EXTIRPATION OF A JUGULAR FORAMEN SCHWANNOMA VIA THE TRANSCERVICAL-TRANSMANDIBULAR APPROACH

Schwannomas of the jugular foramen are rare lesions. We present a case of a schwannoma of the spinal accessory nerve that occurred in the ju gular foramen and skull base of a 52-year-old woman. The tumor was com pletely extirpated via a transcervical-transmandibular approach with a n excellent functional result. The approach used afforded excellent ex posure of the lateral or midline skull base, as well as maximum contro l of the major neurovascular structures in the upper neck and skull ba se.