Introduction: Endoscopic endonasal approach (EEA) for resection of multicompartment skull base tumors is often limited due to bilateral and inferior tumor extension into the retrostyloid parapharyngeal space (PS) and upper cervical region. To achieve gross total resection (GTR), open anterior or lateral corridors such as transoral, transparotid, transcervical, extreme-lateral or combined approaches can be indicated in selected cases. However, such procedures are time-consuming and can be associated with high morbidity and complications. In an attempt to minimize approach-related morbidity, we designed a minimally invasive, keyhole, endoscopic-assisted transcervical (MIKET) approach as an alternative and an adjunct for achieving GTR, complementing EEAs. We describe the relevant anatomy, key landmarks and optional extensions.