Comparative Analysis of the Far Lateral, Far Medial, and Contralateral Transmaxillary Approaches to the Jugular Tubercle

Open and endoscopic approaches are complementary for addressing lesions in the inferior clival and petroclival regions. The CTM approach represents a feasible extension of the standard endoscopic endonasal approach, increasing the surgical corridor angle and providing greater lateral exposure than the FMA. In addition, CTM enables a substantially greater volume of JT resection compared with both FLA and FMA.

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Publication Details

Journal
Operative Neurosurgery
Published
2025-10-15
DOI
https://doi.org/10.1227/ons.0000000000001804
Primary Topic
Head and Neck Surgical Oncology
Type
article
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article

Comparative Analysis of the Far Lateral, Far Medial, and Contralateral Transmaxillary Approaches to the Jugular Tubercle

Carl Henry Snyderman, Georgios A. Zenonos, Arseniy Pichugin, Cleiton Formentin et al.
Operative Neurosurgery
Head and Neck Surgical Oncology
article

Comparative Analysis of the Far Lateral, Far Medial, and Contralateral Transmaxillary Approaches to the Jugular Tubercle

Carl Henry Snyderman, Georgios A. Zenonos, Arseniy Pichugin, Cleiton Formentin, Yun‐Kai Chan, Albert Trondin, Eric W. Wang, Paul A. Gardner
article en

Abstract

Open and endoscopic approaches are complementary for addressing lesions in the inferior clival and petroclival regions. The CTM approach represents a feasible extension of the standard endoscopic endonasal approach, increasing the surgical corridor angle and providing greater lateral exposure than the FMA. In addition, CTM enables a substantially greater volume of JT resection compared with both FLA and FMA.

Operative Neurosurgery
University of Pittsburgh (US), Universidade Estadual de Campinas (UNICAMP) (BR), Kazan State Medical University (RU), Mackay Memorial Hospital (TW), Hospital Clínico San Carlos (ES), Neurological Surgery (US)
Openalex Percentile: Top 54%
Head and Neck Surgical Oncology
DOISourceOpenAlex
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Comparative Analysis of the Far Lateral, Far Medial, and Contralateral Transmaxillary Approaches to the Jugular Tubercle — Carl Henry Snyderman, Georgios A. Zenonos, et al. · Operative Neurosurgery (2025) | TGRS Research Map | TGRS