A preauricular infratemporal approach is recommended for lesions confined to the jugular fossa alone; those masses that also extend into the posterior fossa require a combined infratemporal and posterior fossa approach.
The man underwent excision via a Fisch type A infratemporal approach without facial nerve transposition, and the woman was treated with an enlarged antromastoidectomy.
After the lesion was embolized, it was surgically exposed through a combined right frontal-temporal craniotomy and infratemporal approach
. A light brown mass was found infiltrating the muscles of the pterygopalatine fossa and involving the joint capsule of the temporomandibular joint.
The patient underwent successful removal of the tumor through a modified infratemporal approach
. Her facial nerve as well as cranial nerves IX, X, and XI were preserved.
Many surgical approaches to the parapharyngeal space have been described in literature; the most commonly employed are transcervical, transparotid, transmandibular, and infratemporal approaches
or a combination of these .