Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-08T07:42:07.819Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of lateral microsurgical preauricular and anterior endoscopic approaches to the jugular foramen

Published online by Cambridge University Press:  23 February 2015

N Komune ,
S Komune ,
K Matsushima  and
A L Rhoton Jr.
N Komune
Affiliation:
Department of Neurosurgery, University of Florida, College of Medicine, Gainesville, Florida, USA Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
K Matsushima
Affiliation:
Department of Neurosurgery, University of Florida, College of Medicine, Gainesville, Florida, USA
A L Rhoton Jr.*
Affiliation:
Department of Neurosurgery, University of Florida, College of Medicine, Gainesville, Florida, USA
*
Address for correspondence: Albert L Rhoton, Jr., Department of Neurosurgery, P.O. Box 100265, Gainesville, FL, 32610-0265, USA Fax: 352-392-8413 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

This project compares access to the anterolateral part of the jugular foramen provided by the lateral microsurgical preauricular and the anterior endoscopic approaches, and defines the important landmarks involved in each approach.

Study Design:

Cadaveric study.

Results:

The endoscopic transnasal/transmaxillary transpterygoid corridor provides a less invasive route for selected lesions in the jugular foramen than the traditional open route through the preauricular subtemporal infratemporal fossa approach. However, the anterior endoscopic approach provides a smaller channel to the jugular foramen than the preauricular approach.

Conclusions:

The anterior endoscopic approach to the anterolateral part of the jugular foramen is a useful alternative to the lateral microsurgical preauricular approach in carefully selected cases. The vaginal process of the tympanic part of the temporal bone provides a valuable landmark to aid in accessing the jugular foramen in both procedures and can be drilled to open the foramen in the preauricular approach.

Keywords

Jugular ForamenEndoscopesInfratemporal FossaVaginal ProcessSkull BaseMicrosurgical Anatomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S12 - S20
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Dallan, I, Bignami, M, Battaglia, P, Castelnuovo, P, Tschabitscher, M. Fully endoscopic transnasal approach to the jugular foramen: anatomic study and clinical considerations. Neurosurgery 2010;67:1–7Google Scholar
2Falcon, RT, Rivera-Serrano, CM, Miranda, JF, Prevedello, DM, Snyderman, CH, Kassam, AB et al. Endoscopic endonasal dissection of the infratemporal fossa: anatomic relationships and importance of eustachian tube in the endoscopic skull base surgery. Laryngoscope 2011;121:31–41Google Scholar
3Fisch, U, Pillsbury, HC. Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 1979;105:99–107Google Scholar
4Lee, DL, McCoul, ED, Anand, VK, Schwartz, TH. Endoscopic endonasal access to the jugular foramen: defining the surgical approach. J Neurol Surg B, Skull Base 2012;73:342–51CrossRefGoogle Scholar
5Sekhar, LN, Schramm, VL Jr., Jones, NF. Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 1987;67:488–99Google Scholar
6Sen, CN, Sekhar, LN. The subtemporal and preauricular infratemporal approach to intradural structures ventral to the brain stem. J Neurosurg 1990;73:345–54CrossRefGoogle Scholar
7Vilela, MD, Rostomily, RC. Temporomandibular joint-preserving preauricular subtemporal–infratemporal fossa approach: surgical technique and clinical application. Neurosurgery 2004;55:143–53Google Scholar
8Simmen, DB, Raghavan, U, Briner, HR, Manestar, M, Groscurth, P, Jones, NS. The anatomy of the sphenopalatine artery for the endoscopic sinus surgeon. Am J Rhinol 2006;20:502–5Google Scholar
9Osawa, S, Rhoton, AL Jr., Tanriover, N, Shimizu, S, Fujii, K. Microsurgical anatomy and surgical exposure of the petrous segment of the internal carotid artery. Neurosurgery 2008;63:210–38Google Scholar
10Witiak, DG, Pensak, ML. Limitations to mobilizing the intrapetrous carotid artery. Ann Otol Rhinol Laryngol 2002;111:343–8CrossRefGoogle ScholarPubMed
11Van Rompaey, J, Bowers, G, Radhakrishnan, J, Panizza, B, Solares, CA. Endoscopic repair of an injured internal carotid artery utilizing femoral endovascular closure devices. Laryngoscope 2014;124:1318–24CrossRefGoogle ScholarPubMed
12Cavallo, LM, Briganti, F, Cappabianca, P, Maiuri, F, Valente, V, Tortora, F et al. Hemorrhagic vascular complications of endoscopic transsphenoidal surgery. Minim Invasive Neurosurg 2004;47:145–50Google Scholar
13Fukushima, T, Maroon, JC. Repair of carotid artery perforations during transsphenoidal surgery. Surg Neurol 1998;50:174–7CrossRefGoogle ScholarPubMed
14Laws, ER Jr.Vascular complications of transsphenoidal surgery. Pituitary 1999;2:163–70CrossRefGoogle ScholarPubMed
15von Ludinghausen, M, Kageyama, I, Miura, M, Alkhatib, M. Morphological peculiarities of the deep infratemporal fossa in advanced age. Surg Radiol Anat 2006;28:284–92CrossRefGoogle ScholarPubMed
16Krmpotic Nemanic, J, Vinter, I, Ehrenfreund, T, Marusic, A. Postnatal changes in the styloid process, vagina processus styloidei, and stylomastoid foramen in relation to the function of muscles originating from the styloid process. Surg Radiol Anat 2009;31:343–8CrossRefGoogle Scholar