By Wolfgang Seeger

This atlas illustrates the anatomical buildings of the interior and exterior cranial base and their topography necessary to transnasal endoscopic surgical techniques.

Currently, nearly all of transnasal microsurgical interventions are principally limited to hypophyseal interventions. The petrous a part of the temporal bone and the retrosellar median zone have purely been carefully approached utilizing microsurgical endoscopy because of a present loss of technical event and topographical wisdom. those methods are universal within the US, even though, the place they're already effectively carried out which demands a profound anatomical wisdom. hence the writer specializes in the cranial base and different methods so one can organize surgeons for those interventions. a number of anatomical editions and precise surgical features are presented.

The very good drawings base upon anatomical arrangements, cadaver dissections and intra-OP demonstrations accrued throughout the author's a long time of neurosurgical experience.

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18 Overview 50 51 FIG. 18 SINUS SPHENOIDALIS AND FOSSA PTERYGOPALATINA Fig. 19 Os sphenoidale A. B. A’ B’ A’’ and B’’ According to Rauber-Kopfsch (1907), anterior view direction As A, posterior view direction Similar to A, cadaver skull dissection, sectional enlargement Similar to B, cadaver skull dissection, sectional enlargement anatomical sketches for topograms Abbreviations 1 Crista sphenoidalis (Alae vomeris removed) 1’ Alae vomeris (projection) 2 anterior wall of Sinus sphenoidalis 3 Apertura sinus sphenoidalis 4 Canalis pterygoideus Vidii, Apertura ant.

Pterygoideus/a) Arrow: Course of N. maxillaris (A. + V. infraorbitalis). Abbreviations 1 Processus pterygoideus, Lamina lateralis 2 Fossa scaphoidea (adherent to the distal segment of Tuba) 3 Sutura squamosa 4 Ala major, Facies temporalis 5 Os palatinum 6 Os palatinum, Pars verticalis-Pars horizontalis (Processus pyramidalis), transition 7 Tuber maxillare 43 FIG. 17 CAVUM NASI AND FOSSA PTERYGOPALATINA 44 Literature Castelnuovo P, Delfre G, Locatelli D, Padoan G, de Bernardi F, Pistochini A, Bignami M (2006) Endonasal endoscopic duraplasty.

Which connects the sinus to the clinoid process inferior to Canalis opticus. Area between Sinus sphenoidalis and Foramen lacerum (Figs. 19 to 34) Anterior wall of Sinus sphenoidalis Apertura sinus sphenoidalis is interposed between the insertions of Concha superior and Concha media (Fig. 30). Recessus sphenoethmoidalis (roof of Meatus nasi superior) is located superior to Apertura sphenoidalis. Foramen sphenopalatinum (Figs. 23 to 25) Its upper margin is the flat shape of the anterobasal wall of Sinus sphenoidalis at its transition to the roof of Fossa pterygopalatina (* in Fig.

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