Variations in the shape and size of the sigmoid sulcus were investigat
ed in 561 temporal bones (438 isolated temporal bones, 49 skull bases
and 25 half skull bases) and measurements of related structures were m
ade. Right-left differences were analysed. The sigmoid sulcus was sign
ificantly wider (12 mm) and longer (38 mm) in the skull bases, while n
o differences were observed in the isolated temporal bones. The distan
ce from the most prominent point of the mastoid process to the Frankfo
rt horizontal plane (FHP) was 33 mm; no right-left difference was foun
d. The distance from the genu of the sigmoid sulcus to the external ac
oustic meatus was 24.06 mm on the right side and 24.74 mm on the left
side and this difference is significant, being considerably longer on
the left side. The jugular foramen diameter was 7.8 mm; no right-left-
difference was observed. The relationship of the mastoid air cells to
the sulcus was analysed and air cells were found just behind the sulcu
s in 66% and behind and posterior to the sulcus in 5% of temporal bone
s.