Infratemporal fossa approach type A for removal of a C3 paraganglioma

Highlights:

1. Information with Figures (6 min)
2. Separation of superior pole of tumor (2 min)
3. Separation of posterior pole of tumor (1 min)
4. Exposure of inferior tumor pole (3 min)
5. Exposure of anterior tumor pole (3 min)
6. Separation of tumor from ICA and cranial nerves at the jugular foramen (2 min)
7. Removal of tumor along vertical intrapetrous segment of ICA (4 min)
8. Removal of tumor from otic capsula (1 min)
9. Removal of tumor from the pyramid apex (2 min)
10. Removal of tumor remnants in the spongiotic bone (3 min)
11. Removal of last portion of tumor at the carotid bend (6 min)
12. Further removal of infiltrated spongiotic bone (12 min)
13. Final view after tumor removal(1 min)
14. Operative specimen and wound closure (1 min)