Infratemporal fossa approaches to the jugular foramen

Ernesto Coscarella, Ramachandra P. Tummala, Jacques Morcos

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The infratemporal fossa provides access to lesions of the lateral skull base, including the jugular foramen. Variants of the infratemporal fossa approaches are classified as types A, B, C, and D. The Fisch type A approach is most commonly used for glomus jugulare tumors that invade the infralabyrinthine and apical components of the temporal bone or tumors that extend intradurally. Lesions of the jugular foramen, including glomus tumors, meningiomas, and schwannomas, can be resected through this approach. The infratemporal fossa, a cavity with incomplete walls, contains the pterygoid venous plexus, the pterygoid muscles, the maxillary artery, and the mandibular division of the trigeminal nerve. Involvement of the internal carotid artery, combined with preoperative intolerance to balloon occlusion or significant intraoperative blood loss, may preclude complete resection of a glomus jugulare tumor. However, complete resection can be achieved in most cases. Injuries to the lower cranial nerves from tumor resection typically result in transient dysfunction but are expected to improve gradually.

Original languageEnglish
Pages (from-to)25-30
Number of pages6
JournalOperative Techniques in Neurosurgery
Volume8
Issue number1
DOIs
StatePublished - Mar 1 2005

Fingerprint

Glomus Jugulare Tumor
Neck
Maxillary Artery
Pterygoid Muscles
Glomus Tumor
Balloon Occlusion
Trigeminal Nerve
Cranial Nerves
Temporal Bone
Neurilemmoma
Skull Base
Internal Carotid Artery
Meningioma
Neoplasms
Wounds and Injuries

Keywords

  • Glomus tumors
  • Infratemporal fossa
  • Jugular foramen
  • Skull base anatomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Infratemporal fossa approaches to the jugular foramen. / Coscarella, Ernesto; Tummala, Ramachandra P.; Morcos, Jacques.

In: Operative Techniques in Neurosurgery, Vol. 8, No. 1, 01.03.2005, p. 25-30.

Research output: Contribution to journalArticle

Coscarella, Ernesto ; Tummala, Ramachandra P. ; Morcos, Jacques. / Infratemporal fossa approaches to the jugular foramen. In: Operative Techniques in Neurosurgery. 2005 ; Vol. 8, No. 1. pp. 25-30.
@article{6ff8c5188c2f40429623424db513c55e,
title = "Infratemporal fossa approaches to the jugular foramen",
abstract = "The infratemporal fossa provides access to lesions of the lateral skull base, including the jugular foramen. Variants of the infratemporal fossa approaches are classified as types A, B, C, and D. The Fisch type A approach is most commonly used for glomus jugulare tumors that invade the infralabyrinthine and apical components of the temporal bone or tumors that extend intradurally. Lesions of the jugular foramen, including glomus tumors, meningiomas, and schwannomas, can be resected through this approach. The infratemporal fossa, a cavity with incomplete walls, contains the pterygoid venous plexus, the pterygoid muscles, the maxillary artery, and the mandibular division of the trigeminal nerve. Involvement of the internal carotid artery, combined with preoperative intolerance to balloon occlusion or significant intraoperative blood loss, may preclude complete resection of a glomus jugulare tumor. However, complete resection can be achieved in most cases. Injuries to the lower cranial nerves from tumor resection typically result in transient dysfunction but are expected to improve gradually.",
keywords = "Glomus tumors, Infratemporal fossa, Jugular foramen, Skull base anatomy",
author = "Ernesto Coscarella and Tummala, {Ramachandra P.} and Jacques Morcos",
year = "2005",
month = "3",
day = "1",
doi = "10.1053/j.otns.2005.07.008",
language = "English",
volume = "8",
pages = "25--30",
journal = "Operative Techniques in Neurosurgery",
issn = "1092-440X",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Infratemporal fossa approaches to the jugular foramen

AU - Coscarella, Ernesto

AU - Tummala, Ramachandra P.

AU - Morcos, Jacques

PY - 2005/3/1

Y1 - 2005/3/1

N2 - The infratemporal fossa provides access to lesions of the lateral skull base, including the jugular foramen. Variants of the infratemporal fossa approaches are classified as types A, B, C, and D. The Fisch type A approach is most commonly used for glomus jugulare tumors that invade the infralabyrinthine and apical components of the temporal bone or tumors that extend intradurally. Lesions of the jugular foramen, including glomus tumors, meningiomas, and schwannomas, can be resected through this approach. The infratemporal fossa, a cavity with incomplete walls, contains the pterygoid venous plexus, the pterygoid muscles, the maxillary artery, and the mandibular division of the trigeminal nerve. Involvement of the internal carotid artery, combined with preoperative intolerance to balloon occlusion or significant intraoperative blood loss, may preclude complete resection of a glomus jugulare tumor. However, complete resection can be achieved in most cases. Injuries to the lower cranial nerves from tumor resection typically result in transient dysfunction but are expected to improve gradually.

AB - The infratemporal fossa provides access to lesions of the lateral skull base, including the jugular foramen. Variants of the infratemporal fossa approaches are classified as types A, B, C, and D. The Fisch type A approach is most commonly used for glomus jugulare tumors that invade the infralabyrinthine and apical components of the temporal bone or tumors that extend intradurally. Lesions of the jugular foramen, including glomus tumors, meningiomas, and schwannomas, can be resected through this approach. The infratemporal fossa, a cavity with incomplete walls, contains the pterygoid venous plexus, the pterygoid muscles, the maxillary artery, and the mandibular division of the trigeminal nerve. Involvement of the internal carotid artery, combined with preoperative intolerance to balloon occlusion or significant intraoperative blood loss, may preclude complete resection of a glomus jugulare tumor. However, complete resection can be achieved in most cases. Injuries to the lower cranial nerves from tumor resection typically result in transient dysfunction but are expected to improve gradually.

KW - Glomus tumors

KW - Infratemporal fossa

KW - Jugular foramen

KW - Skull base anatomy

UR - http://www.scopus.com/inward/record.url?scp=28444499703&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28444499703&partnerID=8YFLogxK

U2 - 10.1053/j.otns.2005.07.008

DO - 10.1053/j.otns.2005.07.008

M3 - Article

VL - 8

SP - 25

EP - 30

JO - Operative Techniques in Neurosurgery

JF - Operative Techniques in Neurosurgery

SN - 1092-440X

IS - 1

ER -