Suprameatal / Macewen

triangle

 suprameatal crest ( temporal line of the squamous part of the temporal bone)

 backward continuation of the posterior root of the zygoma

 ridge of bone forming the upper edge of the bony meatus
 corresponds to the floor of the middle cranial fossa

 suprameatal spine/spine of Henle:

 upper and posterior edge of the meatus which is formed by a thin, small shell or edge of
bone running from the suprameatal crest downward and backward to the posterior wall of
EUC

 suprameatal fossa:

 triangular in shape depression Behind the suprameatal spine and between it and the
posterior portion of the suprameatal crest

 suprameatal triangle of Macewen :

 Located post superior to the EUC

1. upper border: suprameatal crest

2. anterior border: suprameatal spine
 3. Posterior border: tengent drawn from the post margin of the opening of the external canal (the
ridge of bone, running from the posterior portion of the crest to the lower portion of the spine).

Superficial (surface) landmark of the mastoid antrum through which the antrum may be reached.

The mastoid antrum is 1.5 cm deep to this land mark

In children McEwen's triangle is marked by small perforations through which pass the small blood
vessels ( cribrosa area)

So the following structures are surface landmark for mastoid antrum in mastoidectomy:

1. Temporal line
2. Suprameatal spine
3. Cribrosa area

Tegmen mastoid:

 thin plate covering the mastoid

 This plate in infant is microscopically cribriform there for otitis media is actually subperiosteal
infection

‫ال تنسونا من صالح دعائكم‬

‫اللهم اغفر لي و لوالدي و للمؤمنين و المؤمنات‬

‫دياال المارديني‬.‫د‬