.<\/span><\/p>\n Il s\u2019agit d\u2019une chirurgie hautement sp\u00e9cialis\u00e9e. Elle a pour but l\u2019ex\u00e9r\u00e8se de tumeurs le plus souvent situ\u00e9es \u00e0 la partie lat\u00e9rale ou \u00e0 la partie ant\u00e9rieure de la base du cr\u00e2ne. Elle se comporte deux sections distinctes :<\/p>\n .<\/span><\/strong><\/span><\/p>\n CHIRURGIE MICROSCOPIQUE DE LA BASE DU CR\u00c2NE<\/strong><\/span><\/p>\n <\/strong><\/span><\/p>\n Elle concerne les tumeurs de la base du cr\u00e2ne lat\u00e9rale:<\/p>\n .<\/span> .<\/span><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/span><\/p>\n \u00a0CHIRURGIE ENDOSCOPIQUE DE LA BASE DU CRANE<\/strong><\/span><\/p>\n <\/strong><\/span><\/p>\n .<\/span>Elle concerne principalement les tumeurs des \u00e9tages ant\u00e9rieurs et moyens de la base du cr\u00e2ne:<\/p>\n .<\/span> .<\/span><\/p>\n <\/p>\n <\/p>\n ;<\/span><\/p>\n CHIRURGIE MICRO\/ENDOSCOPIQUE DE LA BASE DU CR\u00c2NE<\/strong><\/span><\/p>\n <\/strong><\/span><\/p>\n Il s’agit d’une technique d\u00e9velopp\u00e9e en collaboration avec l’\u00e9quipe de neurochirurgie et associant les technologies Microscopiques et Endoscopiques<\/strong> dans certains cas chirurgicaux complexes tels que les cholest\u00e9atomes ou les granulomes \u00e0 cholest\u00e9rines extensifs<\/a> et r\u00e9cidivants de la base du cr\u00e2ne<\/a>.<\/p>\n <\/p>\n How to perform microscopic\/endoscopic resection of large petrous apex lesions.<\/a><\/p>\n Patron<\/b> V, Humbert M, Micault E, Emery E, Hitier<\/b> M.<\/p>\n Eur Ann Otorhinolaryngol Head Neck Dis<\/span>. 2018 Dec;135(6):443-447. doi: 10.1016\/j.anorl.2018.06.002. Epub 2018 Jun 20.<\/p>\n \n Combined microscopic\/endoscopic management of petrous apex lesions.<\/a><\/p>\n Patron<\/b> V, Hitier<\/b> M.<\/p>\n Eur Arch Otorhinolaryngol<\/span>. 2018 Jan;275(1):319-321. doi: 10.1007\/s00405-017-4815-1. Epub 2017 Nov 22. No abstract available.<\/p>\n \n In reference to endoscopic-assisted transmastoid decompression of petrous apex cholesterol granuloma.<\/a><\/p>\n Patron<\/b> V, Hitier<\/b> M.<\/p>\n Laryngoscope<\/span>. 2017 Jun;127(6):E209-E210. doi: 10.1002\/lary.26376. Epub 2016 Oct 26. No abstract available.<\/p>\n \n<\/div>\n<\/div>\n<\/div>\n <\/p>\n <\/p>\n COMPOSITION DE L’EQUIPE<\/strong><\/span><\/p>\n <\/strong><\/span><\/p>\n .<\/span>L\u2019Equipe \u00ab Base du Cr\u00e2ne \u00bb du CHU de Caen est compos\u00e9e des :<\/span><\/p>\n Et de l\u2019\u00e9quipe d\u2019anesth\u00e9sie-r\u00e9animation du P\u00f4le Chirurgical T\u00eate et Cou.<\/p>\n .<\/span> \n \n \n PUBLICATIONS RECENTES SUR LA BASE DU CRANE<\/strong><\/span><\/p>\n \n New landmarks in endonasal surgery: from nasal bone to anterior cribriform plate including branches of anterior ethmoidal artery and nerve and terminal nerve.<\/a><\/strong><\/p>\n Roussel LM, Patron V, Maubert E, Escalard C, Goux D, Beaudouin V, Lechapt E, Moreau S, Hitier M.<\/p>\n Int Forum Allergy Rhinol<\/span>. 2019 Nov 13. doi: 10.1002\/alr.22480.<\/p>\n \n New detailed description of the anterior part of the cribriform plate using anatomic specimens and computed tomography.<\/a><\/strong><\/p>\n Escalard C, Roussel LM, Hamon M, Kazemi A, Patron V, Hitier M.<\/p>\n Surg Radiol Anat<\/span>. 2019 Jul;41(7):801-808<\/p>\n \n Endovascular management of a giant petrous internal carotid artery aneurysm in\u00a0a child. Case report and literature review.<\/a><\/strong><\/p>\n Borha A, Patron V, Huet H, Emery E, Barbier C.<\/p>\n Childs Nerv Syst<\/span>. 2019 Jan;35(1):183-186<\/p>\n \n<\/div>\n<\/div>\n<\/div>\n Breaking the Myth of Central Neurological Complications in Stapedial Artery Surgery.<\/a><\/strong><\/p>\n Hitier M, Moreau S, Labrousse M, Patron V.<\/p>\n Otol Neurotol. 2018 Mar;39(3):387-388.<\/p>\n <\/p>\n How to perform microscopic\/endoscopic resection of large petrous apex lesions.<\/a><\/strong><\/p>\n Patron V, Humbert M, Micault E, Emery E, Hitier M.<\/p>\n Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Jun 19.<\/p>\n <\/p>\n Extended endonasal approach versus maxillary swing approach to the parapharyngeal space.<\/a><\/strong><\/p>\n Roger V, Patron V, Moreau S, Kanagalingam J, Babin E, Hitier M.<\/p>\n Head Neck. 2018 Jun;40(6):1120-1130.<\/p>\n <\/p>\n The forgotten organ.<\/a><\/strong><\/p>\n Roussel LM, Escalard C, Hitier M.<\/p>\n Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Apr;135(2):143-144.<\/p>\n <\/p>\n Combined microscopic\/endoscopic management of petrous apex lesions.<\/strong><\/p>\n Patron V, Hitier M.<\/p>\n Eur Arch Otorhinolaryngol. 2018 Jan;275(1):319-321<\/p>\n <\/p>\n In reference to endoscopic-assisted transmastoid decompression of petrous apex cholesterol granuloma.<\/strong> <\/span><\/p>\n Patron V, Hitier M. <\/span><\/p>\n Laryngoscope 2017 Jun;127(6):E209-E210. doi: 10.1002\/lary.26376. Epub 2016 Oct 26<\/em><\/span><\/p>\n Anatomy and surgical approach of rat’s vestibular sensors and nerves.<\/strong><\/p>\n Hitier M, Sato G, Zhang YF, Zheng Y, Besnard S, Smith PF, Curthoys IS.<\/p>\n J Neurosci Methods. 2016 May 19;270:1-8.<\/em><\/p>\n EXEMPLES D’INTERVENTIONS EN VIDEO<\/p>\n Vous pouvez visualiser diff\u00e9rents types d’intervention de la base du cr\u00e2ne r\u00e9alis\u00e9es dans le service en cliquant sur le lien suivant:<\/p>\n <\/p>\n <\/p>\n VID\u00c9OS BASE DU CRANE SERVICE ORL CAEN<\/strong><\/span><\/p>\n \n<\/div>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Otologie et Chirurgie de la Base du Cr\u00e2neResponsable : Pr Martin HITIER . Il s\u2019agit d\u2019une chirurgie hautement sp\u00e9cialis\u00e9e. Elle a pour but l\u2019ex\u00e9r\u00e8se de tumeurs le plus souvent situ\u00e9es \u00e0 la partie lat\u00e9rale ou \u00e0 la partie ant\u00e9rieure de la base du cr\u00e2ne.Ces tumeurs peuvent \u00eatre b\u00e9nignes (Neurinome, Paragangliomes, Cholest\u00e9atomes, Malformations vasculaires) ou malignes […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":729,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[ngg_images source=\"galleries\" container_ids=\"8\" exclusions=\"28,33\" sortorder=\"30,29,31,28,32\" display_type=\"photocrati-nextgen_basic_slideshow\" gallery_width=\"1400\" gallery_height=\"400\" cycle_effect=\"fade\" cycle_interval=\"4\" show_thumbnail_link=\"0\" thumbnail_link_text=\"[Montrer sous forme de vignettes]\" order_by=\"sortorder\" order_direction=\"ASC\" returns=\"included\" maximum_entity_count=\"500\"][spacer size=\"20\"]\r\n\r\n[divider top=\"0\"]\r\n\r\n[spacer size=\"20\"]\r\n\r\nResponsable : Pr Martin HITIER <\/a>\r\n\r\n.<\/span>\r\n Il s\u2019agit d\u2019une chirurgie hautement sp\u00e9cialis\u00e9e. Elle a pour but l\u2019ex\u00e9r\u00e8se de tumeurs le plus souvent situ\u00e9es \u00e0 la partie lat\u00e9rale ou \u00e0 la partie ant\u00e9rieure de la base du cr\u00e2ne.\r\nCes tumeurs peuvent \u00eatre b\u00e9nignes (Neurinome, Paragangliomes, Cholest\u00e9atomes, Malformations vasculaires) ou malignes (Carcinomes \u00e9pidermo\u00efdes, ad\u00e9nocarcinomes), et ont souvent un retentissement sur le cerveau ou les nerfs cr\u00e2niens.\r\nLeur ablation n\u00e9cessite une collaboration entre diff\u00e9rentes \u00e9quipes tr\u00e8s sp\u00e9cialis\u00e9es (ORL, Neurochirurgiens, Neuroradiologues Interventionnels, Anesth\u00e9sistes-R\u00e9animateurs) et du mat\u00e9riel de tr\u00e8s haute technicit\u00e9 (Microscopes et Endoscopes HD, Chirurgie Assist\u00e9e par Ordinateur, Monitoring des Nerfs cr\u00e2niens, Instruments chirurgicaux d\u00e9di\u00e9s).<\/p>\r\nElle se comporte deux sections distinctes :\r\n\r\n.<\/span>\r\n\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"] CHIRURGIE MICROSCOPIQUE DE LA BASE DU CR\u00c2NE[\/heading]\r\n Elle concerne les tumeurs de la base du cr\u00e2ne lat\u00e9rale:<\/p>\r\n .<\/span>\r\n\u2022 Tumeurs de l\u2019angle ponto-c\u00e9r\u00e9belleux (neurinome, schwannome<\/a>, m\u00e9ningiome<\/a>)\r\n\u2022 Conflit vasculo-nerveux (spasme h\u00e9mifacial, n\u00e9vralgie faciale, acouph\u00e8ne invalidant, vertige invalidant<\/a>)\r\n\u2022 Maladie de Meni\u00e8re<\/a> (neurotomie vestibulaire, d\u00e9compression du sac endolymphatique, labyrinthectomie chirurgicale)\r\n\u2022 Tumeurs de la base du cr\u00e2ne<\/a> (cholest\u00e9atome<\/a>, schwannome,granulome \u00e0 cholest\u00e9rine<\/a>, paragangliome)<\/p>\r\n.<\/span>\r\n\r\n[caption id=\"attachment_3804\" align=\"aligncenter\" width=\"300\"] How to perform microscopic\/endoscopic resection of large petrous apex lesions.<\/a><\/p>\r\n\r\n Patron<\/b> V, Humbert M, Micault E, Emery E, Hitier<\/b> M.<\/p>\r\n Eur Ann Otorhinolaryngol Head Neck Dis<\/span>. 2018 Dec;135(6):443-447. doi: 10.1016\/j.anorl.2018.06.002. Epub 2018 Jun 20.<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n Combined microscopic\/endoscopic management of petrous apex lesions.<\/a><\/p>\r\n\r\n Patron<\/b> V, Hitier<\/b> M.<\/p>\r\n Eur Arch Otorhinolaryngol<\/span>. 2018 Jan;275(1):319-321. doi: 10.1007\/s00405-017-4815-1. Epub 2017 Nov 22. No abstract available.<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n In reference to endoscopic-assisted transmastoid decompression of petrous apex cholesterol granuloma.<\/a><\/p>\r\n\r\n Patron<\/b> V, Hitier<\/b> M.<\/p>\r\n Laryngoscope<\/span>. 2017 Jun;127(6):E209-E210. doi: 10.1002\/lary.26376. Epub 2016 Oct 26. No abstract available.<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"]LES PATHOLOGIES DE LA BASE DU CRANE[\/heading]\r\n [button link=\"http:\/\/orl-chu-caen.fr\/?page_id=2199\" color=\"#193f54\" size=\"7\" style=\"1\" radius=\"5\" target=\"self\"]Les tumeurs b\u00e9nignes[\/button]<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n [button link=\"http:\/\/orl-chu-caen.fr\/?page_id=2216\" color=\"#193f54\" size=\"7\" style=\"1\" radius=\"5\" target=\"self\"]Les tumeurs malignes [\/button]<\/p>\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"]COMPOSITION DE L'EQUIPE[\/heading]\r\n\r\n.<\/span>L\u2019Equipe \u00ab Base du Cr\u00e2ne \u00bb du CHU de Caen est compos\u00e9e des :\r\n\r\n.<\/span>\r\n .<\/span>\r\nLes membres de l\u2019\u00e9quipe interviennent r\u00e9guli\u00e8rement dans des congr\u00e8s internationaux de chirurgie de la Base du Cr\u00e2ne et plusieurs sont membres de l\u2019European Skull Base Society<\/a> (ESBS). Ils sont \u00e0 l\u2019origine de nombreuses publications et de techniques innovantes<\/a> dans le traitement de la prise en charge des l\u00e9sions basicr\u00e2niennes.<\/p>\r\n [heading style=\"1\" size=\"Medium\" align=\"left\"]PUBLICATIONS RECENTES SUR LA BASE DU CRANE[\/heading]<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n New landmarks in endonasal surgery: from nasal bone to anterior cribriform plate including branches of anterior ethmoidal artery and nerve and terminal nerve.<\/a><\/strong><\/p>\r\n\r\n Roussel LM, Patron V, Maubert E, Escalard C, Goux D, Beaudouin V, Lechapt E, Moreau S, Hitier M.<\/p>\r\n Int Forum Allergy Rhinol<\/span>. 2019 Nov 13. doi: 10.1002\/alr.22480.<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n New detailed description of the anterior part of the cribriform plate using anatomic specimens and computed tomography.<\/a><\/strong><\/p>\r\n\r\n Escalard C, Roussel LM, Hamon M, Kazemi A, Patron V, Hitier M.<\/p>\r\n Surg Radiol Anat<\/span>. 2019 Jul;41(7):801-808<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n\r\n Endovascular management of a giant petrous internal carotid artery aneurysm in a child. Case report and literature review.<\/a><\/strong><\/p>\r\n\r\n Borha A, Patron V, Huet H, Emery E, Barbier C.<\/p>\r\n Childs Nerv Syst<\/span>. 2019 Jan;35(1):183-186<\/p>\r\n [spacer size=\"10\"]<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\nBreaking the Myth of Central Neurological Complications in Stapedial Artery Surgery.<\/a><\/strong>\r\n\r\nHitier M, Moreau S, Labrousse M, Patron V.\r\n\r\nOtol Neurotol. 2018 Mar;39(3):387-388.\r\n\r\n [spacer size=\"10\"]\r\n\r\nHow to perform microscopic\/endoscopic resection of large petrous apex lesions.<\/a><\/strong>\r\n\r\nPatron V, Humbert M, Micault E, Emery E, Hitier M.\r\n\r\nEur Ann Otorhinolaryngol Head Neck Dis. 2018 Jun 19.\r\n\r\n [spacer size=\"10\"]\r\n\r\nExtended endonasal approach versus maxillary swing approach to the parapharyngeal space.<\/a><\/strong>\r\n\r\nRoger V, Patron V, Moreau S, Kanagalingam J, Babin E, Hitier M.\r\n\r\nHead Neck. 2018 Jun;40(6):1120-1130.\r\n\r\n [spacer size=\"10\"]\r\n\r\nThe forgotten organ.<\/a><\/strong>\r\n\r\nRoussel LM, Escalard C, Hitier M.\r\n\r\nEur Ann Otorhinolaryngol Head Neck Dis. 2018 Apr;135(2):143-144.\r\n\r\n [spacer size=\"10\"]\r\n\r\nCombined microscopic\/endoscopic management of petrous apex lesions.<\/strong>\r\n\r\nPatron V, Hitier M.\r\n\r\nEur Arch Otorhinolaryngol. 2018 Jan;275(1):319-321\r\n\r\n [spacer size=\"10\"]\r\n\r\nIn reference to endoscopic-assisted transmastoid decompression of petrous apex cholesterol granuloma.<\/strong> <\/span>\r\n\r\nPatron V, Hitier M. <\/span>\r\n\r\nLaryngoscope 2017 Jun;127(6):E209-E210. doi: 10.1002\/lary.26376. Epub 2016 Oct 26<\/em><\/span>\r\n\r\n [spacer size=\"10\"]\r\nAnatomy and surgical approach of rat's vestibular sensors and nerves.<\/strong>\r\n\r\nHitier M, Sato G, Zhang YF, Zheng Y, Besnard S, Smith PF, Curthoys IS.\r\n\r\nJ Neurosci Methods. 2016 May 19;270:1-8.<\/em>\r\n\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"]EXEMPLES D'INTERVENTIONS EN VIDEO[\/heading]\r\n\r\nVous pouvez visualiser diff\u00e9rents types d'intervention de la base du cr\u00e2ne r\u00e9alis\u00e9es dans le service en cliquant sur le lien suivant:\r\n\r\n [spacer size=\"30\"]\r\n [button link=\"https:\/\/www.youtube.com\/channel\/UCsBRW2wwZRO0VMhQJunB9nA\" color=\"#193f54\" size=\"10\" style=\"1\" radius=\"5\" target=\"self\"]VID\u00c9OS BASE DU CRANE SERVICE ORL CAEN<\/strong>[\/button]<\/p>\r\n\r\n <\/p>\r\n\r\n<\/div>","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/771"}],"collection":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=771"}],"version-history":[{"count":69,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/771\/revisions"}],"predecessor-version":[{"id":6209,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/771\/revisions\/6209"}],"up":[{"embeddable":true,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/729"}],"wp:attachment":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Ces tumeurs peuvent \u00eatre b\u00e9nignes (Neurinome, Paragangliomes, Cholest\u00e9atomes, Malformations vasculaires) ou malignes (Carcinomes \u00e9pidermo\u00efdes, ad\u00e9nocarcinomes), et ont souvent un retentissement sur le cerveau ou les nerfs cr\u00e2niens.
Leur ablation n\u00e9cessite une collaboration entre diff\u00e9rentes \u00e9quipes tr\u00e8s sp\u00e9cialis\u00e9es (ORL, Neurochirurgiens, Neuroradiologues Interventionnels, Anesth\u00e9sistes-R\u00e9animateurs) et du mat\u00e9riel de tr\u00e8s haute technicit\u00e9 (Microscopes et Endoscopes HD, Chirurgie Assist\u00e9e par Ordinateur, Monitoring des Nerfs cr\u00e2niens, Instruments chirurgicaux d\u00e9di\u00e9s).<\/p>\n
\u2022 Tumeurs de l\u2019angle ponto-c\u00e9r\u00e9belleux (neurinome, schwannome<\/a>, m\u00e9ningiome<\/a>)
\u2022 Conflit vasculo-nerveux (spasme h\u00e9mifacial, n\u00e9vralgie faciale, acouph\u00e8ne invalidant, vertige invalidant<\/a>)
\u2022 Maladie de Meni\u00e8re<\/a> (neurotomie vestibulaire, d\u00e9compression du sac endolymphatique, labyrinthectomie chirurgicale)
\u2022 Tumeurs de la base du cr\u00e2ne<\/a> (cholest\u00e9atome<\/a>, schwannome,granulome \u00e0 cholest\u00e9rine<\/a>, paragangliome)<\/p>\n![\"8.1_figure_6\"](\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/8.1_figure_6-300x279.jpg\")
Voies d’abord lat\u00e9rales (d’apr\u00e8s Jackler)<\/p>\n
\u2022 M\u00e9ningocenc\u00e9phaloc\u00e8les et br\u00e8ches de liquide c\u00e9r\u00e9brospinale<\/a>
\u2022 Tumeurs des fosses nasales (ad\u00e9nocarcinome de l\u2019ethmo\u00efde, carcinomes \u00e9pidermo\u00efdes, esth\u00e9sioneuroblastomes, sarcomes)
\u2022 Tumeurs de l\u2019hypophyse (ad\u00e9nomes)
\u2022 Tumeurs du clivus (chondrosarcomes, chordomes)
\u2022 Tumeurs de la charni\u00e8re cervico-occipitale<\/p>\n![\"13.1_figure_2\"](\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/13.1_figure_2-300x220.jpg\")
Voie d’abord endonasale (Jackler)<\/p>\n![\"13.1_figure_1\"](\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/13.1_figure_1-300x211.jpg\")
Abord endoscopique endonasal (Jackler)<\/p>\n![\"Dessin](\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/Dessin-b.jpg\")
Technique Oto-endoscopique (d’apr\u00e8s Hitier)<\/p>\n\n
Les membres de l\u2019\u00e9quipe interviennent r\u00e9guli\u00e8rement dans des congr\u00e8s internationaux de chirurgie de la Base du Cr\u00e2ne et plusieurs sont membres de l\u2019European Skull Base Society<\/a> (ESBS). Ils sont \u00e0 l\u2019origine de nombreuses publications et de techniques innovantes<\/a> dans le traitement de la prise en charge des l\u00e9sions basicr\u00e2niennes.<\/p>\n\u00a0<\/h2>\n<\/div>\n
![\"8.1_figure_6\"](\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/8.1_figure_6-300x279.jpg\")
Voies d'abord lat\u00e9rales (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n;<\/span>\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"] CHIRURGIE ENDOSCOPIQUE DE LA BASE DU CRANE[\/heading]\r\n\r\n.<\/span>Elle concerne principalement les tumeurs des \u00e9tages ant\u00e9rieurs et moyens de la base du cr\u00e2ne:\r\n\r\n.<\/span>\r\n\u2022 M\u00e9ningocenc\u00e9phaloc\u00e8les et br\u00e8ches de liquide c\u00e9r\u00e9brospinale<\/a>\r\n\u2022 Tumeurs des fosses nasales (ad\u00e9nocarcinome de l\u2019ethmo\u00efde, carcinomes \u00e9pidermo\u00efdes, esth\u00e9sioneuroblastomes, sarcomes)\r\n\u2022 Tumeurs de l\u2019hypophyse (ad\u00e9nomes)\r\n\u2022 Tumeurs du clivus (chondrosarcomes, chordomes)\r\n\u2022 Tumeurs de la charni\u00e8re cervico-occipitale\r\n\r\n.<\/span>\r\n\r\n[caption id=\"attachment_3806\" align=\"aligncenter\" width=\"300\"]![\"13.1_figure_2\"](\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/13.1_figure_2-300x220.jpg\")
Voie d'abord endonasale (Jackler)[\/caption]\r\n\r\n \r\n\r\n[caption id=\"attachment_3807\" align=\"aligncenter\" width=\"300\"]![\"13.1_figure_1\"](\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/13.1_figure_1-300x211.jpg\")
Abord endoscopique endonasal (Jackler)[\/caption]\r\n\r\n;<\/span>\r\n\r\n[heading style=\"1\" size=\"Medium\" align=\"left\"] CHIRURGIE MICRO\/ENDOSCOPIQUE DE LA BASE DU CR\u00c2NE[\/heading]\r\n\r\nIl s'agit d'une technique d\u00e9velopp\u00e9e en collaboration avec l'\u00e9quipe de neurochirurgie et associant les technologies Microscopiques et Endoscopiques<\/strong> dans certains cas chirurgicaux complexes tels que les cholest\u00e9atomes ou les granulomes \u00e0 cholest\u00e9rines extensifs<\/a> et r\u00e9cidivants de la base du cr\u00e2ne<\/a>.\r\n\r\n[spacer size=\"20\"]\r\n\r\n[caption id=\"attachment_3812\" align=\"aligncenter\" width=\"300\"]![\"Dessin](\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2014\/08\/Dessin-b.jpg\")
Technique Oto-endoscopique (d'apr\u00e8s Hitier)[\/caption]\r\n\r\n \t
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