CHIRURGIA BAZEI CRANIULUI

ETAJUL ANTERIOR COMPARTIMENT EXTRADURAL

CHIRURGIA BAZEI CRANIULUI etaj anterior

ANATOMIA BAZEI CRANIULUI

CHIRURGIA BAZEI CRANIULUI

ARTERELE ETMOIDALE

ANATOMIA BAZEI CRANIULUI

ANATOMIA BAZEI CRANIULUI

CHIRURGIA BAZEI CRANIULUI etaj anterior

TRAUMATISME AFECTIUNI CONGENITALE TUMORI ALTELE

CHIRURGIA BAZEI CRANIULUI etaj anterior

LOCALIZAREA LEZIUNII DIMENSIUNILE LEZIUNII TIP LEZIUNE DIRECTIA DE CRESTERE SIMPTOMATOLOGIE STAREA GENERALA A PACIENTULUI TRATAMENTE URMATE OPTIUNE PACIENT

CHIRURGIA BAZEI CRANIULUI

CHIRURGIA BAZEI CRANIULUI

NIVEL I ABORD TRANSFRONTAL
etaj anterior, lama cribriforma

Incizie bicoronala Craniotomie Orbitotomie supraorbitara

CHIRURGIA BAZEI CRANIULUI

NIVEL II ABORD TRANSFRONTAL NAZAL
Nasofaringe, sinus etmoid, sfenoid, clivus

Inczie bicoronala Osteotomie frontonazala

CHIRURGIA BAZEI CRANIULUI

NIVEL III ABORD TRANSFRONTAL NAZAL ORBITAR

INCIZIE BICORONALA OSTEOTOMIE FRONTOLATERALA

CHIRURGIA BAZEI CRANIULUI

NIVEL IV

ABORD TRANSNASOMAXILAR

CHIRURGIA BAZEI CRANIULUI

NIVEL V

TRANSMAXILAR
clivus, nasofaringe

CHIRURGIA BAZEI CRANIULUI

NIVEL VI

TRANSPALATAL
clivus inferior

Table 1 Nomenclature of Transbasal Approaches Reported in the Literature Categorized According to Proposed Classification of Transbasal Approaches

Transbasal Approach Transbasal approach13,26,27,28 Standard subfrontal approach31 Extradural transbasal approach34 Frontal transbasal approach36

Level I Transbasal Approach Sub-basal approach29 Enlarged transbasal approach32 Supraorbital approach35 Transfrontal approach1

Level II Transbasal Approach Extended anterior subcranial approach, type B20

Level III Transbasal Approach Telecanthal approach30

Extended transbasal approach17,31 Radical transbasal approach33 Telecanthal approach30 Extended subcranial approach, type B37 Transfrontal basal approach40 Transbasal anterior approach40 Level III transfacial approach1 Transglabellar subcranial approach with extended frontonasal flap38 Transfrontonasal orbital approach1 Intracranial route A3 procedure5 Transglabellar subcranial approach with frontonasal flap38

Transfrontal extradural approach39 Transbasal approach31 Standard transbasal approach41 Extended frontal approach42

Traditional transbasal approach43 Extended subfrontal approach44,45 Level II transfacial approach1 Classic transbasal approach, type Subcranial approach46 1, subtypes AC2 Supraorbital subfrontal approach*,47 Bifrontal transbasal approach48 Transfrontal approach50 Extensive subfrontal approach49

Transfrontonasal approach1

Extensive transbasal approach51,52 Subcranial approach46 Fronto-orbital ridge deposition (FORD) approach26 Transfrontonaso-orbital approach53 Bifrontal biorbital sphenoethmoidal approach54 Intracranial routes A12 procedures7 Anterior craniofacial approach18

Bifrontal biorbital sphenoethmoidal approach54 Level I transfacial approach1 Subfrontal basal approach,50 Subfrontal approach55 Trans-sinusal frontal approach56

Versatile frontal sinus approach57

Supraorbital rim approach58

Midline supraorbital approach59 Extended transbasal approach23,43,60,61 Transbasal approach, type II, subtypes AC2 Transbasal approach, type III, subtypes AC2 Frontal transbasal approach19 Supraorbital subfrontal approach*,47

ABORDUL TRANSBAZAL

ABORDUL TRANSBAZAL

Meningioamele de sant olfactiv Traumatisme craniocerebrale fronto bazale Tumori ale sinusurilor paranazale cu extensie in etajul anterior al bazei craniului Corectii cosmetice in etajul anterior al bazei craniului

ABORDUL TRANSBAZAL

ABORDUL TRANSBAZAL volet cutanat

ABORDUL TRANSBAZAL volet osos

ABORD TRANSBAZAL

ABORD TRANSBAZAL expunerea extradurala a etajului anterior

ABORD TRANSBAZAL expunerea extradurala a etajului anterior

BARBAT, 76 ANI TULBURARE DE MERS SCADEREA ACUITATII VIZUALE SOMNOLENT CONFUZ INCONTINENTA SFINCTERIANA

CHIRURGIA BAZEI CRANIULUI

 Femeie 64 ani Cefalee de 4 luni, varsaturi matinale, apatica, anaosmie Scaderea acuitatii vizuale

OSTEOM

ESTEZIONEUROBLASTOM

 BARBAT,20 ANI FRACTURA COMINUTIVA FRONTALA RINOLICVOREE

B.D, 2 ani ,sex feminin

Rinolicvoree masiva cu debut de circa un an si jumatate dupa biopsie formatiune intranazala stinga

Kaye, 2000

 BARBAT 28 ANI SCADEREA PROGRESIVA AV OD>OS

MULTUMESC