Fig. A 48-year-old woman with petroclival meningioma on the right side was operated on via combined subtemporal-suboccipital transpetrous approach. The ipsilateral oculomotor nerve and abducent nerve cut off unexpectedly in tumor removal were anastomosed with 10-0 nylon suture, and the suture was reinforced with fibrin glue. The facial nerve was kept anatomical intact. A: The observed tumor in the right petroclival region; B: The combined scalp incision; C: Total tumor removal as shown in MR scan postoperatively; D and E: one month after operation, paralysis occurred in right oculomotor, abducent and facial nerve; F and G: Eight months after anastomosis, function of the three affected nerves was partially recovered; H: Twelve months after operation, function of abducent and facial nerves were completely recovered, while the oculomotor nerve function showed limited improvement.