目的 :介绍一种切除巨大咽旁颅底沟通瘤颅外部分的方法。方法 :采用颈侧切开入路 ,切除肿瘤的颅外部分 ,颅内部分由神经外科医师完成。结果 :彻底切除肿瘤的颅外部分 ;无神经系统并发症及面部畸形。结论 :颈侧切开术虽然不能一期切除巨大颅底沟通肿瘤 ,但能充分暴露颈部重要血管、神经 ,并在术中加以保护 ,提高手术安全性、手术质量 ,利于病人术后恢复 Objective: To introduce a method of resection of extracranial part of giant pharyngeal skull base tumor. Methods: The lateral approach was used to excise the extracranial part of the tumor. The intracranial part was completed by a neurosurgeon. Results: The complete removal of the tumor of the extracranial part; no neurological complications and facial deformities. CONCLUSION: Although lateral incision can not be performed in one case, it can fully expose the important blood vessels and nerves in the neck and protect it during operation to improve the safety of operation, the quality of operation and the recovery after operation