Nasal and sphenoid tumors removed. Bilateral cavernous sinus exposed and posterior
clinoid and dorsum sella removed. Clivus dura along with paraclival carotids exposed.
Periosteal layers of clival dura removed. Petrosal process drilled on the right. Lingula
removed on the right. Petrous apex and jugular tubercle drilled bilaterally. Tumor
extending into bilateral pterygopalatine fossae removed. Nasopharyngeal extension
removed at the level of Eustachian tubes.