Surgical Intervention Mastoid -neck approach a tumors are confined to jugular foramen and may extend to the middle ear and mastoid They do not involve the carotid artery or the intracranial compartment. Infratemporal fossa approach tumors involve in carotid artery and transdural tumor are far more extensiveSurgical Intervention ◼ Mastoid –neck approach: ◼ tumors are confined to jugular foramen and may extend to the middle ear and mastoid. They do not involve the carotid artery or the intracranial compartment. ◼ Infratemporal fossa approach: ◼ tumors involve in carotid artery and transdural tumor are far more extensive