Dr

Infratemporal fossa-type A approach

to Lt. Jugular foramen :

Dr. C. Rayappa, visit www.headneckskullbase.com

E.N.T & Skull base surgeon, Apollo Hospitals, Chennai, India.

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	Clip1: Periauricular incision; the external auditory meatus is divided and blind closure of external auditory meatus is carried out. The facial nerve is identified at stylomastoid foramen and exposed upto the bifurcation.

	Clip2: The carotids, int.jugular vein, and the lower cranial nerves (9th, 10th, 11th, & 12th) are exposed. Mastoidectomy is done.

	Clip3: The facial nerve is decompressed between genu and stylomastoid foramen and rerouted anteriorly. Tumor is removed.

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