Anterolateral (juxtacondylar) approach with limited mastoidectomy to resect a jugular foramen meningioma.

Abstract

The anterolateral (juxtacondylar) approach with limited mastoidectomy is a suitable option to expose the postero-inferior part of the jugular foramen (JF). It is particularly indicated for tumors extending in the neck beyond the jugular foramen, especially in those cases necessitating both neck control as well as control of the mastoid segment of facial nerve. We describe here the steps to safely perform an anterolateral approach with mastoidectomy along with a brief description of its indications and limits. This approach represents a valid option to reach the JF. Its knowledge can improve the process of optimal approach selection when dealing with complex pathology involving the JF.