Skip to Main Content


The skull base includes the frontal bone, the sphenoid bone, the temporal bone, and the occipital bone. Tumors of the temporal bone and skull base tend to arise in one of three locations: (1) the mastoid or middle ear, (2) the jugular foramen, or (3) the petroclival junction or petrous apex. Tumors of the cerebellopontine angle and Meckel cave are not considered in this chapter (see Chapter 61, Nonacoustic Lesions of the Cerebellopontine Angle). Tumors arising within the skull base are rare and usually cause few symptoms until they grow to a size in which they begin to affect cranial nerves. Table 65–1 lists the various skull base neoplasms and their imaging characteristics.

Table Graphic Jump Location
Table 65–1. Radiographic Appearance of Skull Base Neoplasms.

The majority of skull base tumors are benign and can typically be successfully managed by an otolaryngologist specialized in neurotology and skull base surgery. Surgical approaches to these three areas are numerous, and the nomenclature is confusing. To remove a lesion of the middle ear or mastoid, a mastoidectomy through a postauricular incision or ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessSurgery Full Site: One-Year Subscription

Connect to the full suite of AccessSurgery content and resources including more than 160 instructional videos, 16,000+ high-quality images, interactive board review, 20+ textbooks, and more.

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessSurgery

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.