Glomus Juglure tumor are among a class of paraganglioma tumors. They are typically found in isolation and are benign and originate from specific regions of receptor cells intimately attached to the jugular vein and base of skull in the region of the jugular foramen. 10% however can be either multiple or manifest more agressive pathological featurs. This area is a conduit for some of the blood vessels and cranial nerves. Because they are quite vascular, we also work in clo

The following video demonstrates the resection and interposition grafting for a facial neuroma patient. The patient presented with a near complete facial nerve paralysis with normal hearing. The middle cranial fossa approach was utilized to preserve the hearing and balance function. A graft taken from the sural nerve was inserted into the gap created from the tumor and sewn to unaffected nerve endings. The patient also underwent supplementarly facial nerve reaninmation pr

It started with a face twitch. Mary Broderick, of Elgin, didn't think much of it until her face began drooping on one side. After living with a misdiagnosis of Bell's palsy for three years, Broderick was determined to find out what was really going on. An online search led her to Northwestern Medicine cranial base surgeon Dr. Andrew J. Fishman; and finally a correct, but alarming diagnosis. Broderick had a cancerous tumor in the parotid gland, the main salivary gland. It was

Reconstructive surgery of the middle ear bones can be performed in a variety of ways dependent upon the anatomy and clinical circumstances. In some instances it can be performed at the primary operation and other times it is best to delay the reconstruction as a second stage, particularly in cases of intact canal wall cholesteatoma when a 'second look” procedure is planned to ensure the lack of recurrence. The two videos below demonstrate both situations and also utilize di