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The Combined Suboccipital, Transtemporal Approach

David A. Hilding, MD; A. Greenberg, MD

Arch Otolaryngol. 1971;93(3):227-231.

Abstract
A glomus jugulare tumor with posterior fossa extension was attacked via a widefield approach. The dissection extended completely around it before tumor removal was begun, which helped to preserve facial nerve and auditory function. A key maneuver was to expose the internal carotid artery beneath the eustachian tube by removing the bone of the external auditory canal. A suboccipital craniotomy was another essential feature of the procedure.

Author Affiliations
New Haven, Conn

From the sections of otolaryngology and neurosurgery, Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication Sept 29, 1970.

Presented as a motion picture before the 12th annual meeting of the American Society for Head and Neck Surgery, Hollywood, Fla, April 1970.

Reprint requests to Yale University School of Medicine, 333 Cedar St, New Haven, Conn 06510 (Dr. Hilding).

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