Giammattei L, Passeri T, di Russo P, Froelich S
Department of Neurosurgery, Lariboisière Hospital, Paris, France.
University of Paris, Paris, France.
Acta Neurochir (Wien). 2023 May;165(5):1309-1314. doi: 10.1007/s00701-022-05482-6. Epub 2023 Jan 6.
The anterolateral (juxtacondylar) approach with limited mastoidectomy is a suitable option to expose the postero-inferior part of the jugular foramen (JF). It is particularly indicated for tumors extending in the neck beyond the jugular foramen, especially in those cases necessitating both neck control as well as control of the mastoid segment of facial nerve.
We describe here the steps to safely perform an anterolateral approach with mastoidectomy along with a brief description of its indications and limits.
This approach represents a valid option to reach the JF. Its knowledge can improve the process of optimal approach selection when dealing with complex pathology involving the JF.
有限乳突切除的前外侧（髁旁）入路是暴露颈静脉孔（JF）后下部的合适选择。它特别适用于延伸至颈静脉孔以外颈部的肿瘤，尤其是那些既需要控制颈部又需要控制面神经乳突段的病例。
我们在此描述安全进行前外侧乳突切除入路的步骤，并简要介绍其适应证和局限性。
该入路是到达颈静脉孔的有效选择。了解此入路可改善处理涉及颈静脉孔的复杂病变时最佳入路的选择过程。
