We describe a retroauricular approach, adjacent to the mastoid tip, in two patients that allowed successful biopsy of posterior skull base lesions. Diagnoses were central giant cell granuloma, an unusual tumor rarely reported in the skull base, and meningioma. In both patients, the needle biopsy accurately identified the pathology found at surgery. The described approach may allow biopsy of posterior lesions that are inaccessible with other methods.
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