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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