Endoscopic, Expanded Endonasal Approach to the Jugular Foramen

A fully endoscopic, completely transnasal approach to the jugular foramen has been developed. Technical nuances are discussed outlining the operative technique using this approach to resect a variety of tumors affecting the jugular foramen. An illustrative case of a large recurrent glomus jugulare tumor is used to describe the expanded endoscopic endonasal approach to the jugular foramen. Key anatomic considerations, equipment and patient outcomes are reported. The operative technique is described in stepwise fashion using intraoperative photographs and schematic illustrations. The endoscopic endonasal approach provides complete access to the jugular fossa.