Learning Objectives: Facial nerve management in the surgery Internal carotid artery management in the surgery Intracranial vascular bypass
As for the most challenging surgery of the lateral skull base, glomus jugular tumor resection is now safely controlled and managed. In this study we focused on the the strategies of facial nerve and internal carotid artery management during glomus jugular tumor surgery, especially for the C and D stage tumor in which the internal carotid artery was severely involved and could not be easily seperated. Furthermore we tried the extra-intracranial vascular bypass when the internal carotid artery could not be saved in the surgery, by which the mortality and intracranial complications were greatly reduced.