{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:01:01Z","timestamp":1790319661382,"version":"4.1.0"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Jugulotympanic paraganglioma (JTP), also known as glomus jugulare tumor, is a neuroendocrine neoplasm. Although it represents <0.5% of head-and-neck tumors, it demonstrates significant local aggressiveness due to its tendency to infiltrate bone, vascular structures, and cranial nerves. Due to the hypervascular nature of these tumors, preoperative embolization has become an important surgical adjunct. The retrolabyrinthine approach provides adequate exposure of the jugular foramen while preserving the facial nerve without mandatory transposition.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n \n We present a 52-year-old woman with hearing loss, tinnitus, and dizziness. Evaluation revealed left-sided anacusis secondary to prior cochlear dysfunction and severe conductive hearing loss. Computed tomography showed extensive erosion of the jugular foramen without carotid canal, labyrinth, or internal auditory canal involvement. Magnetic resonance imaging (MRI) demonstrated a Fisch D1 lesion with cisternal and extracranial extension, measured 30 \u00d7 18 \u00d7 22 mm along its craniocaudal, anteroposterior, and laterolateral axes, respectively, with an estimated volume of 5.94 cm\n 3<\/jats:sup>\n . After multidisciplinary discussion, preoperative embolization of external carotid branches achieved >50%, followed by a transmastoid retrolabyrinthine approach for resection. Estimated blood loss was 2500 mL. In the postoperative course, the patient had House\u2013Brackmann grade I facial function, moderate dysphagia, and mild dysphonia. A 3-month postoperative MRI shows expected postoperative changes and no evidence of residual tumor.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Preoperative embolization facilitates surgical resection in advanced JTP. Combined with meticulous technique and neuromonitoring, it enables favorable functional outcomes and cranial nerve preservation.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_500_2026","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:50:28Z","timestamp":1790319028000},"page":"543","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Jugulotympanic paraganglioma, preoperative embolization, and transmastoid retrolabyrinthine approach: Two-dimensional operative video"],"prefix":"10.25259","volume":"17","author":[{"given":"Elizabeth Escamilla","family":"Ch\u00e1vez","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, ISSEMyM Medical Center Toluca, State of Mexico, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo Zavaleta","family":"Antunez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Regional High Specialty Hospital of the Baj\u00edo, Le\u00f3n, Guanajuato, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Servin","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Regional High Specialty Hospital of the Baj\u00edo, Le\u00f3n, Guanajuato, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Uribe-Pacheco","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odette Karime","family":"Arceo Pool","sequence":"additional","affiliation":[{"name":"Department of Medicine, Autonomous University of the State of Quintana Roo, Chetumal, Quintana Roo, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Miranda-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Regional High Specialty Hospital of the Baj\u00edo, Le\u00f3n, Guanajuato, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"10.25259\/SNI_500_2026\/ref-1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/MAO.0000000000003781","article-title":"Systematic review and meta-analysis for surgery versus stereotactic radiosurgery for jugular paragangliomas","volume":"44","author":"Campbell","year":"2023","journal-title":"Otol Neurotol"},{"key":"10.25259\/SNI_500_2026\/ref-2","doi-asserted-by":"crossref","first-page":"E361","DOI":"10.1227\/ons.0000000000000775","article-title":"Transmastoid\/infralabyrinthine approach to the jugular foramen: 2-dimensional operative video","volume":"25","author":"Ceccato","year":"2023","journal-title":"Oper Neurosurg"},{"key":"10.25259\/SNI_500_2026\/ref-3","doi-asserted-by":"crossref","first-page":"482","DOI":"10.25259\/SNI_651_2021","article-title":"Surgical management of embolized jugular foramen paragangliomas without facial nerve transposition: Experience of a public tertiary hospital in Brazil","volume":"12","author":"Colli","year":"2021","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_500_2026\/ref-4","first-page":"166","article-title":"Management of jugular tympanic paraganglioma: A case report","volume":"43","author":"Ferjaoui","year":"2022","journal-title":"Pan Afr Med J"},{"key":"10.25259\/SNI_500_2026\/ref-5","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/15910199211019175","article-title":"Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective","volume":"28","author":"Helal","year":"2022","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_500_2026\/ref-6","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.3390\/brainsci12091257","article-title":"Staged surgery for intra-extracranial communicating jugular foramen paraganglioma: A case report and systematic review","volume":"12","author":"Li","year":"2022","journal-title":"Brain Sci"},{"key":"10.25259\/SNI_500_2026\/ref-7","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s00405-015-3605-x","article-title":"Observation and partial targeted surgery in the management of tympano-jugular paraganglioma: A contribution to the multioptional treatment","volume":"273","author":"Mazzoni","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.25259\/SNI_500_2026\/ref-8","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.3174\/ajnr.A8328","article-title":"Endovascular embolization as a stand-alone treatment of head and neck paragangliomas with long-term tumor control","volume":"45","author":"Michel","year":"2024","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_500_2026\/ref-9","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.wneu.2024.06.119","article-title":"Friend or foe? Preoperative embolization in jugular paraganglioma surgery-a systematic review and meta-analysis","volume":"190","author":"Mitre","year":"2024","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_500_2026\/ref-10","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1017\/S0022215115003394","article-title":"Facial nerve management in jugular paraganglioma surgery: A literature review","volume":"130","author":"Odat","year":"2016","journal-title":"J Laryngol Otol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/jugulotympanic-paraganglioma-preoperative-embolization-and-transmastoid-retrolabyrinthine-approach-two-dimensional-operative-video\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/jugulotympanic-paraganglioma-preoperative-embolization-and-transmastoid-retrolabyrinthine-approach-two-dimensional-operative-video\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:50:29Z","timestamp":1790319029000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/jugulotympanic-paraganglioma-preoperative-embolization-and-transmastoid-retrolabyrinthine-approach-two-dimensional-operative-video\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":10,"alternative-id":["10.25259\/SNI_500_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_500_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"543"}}