Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen

Brazilian Neurosurgery

article

Felipe Constanzo¹  Gustavo Fabiano Nogueira³  Mauricio Coelho Neto⁴  Ricardo Ramina⁴ 

[1] Department of Skull Base Surgery, Clinica Bio Bio;Department of Neurological Surgery, Hospital Clinico Regional de Concepción;Department of Otolaryngology, Instituto de Nuerologia de Curitiba;Department of Neurosurgery, Instituto de Neurologia de Curitiba

关键词: jugular foramen;    schwannoma;    meningioma;    paraganglioma;    skull base neoplasms;   

DOI  :  10.1055/s-0041-1739166

学科分类：社会科学、人文和艺术（综合）

来源: Thieme

【 摘 要 】

Context Tumors of the jugular foramen present a challenge to skull base surgeons. Their rarity, coupled with the complex anatomy of the region require exquisite knowledge and surgical technique. We present the history of the craniocervical approach to the jugular foramen, as well as surgical advice on how to manage the different extensions these tumors may present. The surgical nuances come from the experience of our skull base team managing over 150 tumors of the jugular foramen over the past 30 years. The history of the craniocervical approach was obtained by reviewing articles on surgery of the jugular foramen published on PUBMED over the past 100 years.History The first craniocervical approach may be attributed to Gardner et al. in 1891, with posterior contributions from Shapiro and Neues, Gejrot, Kempe et al, Hilding and Greenberg, and Glasscock.Nuances Cervical dissection with identification of the jugular vein, carotid bifurcation, and IX to XII cranial nerves was performed. Mastoidectomy with exposition of the fallopian canal, labyrinth, middle ear, sigmoid sinus, followed by a trans-sigmoid craniotomy with transposition of the vertebral artery gave access to the temporal and intracranial region.Conclusion Approaching the jugular foramen is the epitome of skull base surgery. Several modifications of the standard approach may be necessary depending on the extension of the tumor.

【 授权许可】

CC BY|CC BY-NC-ND