The subtemporal-transpetrous approach for excision of petroclival tumors

Cliff A. Megerian, E. Antonio Chiocca, Michael J. McKenna, Griffith F. Harsh IV, Robert G. Ojemann

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


The subtemporal transpetrous approach to the petroclival region uses a combination of techniques, including a petrosectomy and a subtemporal and suboccipital craniotomy. Ligation of the greater petrosal sinus, sigmoid sinus, and retraction of the temporal lobe affords wide exposure to the petroclival region and ventral brainstem and minimizes the need for facial nerve translocation. This approach has been successfully used in the management of 10 large tumors of the region, including chondrosarcomas, chordomas, meningiomas, and schwannomas. The history and evolution of this technique and its relation to other similar approaches is discussed.

Original languageEnglish (US)
Pages (from-to)773-779
Number of pages7
JournalAmerican Journal of Otology
Issue number5
StatePublished - Sep 1996
Externally publishedYes


  • Excision
  • Petroclival tumor
  • Subtemporal-transpetrous approach

ASJC Scopus subject areas

  • Otorhinolaryngology


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