANDIBULAR NERVE) FORAMEN LACERUM -MEINGEAL BRANCH OF ASCENDING PHARYNGEALARTERY -EMISSARY VEIN -GREATER PETROSAL NERVE -INTERNAL CAROTID ARTERY
  • 8.
    CAROTID CANAL -INTERNALCARTID ARTERY -INTERNAL CAROTID VENOUS PLEXUS -SYMPATHETIC NERVE PLEXUS HIATUS FOR LESSER PETROSAL NERVE -LESSER PETROSAL NERVE HIATUS FOR GREATER PETROSAL NERVE -GREATER PETROSAL NERVE -PETROSAL BRANCH OF MIDDLE MENINGEAL ARTERY