Fig 1. A, Paramaxillary approach to the left parapharyngeal space mass, proven to be an oncocytoma. Slight turning of the head to the opposite side simplifies the approach to this parapharyngeal space lesion. B, Subzygomatic approach to the masticator space mass via the intercondylar notch. The core specimens in this patient with previously treated squamous cell carcinoma revealed scar tissue with no evidence of malignant cells. C, CT image in a patient with a mass at the C2 level reveals a subtle left-sided epidural soft-tissue (arrow) and cortical irregularity of the vertebral body (arrowhead). This image was acquired with contrast to map the location of the adjacent vertebral artery. D, A posterolateral approach to the epidural mass was planned. A 22-gauge Franseen needle is advanced through a guiding needle, and aspiration biopsy is performed. Aspiration biopsy was consistent with a diagnosis of chordoma.