Surgery for Large Glomus Jugulare Tumor: The Combined Suboccipital, Transtemporal Approach

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.