The juxtacondylar approach to the jugular foramen

Neurosurgery
Michaël Bruneau, Bernard George

Abstract

We sought to describe the juxtacondylar approach to jugular foramen tumors. Through an anterolateral approach, the third segment of the vertebral artery (between C2 and the dura mater) is controlled. The C1 transverse process of the atlas, which is located just inferiorly to the jugular foramen, is then removed. The dissection of the internal jugular vein is performed as high as possible, with control of the IXth, Xth, XIth, and XIIth cranial nerves. If required by a tumor extending into the neck, the internal and external carotid arteries can be exposed and controlled. Through a partial mastoidectomy and after removal of the bone covering the jugular tubercle, the end of the sigmoid sinus and then the posteroinferior part of the jugular foramen are reached. This technique is efficient to expose tumors extending into the jugular foramen. Contrary to the infratemporal approach, it has the main advantage of avoiding petrous bone drilling and associated potential complications. Lower cranial nerves are well exposed in the neck. In patients with schwannomas, complete resection with selective dividing of only the few involved rootlets can be achieved. The juxtacondylar approach is an efficient approach to tumors located in the jugul...Continue Reading

References

Jan 1, 1977·American Journal of Surgery·M J CarmichaelE M Copeland
Jan 1, 1992·Acta neurochirurgica·B George
Jun 1, 1995·Journal of Neurosurgery·M SamiiA Sepehrnia
Aug 1, 1994·The Laryngoscope·J D GreenA De la Cruz
Sep 1, 1995·Surgical Neurology·B GeorgeP Tran Ba Huy
Aug 1, 1996·British Journal of Neurosurgery·P C WhitfieldD A Moffat
Sep 13, 2000·Neurosurgery·A L Rhoton
Jan 1, 2003·Journal of Neurosurgery·Ossama Al-Mefty, Aramis Teixeira
Jul 9, 2004·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·John S OghalaiMichael W McDermott
Aug 27, 2004·Neurosurgical Focus·Ricardo RaminaGuilherme Borges
Aug 27, 2004·Neurosurgical Focus·Michelle M InserraRobert K Jackler
Aug 27, 2004·Neurosurgical Focus·C Gary JacksonEdward K Gardner
Aug 12, 2005·The Laryngoscope·Matthew A WilsonClough Shelton

❮ Previous
Next ❯

Citations

Nov 30, 2012·Neurosurgical Review·Fuminari KomatsuManfred Tschabitscher
Jan 17, 2015·Surgical Neurology International·Ali HaratiRolf Schultheiß
Jul 8, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jing-Hai WanZhen-Gang Xu
Jun 19, 2013·Surgical Neurology International·Jose Carlos LynchMariangela Barbi Gonçalves

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.