Expanded endonasal transclival approach

The transjugular tubercle variant of the expanded endoscopic transnasal transclival approach allows for direct access to ventrolateral lesions in the inferior clival/petroclival region with no cerebral or cerebellar retraction, or cranial nerve manipulation during the approach 1).

1)
Fernandez-Miranda JC, Morera VA, Snyderman CH, Gardner P. Endoscopic endonasal transclival approach to the jugular tubercle. Neurosurgery. 2012 Sep;71(1 Suppl Operative):146-58; discussion 158-9. doi: 10.1227/NEU.0b013e3182438915. PubMed PMID: 22127047.