Infratemporal fossa approach type A for removal of C2 paragangliomas

Part 1: Removal of C2 Paraganglioma (Right side 65 min)

Highlights 

1. Preoperative Radiology (1 min)
2. Introduction with Figures (6 min)
3. Subtotal Petrosectomy (8 min)
4. Exposure of tympanic and mastoid Segment of the Facial Nerve using Facial Nerve Monitor ( 3 min)
5. Elevation and anterior transposition of Facial Nerve ( 7 min)
6. Exposure and ligation of Sigmoid Sinus (5 min)
7. Exposure of vertical intratemporal segment of Internal Carotid Artery, occlusion of Tympanic Ostium of Eustachian Tube ( 5 min)
8. Tumor exposure (16 min)
   1. Anterior Pole (2 min)
   2. Superior Pole (3 min)
   3. Posterior Pole (3 min)
   4. Inferior Pole (8 min)
9. Tumor removal (12 min)
10. Wound closure (1 min)

Part 2: Segmental removal of infiltrated Epineurium after anterior rerouting of the Facial Nerve (Left side 13 min)

Highlights

1. Preoperative Radiology (1 min)
2. Introduction with Figures (4 min)
3. Segmental removal of Epineurium with anterior Rerouting of the Facial Nerve after removal of a C2 Paraganglioma (7 min)