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CHIRURGIA BAZEI CRANIULUI

Published bySudomo Kartawijaya Modified over 6 years ago

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Presentation on theme: "CHIRURGIA BAZEI CRANIULUI"— Presentation transcript:

1 CHIRURGIA BAZEI CRANIULUI
ETAJUL ANTERIOR COMPARTIMENT EXTRADURAL

2 CHIRURGIA BAZEI CRANIULUI etaj anterior

3 ANATOMIA BAZEI CRANIULUI

4 CHIRURGIA BAZEI CRANIULUI ARTERELE ETMOIDALE

5 ANATOMIA BAZEI CRANIULUI

6 ANATOMIA BAZEI CRANIULUI

7 CHIRURGIA BAZEI CRANIULUI etaj anterior
TRAUMATISME AFECTIUNI CONGENITALE TUMORI ALTELE

8 CHIRURGIA BAZEI CRANIULUI etaj anterior
LOCALIZAREA LEZIUNII DIMENSIUNILE LEZIUNII TIP LEZIUNE DIRECTIA DE CRESTERE SIMPTOMATOLOGIE STAREA GENERALA A PACIENTULUI TRATAMENTE URMATE OPTIUNE PACIENT

9 CHIRURGIA BAZEI CRANIULUI

10 CHIRURGIA BAZEI CRANIULUI
NIVEL I ABORD TRANSFRONTAL etaj anterior, lama cribriforma Incizie bicoronala Craniotomie Orbitotomie supraorbitara

11 CHIRURGIA BAZEI CRANIULUI
NIVEL II ABORD TRANSFRONTAL NAZAL Nasofaringe, sinus etmoid, sfenoid, clivus Inczie bicoronala Osteotomie fronto-nazala

12 CHIRURGIA BAZEI CRANIULUI
NIVEL III ABORD TRANSFRONTAL NAZAL ORBITAR INCIZIE BICORONALA OSTEOTOMIE FRONTO-LATERALA

13 CHIRURGIA BAZEI CRANIULUI
NIVEL IV ABORD TRANSNASOMAXILAR

14 CHIRURGIA BAZEI CRANIULUI
NIVEL V TRANSMAXILAR clivus, nasofaringe

15 CHIRURGIA BAZEI CRANIULUI
NIVEL VI TRANSPALATAL clivus inferior

16 Level I Transbasal Approach Level II Transbasal Approach
Table 1 Nomenclature of Transbasal Approaches Reported in the Literature Categorized According to Proposed Classification of Transbasal Approaches Transbasal Approach Level I Transbasal Approach Level II Transbasal Approach Level III Transbasal Approach Transbasal approach13,26,27,28 Sub-basal approach29 Extended anterior subcranial approach, type B20 Telecanthal approach30 Standard subfrontal approach31 Enlarged transbasal approach32 Extended transbasal approach17,31 Radical transbasal approach33 Extradural transbasal approach34 Supraorbital approach35 Level III transfacial approach1 Frontal transbasal approach36 Transfrontal approach1 Extended subcranial approach, type B37 Transglabellar subcranial approach with extended frontonasal flap38 Transfrontal extradural approach39 Transbasal approach31 Transfrontal basal approach40 Transfrontonasal orbital approach1 Standard transbasal approach41 Extended frontal approach42 Transbasal anterior approach40 Intracranial route A3 procedure5 Traditional transbasal approach43 Extended subfrontal approach44,45 Level II transfacial approach1 – Classic transbasal approach, type 1, subtypes A–C2 Subcranial approach46 Supraorbital subfrontal approach*,47 Transglabellar subcranial approach with frontonasal flap38 Bifrontal transbasal approach48 Extensive subfrontal approach49 Transfrontonasal approach1 Transfrontal approach50 Extensive transbasal approach51,52 Fronto-orbital ridge deposition (FORD) approach26 Intracranial routes A1–2 procedures7 Transfrontonaso-orbital approach53 Anterior craniofacial approach18 Bifrontal biorbital sphenoethmoidal approach54

17 – 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 A–C2 Transbasal approach, type III, subtypes A–C2 Frontal transbasal approach19 Supraorbital subfrontal approach*,47

18

19

20 ABORDUL TRANSBAZAL

21 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

22 ABORDUL TRANSBAZAL

23

24 ABORDUL TRANSBAZAL volet cutanat

25 ABORDUL TRANSBAZAL volet osos

26 ABORD TRANSBAZAL

27 ABORD TRANSBAZAL expunerea extradurala a etajului anterior

28 ABORD TRANSBAZAL expunerea extradurala a etajului anterior

29

30

31

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

33 ?

34

35 CHIRURGIA BAZEI CRANIULUI

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

37

38 OSTEOM

39

40 ESTEZIONEUROBLASTOM

41

42

43

44 BARBAT,20 ANI FRACTURA COMINUTIVA FRONTALA RINOLICVOREE

45 B.D, 2 ani ,sex feminin Rinolicvoree masiva cu debut de circa un an si jumatate dupa biopsie formatiune intranazala stinga Kaye, 2000

46

47

48

49

50

51

52

53 BARBAT 28 ANI SCADEREA PROGRESIVA AV OD>OS

54 MULTUMESC

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