Introduction

Ramina, Ricardo; Tatagiba, Marcos

doi:10.1007/978-3-319-43368-4_1

Cited by 1 publication

(3 citation statements)

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“…The history of the surgery of the jugular foramen has been exquisitely detailed in previous publications. 1 Since most tumors present with ear symptoms, early literature was dominated by otolaryngologists, with the first reports of neurosurgical exploration for jugular tumors arising in 1951, 5 6 and a further report of a glomic tumor arising from the jugular foramen successfully resected through a suboccipital approach in the same year. 7 The description of the craniocervical approach as such may be attributed to Shapiro and Neues in 1864 8 and Gejrot in 1965.…”

Section: Resultsmentioning

confidence: 99%

“…The craniocervical approach has been described at length in previous articles. 1 Briefly, a complete approach consists of a C-shaped incision extending from the temporal region to the cervical region anterior to the sternocleidomastoid muscle ( Fig. 1a ).…”

Section: Resultsmentioning

confidence: 99%

“…For the past century, otolaryngologists and neurosurgeons have transformed management of tumors in this region, achieving high rates of gross total resection and low rates of neurological deficits and death. 1 Due to their rarity, the learning curve for approaching the jugular foramen is particularly steep, probably steeper than for any other region of the body, therefore centering their management in a few high-volume centers. There is a myriad of approaches to the jugular foramen, 2 each with specific indications and complications, and due to their complexity, it may not be possible to become proficient in all of them, which is why we advocate the use of the same approach whenever possible.…”

Section: Contextmentioning

confidence: 99%

See 2 more Smart Citations

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

Constanzo

Nogueira²,

Neto

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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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.

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