Objective To summarize and analyze the clinical efficacy of multidisciplinary surgery for the treatment of dumbbell-shaped jugular foramen tumors.Methods The clinical data of 5 patients with dumbbell-shaped jugular foramen tumors treated with multidisciplinary surgery at the Posterior Skull Base Brainstem Group of the Department of Neurosurgery,The First Affiliated Hospital of Chongqing Medical University from April 2011 to July 2023 were analyzed retrospectively.The general conditions,clinical manifestations,specialist examinations,auxiliary examinations,surgical methods,postoperative complications,pathology and follow-up results were extracted.Results All cases were discussed and treated in multidisciplinary treatment(MDT)by neurosurgery,otolaryngology,and maxillofacial surgery.Fisch A type combined cervical approach was performed in 2 cases,and combined craniocervical approach was performed in 3 cases.Four patients(4/5)achieved subtotal resection and one partial resection.Postoperative pathological results showed 2 cases of meningiomas,1 of schwannoma,1 of paraganglioma and 1 of chordoma.After surgery,3 patients presented low cranial nerves palsies,3 with facial palsies,2 with hearing loss.There were also 2 cases of cerebrospinal fluid leakage,and 3 cases of intracranial infection.The average follow-up time was 51.8 months(8-150 months).The average follow-up Karnofsky performance scale was 90 points(80-100 points).Conclusions Multidisciplinary surgery not only increases the degree of resection of dumbbell-shaped jugular foramen tumors but also improves the surgical safety.When total resection is difficult or may lead to serious complications,subtotal resection with adjuvant radiotherapy may be a better treatment option.
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