Analysis of Jugular Foramen Exposure in the Fallopian Bridge Technique

Satar, Bülent; Yazar, Fatih Mehmet; Ceyhan, Aykut; Arslan, Hasan Hüseyin; Aydın, Sedat

doi:10.1055/s-0028-1114293

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Various trans-temporal, transcervical, or combined techniques have been used to operate in this area. These surgeries can be combined with canal wall down, FN transposition, and blind sac closure procedures depending on the pathology and preference of the surgeon, which may result in hearing loss and facial weakness at different severities [14, 15]. Preservation of hearing and FN functions is important in terms of quality of life of the patients.…”

Section: Discussionmentioning

confidence: 99%

Three-Corridors Procedure to Operate in the Infralabyrinthine Cervico-Jugulo-Carotico-Tympanic Area

Altın¹,

Bayazıt²

2022

ORL

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Introduction: The aim of the study was to present the results of our experience in three-corridors procedures applied for the tumors and inflammatory lesions of the infralabyrinthine cervico-jugulo-carotico-tympanic area. Methods: The lesions located in the infralabyrinthine cervico-jugulo-carotico-tympanic area were operated in 13 patients using the 3-corridors technique. The anatomical and functional integrity of the external and middle ears and the facial nerve (FN) could be preserved. Results: The diagnoses were glomus jugulare, infralabyrinthine petrous bone cholesteatoma, jugular foramen schwannoma, and giant-cell tumor. The follow-up duration ranged from 2 to 24 months. No tumor recurrence or growth was encountered in the follow-up. The operations were uneventful. Total surgical excision could be achieved in 10 patients. A second-stage retrosigmoid approach was performed for the total removal of the intracranial tumor remnant in two patients. A wait-and-scan policy has been considered in one patient who had partial resection for a glomus jugulare tumor. Conclusion: Three-corridors procedure seems to be a useful technique to operate in the infralabyrinthine, cervico-jugulo-carotico-tympanic area as it takes the advantage of hearing preservation, preservation of the anatomic and functional integrity of the external and middle ear structures as well as the FN.

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Section: Discussionmentioning

confidence: 99%

Three-Corridors Procedure to Operate in the Infralabyrinthine Cervico-Jugulo-Carotico-Tympanic Area

Altın¹,

Bayazıt²

2022

ORL

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“…The excision of tumors located in the infratemporal fossa (ITF) is challenging, as such lesions are surrounded by the skull base, mandible, lateral and medial pterygoid plate, maxillary sinus and parapharyngeal structures. A number of approaches, including the transtemporal-transzygomatic, transzygomatic-transmandibular, transmaxillary, posterior high-cervical and transoral approaches, may be applied, depending on the tumor location ( 8 – 16 ). This study presents a rare case of a trigeminal neurofibroma arising from the inferior alveolar nerve, which was successfully excised via a combination of the transtemporal and transoral-retromolar approaches, as well as a discussion of these two approaches.…”

Section: Introductionmentioning

confidence: 99%

Trigeminal neurofibroma in the infratemporal fossa arising from the inferior alveolar nerve: A case report

Inoue

Elaskary

Shima

et al. 2017

Molecular and Clinical Oncology

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Solitary neurofibromas arising from cranial nerves are rare, and those arising from the peripheral divisions of the trigeminal nerve are even rarer. Although infratemporal fossa (ITF) masses are challenging to remove, certain approaches are considered feasible for this region. The present study reports a rare case of an ITF neurofibroma arising from the inferior alveolar nerve. The 27-year-old male patient presented with numbness of the right jaw. A radiological examination revealed a large mass occupying the ITF, from the mandible to the foramen ovale, originating from the inferior alveolar nerve in the mandible. The tumor was successfully excised via a transtemporal approach followed by a transoral-retromolar approach. A histological examination confirmed the diagnosis of neurofibroma. The present case demonstrates that a combination of the transtemporal and transoral-retromolar approaches may provide wide access to the ITF region.

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Less invasive transjugular approach with Fallopian bridge technique for facial nerve protection and hearing preservation in surgery of glomus jugulare tumors

et al. 2013

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For the past three decades, surgery of glomus jugulare tumors (GJTs) has been characterized by extensive combined head and neck, neuro-otologic, and neurosurgical approaches. In recent years, the authors have modified the operative technique to a less invasive approach for preservation of cranial nerves while achieving satisfactory tumor resection. We evaluated and compared the clinical outcomes of our current less invasive approach with our previous more extensive procedures. The clinical records of 39 cases of GJT surgically treated between 1992 and 2011 were retrospectively reviewed. The less invasive transjugular approach with Fallopian bridge technique (LI-TJ) was used for the most recent five cases. The combined transmastoid-transjugular and high cervical (TM-HC) approach was performed in 30 cases, while four cases were treated with a transmastoid-transsigmoid approach with facial nerve translocation. Operative technique, extent of tumor resection, operating time, hospital stay, and morbidity were examined through the operative records, and a comparison was made between the LI-TJ cases and the more invasive cases. No facial nerve palsy was seen in the LI-TJ group while the TM-HC group demonstrated six cases (17.6%) of facial palsy (House-Brackmann facial nerve function grading scale grade II and III). The complication rate was 0 % in the LI-TJ group and 16.7% in the more invasive group. The mean operative time and hospital stay were shorter in the LI-TJ group (6.4 h and 4.3 days, respectively) compared with the more invasive group (10.7 h and 8.0 days, respectively). The LI-TJ approach with Fallopian bridge technique provided adequate tumor resection with cranial preservation and definitive advantage over the more extensive approach.

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Analysis of Jugular Foramen Exposure in the Fallopian Bridge Technique

Abstract: The fallopian bridge technique should be added to surgical armamentarium for the jugular foramen tumors confined only to the jugular fossa or tumors with middle ear extension.

Cited by 4 publications

References 5 publications

Three-Corridors Procedure to Operate in the Infralabyrinthine Cervico-Jugulo-Carotico-Tympanic Area

Three-Corridors Procedure to Operate in the Infralabyrinthine Cervico-Jugulo-Carotico-Tympanic Area

Trigeminal neurofibroma in the infratemporal fossa arising from the inferior alveolar nerve: A case report

Less invasive transjugular approach with Fallopian bridge technique for facial nerve protection and hearing preservation in surgery of glomus jugulare tumors

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