Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen
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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2022-06-01
|
| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739166 |
| _version_ | 1828470604159778816 |
|---|---|
| author | Felipe Constanzo Gustavo Fabiano Nogueira Mauricio Coelho Neto Ricardo Ramina |
| author_facet | Felipe Constanzo Gustavo Fabiano Nogueira Mauricio Coelho Neto Ricardo Ramina |
| author_sort | Felipe Constanzo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T04:56:20Z |
| format | Article |
| id | doaj.art-0b3700f6515a497ebba0d36cf5f757db |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-11T04:56:20Z |
| publishDate | 2022-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-0b3700f6515a497ebba0d36cf5f757db2022-12-22T01:20:15ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222022-06-014102e174e17910.1055/s-0041-1739166Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular ForamenFelipe Constanzo0Gustavo Fabiano Nogueira1Mauricio Coelho Neto2Ricardo Ramina3Department of Skull Base Surgery, Clinica Bio Bio, Concepción, ChileDepartment of Otolaryngology, Instituto de Nuerologia de Curitiba, Curitiba, PR, BrazilDepartment of Neurosurgery, Instituto de Neurologia de Curitiba, Curitiba, PR, BrazilDepartment of Neurosurgery, Instituto de Neurologia de Curitiba, Curitiba, PR, BrazilContext 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739166jugular foramenschwannomameningiomaparagangliomaskull base neoplasms |
| spellingShingle | Felipe Constanzo Gustavo Fabiano Nogueira Mauricio Coelho Neto Ricardo Ramina Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen Brazilian Neurosurgery jugular foramen schwannoma meningioma paraganglioma skull base neoplasms |
| title | Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen |
| title_full | Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen |
| title_fullStr | Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen |
| title_full_unstemmed | Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen |
| title_short | Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen |
| title_sort | historical aspects and surgical nuances on the craniocervical approach to the jugular foramen |
| topic | jugular foramen schwannoma meningioma paraganglioma skull base neoplasms |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739166 |
| work_keys_str_mv | AT felipeconstanzo historicalaspectsandsurgicalnuancesonthecraniocervicalapproachtothejugularforamen AT gustavofabianonogueira historicalaspectsandsurgicalnuancesonthecraniocervicalapproachtothejugularforamen AT mauriciocoelhoneto historicalaspectsandsurgicalnuancesonthecraniocervicalapproachtothejugularforamen AT ricardoramina historicalaspectsandsurgicalnuancesonthecraniocervicalapproachtothejugularforamen |