Download - CHIRURGIA BAZEI CRANIULUI
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CHIRURGIA BAZEI CRANIULUI
ETAJUL ANTERIORCOMPARTIMENT EXTRADURAL
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CHIRURGIA BAZEI CRANIULUIetaj anterior
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ANATOMIA BAZEI CRANIULUI
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CHIRURGIA BAZEI CRANIULUIARTERELE ETMOIDALE
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ANATOMIA BAZEI CRANIULUI
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ANATOMIA BAZEI CRANIULUI
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CHIRURGIA BAZEI CRANIULUIetaj anterior
• TRAUMATISME
• AFECTIUNI CONGENITALE
• TUMORI
• ALTELE
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CHIRURGIA BAZEI CRANIULUIetaj anterior
• LOCALIZAREA LEZIUNII• DIMENSIUNILE LEZIUNII• TIP LEZIUNE• DIRECTIA DE CRESTERE• SIMPTOMATOLOGIE• STAREA GENERALA A PACIENTULUI• TRATAMENTE URMATE • OPTIUNE PACIENT
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CHIRURGIA BAZEI CRANIULUI
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CHIRURGIA BAZEI CRANIULUI
NIVEL IABORD TRANSFRONTALetaj anterior, lama cribriforma
• Incizie bicoronala• Craniotomie• Orbitotomie
supraorbitara
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CHIRURGIA BAZEI CRANIULUI
NIVEL IIABORD TRANSFRONTAL
NAZALNasofaringe, sinus etmoid,
sfenoid, clivus
• Inczie bicoronala• Osteotomie fronto-
nazala
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CHIRURGIA BAZEI CRANIULUI
NIVEL IIIABORD TRANSFRONTAL
NAZAL ORBITAR
• INCIZIE BICORONALA • OSTEOTOMIE FRONTO-
LATERALA
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CHIRURGIA BAZEI CRANIULUI
NIVEL IV
ABORD TRANSNASOMAXILAR
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CHIRURGIA BAZEI CRANIULUI
NIVEL V
TRANSMAXILARclivus, nasofaringe
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CHIRURGIA BAZEI CRANIULUI
NIVEL VI
TRANSPALATALclivus inferior
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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 Telecanthal approach30 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 Subcranial approach46 –
– Fronto-orbital ridge deposition (FORD) approach26
Intracranial routes A1–2 procedures7
–
– Transfrontonaso-orbital approach53 Anterior craniofacial approach18 –
– Bifrontal biorbital sphenoethmoidal approach54
– –
Table 1Nomenclature of Transbasal Approaches Reported in the Literature Categorized According to Proposed Classification of Transbasal Approaches
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– 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
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ABORDUL TRANSBAZAL
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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
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ABORDUL TRANSBAZAL
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ABORDUL TRANSBAZALvolet cutanat
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ABORDUL TRANSBAZALvolet osos
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ABORD TRANSBAZAL
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ABORD TRANSBAZALexpunerea extradurala a etajului anterior
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ABORD TRANSBAZALexpunerea extradurala a etajului anterior
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BARBAT, 76 ANITULBURARE DE MERSSCADEREA ACUITATII VIZUALESOMNOLENTCONFUZINCONTINENTA SFINCTERIANA
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?
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CHIRURGIA BAZEI CRANIULUI
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• Femeie 64 ani• Cefalee de 4 luni, varsaturi matinale, apatica,
anaosmie• Scaderea acuitatii vizuale
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OSTEOM
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ESTEZIONEUROBLASTOM
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• BARBAT,20 ANI• FRACTURA COMINUTIVA FRONTALA• RINOLICVOREE
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B.D, 2 ani ,sex feminin
• Rinolicvoree masiva cu debut de circa un an si jumatate dupa biopsie formatiune intranazala stinga
Kaye, 2000
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• BARBAT 28 ANI• SCADEREA PROGRESIVA AV OD>OS
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MULTUMESC