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DOI: 10.1055/s-0040-1701680
Transtemporal Suprajugular Approach with Neck Dissection for Jugular Foramen Tumor Resection: Operative Video
Abstract
This video demonstrates the transmastoid suprajugular approach with neck dissection to a solitary fibrous tumor involving the jugular foramen and upper cervical region. This patient was a 39-year-old man who presented with dysphagia and cranial nerve (CN) XI and CN XII palsies. Imaging revealed a large homogenously enhancing lesion involving the jugular foramen and extending into the retropharyngeal space ([Fig. 1]). Radiographic findings supported a diagnosis of jugular foramen schwannoma. After an initial period of observation, the tumor demonstrated significant growth, and the patient agreed to proceed with surgery. The suprajugular approach allowed for exposure and resection of the tumor without mobilization of the facial nerve. The patient had an excellent clinical outcome with House–Brackmann grade-1 facial function, safely tolerated a regular diet, had intact CN XI function, and had a stable CN XII palsy ([Fig. 2]). Pathology findings identified the tumor as a hemangiopericytoma World Health Organization grade 1 (solitary fibrous tumor).
The link to the video can be found at: https://youtu.be/C4sPyHcLMA0.
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Keywords
endoscopic-assisted microsurgery - jugular foramen - solitary fibrous tumor - transtemporal suprajugular approach
www.thieme.com/skullbasevideos
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No conflict of interest has been declared by the author(s).
Acknowledgment
The authors thank the staff of Neuroscience Publications at Barrow Neurological Institute for assistance with manuscript and video preparation.
Disclosures
None.
Financial Support
None.
Address for correspondence
Publication History
Received: 18 March 2019
Accepted: 29 September 2019
Article published online:
13 March 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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