Comparative Study of Morphometric Analysis Between Endoscopic Endonasal and Midline Suboccipital Subtonsillar Approaches to the Jugular Tubercle.

This article compares two surgical approaches, the endoscopic endonasal approach (EEA) and the midline suboccipital subtonsillar approach (STA), for accessing the jugular tubercle (JT) in the treatment of JT meningiomas. The study conducted on human cadaveric specimens measured three morphological variables: angle of attack (AoA), surgical freedom, and angle of endoscopic exposure (AoEE). The results showed that while STA offered greater surgical freedom, EEA provided superior visualization and AoEE. The choice of surgical approach should also consider the position of the lower cranial nerves in relation to the lesion. [Extracted from the article]