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The combined transmastoid transjugular transtubercular high cervical approach for resection of jugular foramen tumors

DC FieldValueLanguage
dc.contributor.author이규성-
dc.contributor.author장종희-
dc.contributor.author심유식-
dc.contributor.author안정용-
dc.date.accessioned2015-05-19T16:56:43Z-
dc.date.available2015-05-19T16:56:43Z-
dc.date.issued2008-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/107235-
dc.description.abstractObjective : Deep location, hypervascularization, involvement of cranial nerves and vessels, and large extension within the posterior fossa are the main difficulties for surgical resection of the jugular foramen tumors. We describe a combined transmastoid transjugular transtubercular high cervical approach for radical resection of these tumors. Methods : Six patients with jugular foramen tumors were surgically treated using combined transmastoid transjugular transtubercular high cervical approach between January 2000 and June 2008. The complex approach for total jugular foramen exposure can be simplified in a stepwise fashion: 1) postauricular infratemporal incision; 2) retrolabyrinthine mastoidectomy; 3) high cervical exposure; 4) Lateral suboccipital craniotomy and transtubercular exposure; 5) removal of the internal jugular vein (IJV), jugular bulb, and sigmoid sinus; and 6) intradural exposure. Results : Gross total resection was achieved in 5 patients and subtotal resection in one patient. The histologic examination of the tumors revealed as follows: schwannoma (3 cases), meningioma (1 case), paraganglioma (1 case), and chondrosarcoma (1 case). The most frequent complication was a new deficit of lower cranial nerves. There were no facial nerve injury or cerebrospinal fluid leakage. Conclusions : The combined transmastoid transjugular transtubercular high cervical approach described above allows for single-staged radical resection of large complex jugular foramen tumors. This approach has the advantage of providing total exposure of the jugular foramen with multidirectional angles of attack without facial nerve transposition-
dc.description.statementOfResponsibilityopen-
dc.format.extent26~30-
dc.relation.isPartOfJournal of Korean Skull Base Society (대한두개저외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCarotid Artery, Internal/anatomy & histology-
dc.subject.MESHCarotid Artery, Internal/surgery-
dc.subject.MESHCervical Atlas/anatomy & histology-
dc.subject.MESHCervical Atlas/surgery-
dc.subject.MESHCraniotomy/methods*-
dc.subject.MESHFacial Nerve Injuries/etiology-
dc.subject.MESHFacial Nerve Injuries/physiopathology-
dc.subject.MESHFacial Nerve Injuries/prevention & control-
dc.subject.MESHGlomus Jugulare Tumor/physiopathology-
dc.subject.MESHGlomus Jugulare Tumor/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHIntraoperative Complications/etiology-
dc.subject.MESHIntraoperative Complications/physiopathology-
dc.subject.MESHIntraoperative Complications/prevention & control-
dc.subject.MESHJugular Veins/anatomy & histology-
dc.subject.MESHJugular Veins/pathology-
dc.subject.MESHJugular Veins/surgery*-
dc.subject.MESHMicrosurgery/methods-
dc.subject.MESHOccipital Bone/anatomy & histology-
dc.subject.MESHOccipital Bone/surgery*-
dc.subject.MESHPetrous Bone/anatomy & histology-
dc.subject.MESHPetrous Bone/surgery*-
dc.subject.MESHSkull Base Neoplasms/physiopathology-
dc.subject.MESHSkull Base Neoplasms/surgery*-
dc.titleThe combined transmastoid transjugular transtubercular high cervical approach for resection of jugular foramen tumors-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorJung Yong Ahn-
dc.contributor.googleauthorYu Shik Shim-
dc.contributor.googleauthorJong Hee Chang-
dc.contributor.googleauthorKyu Sung Lee-
dc.identifier.doi10.1227/01.NEU.0000220025.81500.8D-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02682-
dc.contributor.localIdA03470-
dc.contributor.localIdA02203-
dc.contributor.localIdA02260-
dc.relation.journalcodeJ01530-
dc.identifier.pmid16888541-
dc.subject.keywordCranial base approach-
dc.subject.keywordGlomus jugulare tumor-
dc.subject.keywordJugular foramen exposure-
dc.subject.keywordMicrosurgical anatomy-
dc.contributor.alternativeNameLee, Kyu Sung-
dc.contributor.alternativeNameChang, Jong Hee-
dc.contributor.alternativeNameShim, Yu Shik-
dc.contributor.alternativeNameAhn, Jung Yong-
dc.contributor.affiliatedAuthorLee, Kyu Sung-
dc.contributor.affiliatedAuthorChang, Jong Hee-
dc.contributor.affiliatedAuthorShim, Yu Shik-
dc.contributor.affiliatedAuthorAhn, Jung Yong-
dc.rights.accessRightsfree-
dc.citation.volume3-
dc.citation.number1-
dc.citation.startPage26-
dc.citation.endPage30-
dc.identifier.bibliographicCitationJournal of Korean Skull Base Society (대한두개저외과학회지), Vol.3(1) : 26-30, 2008-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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