Pre-Auricular Subtemporal Approach to a Middle Fossa Paraganglioma with Infratemporal Extension
Abstract
In this surgical video we demonstrate the surgical steps and relevant anatomy of a pre-auricular subtemporal approach to a middle fossa paraganglioma with infratemporal extension. A frontotemporal scalp flap with preauricular extension was elevated and temporalis retracted forward. The mass was seen invading through bone and into the temporalis. A craniotomy was performed encircling the invading mass. Microdissection along the MMA feeders disconnects the tumor, followed by piecemeal debulking. A multilayered closure ensues. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Meningioma and schwannoma management
Adrenal and Paraganglionic Tumors
Ear and Head Tumors
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN